Treatment for Your Mouth’s Support Structures
There are many reasons why the gums and jawbone may require corrective treatment, including periodontal disease, trauma, and birth defects. Periodontal disease can greatly disfigure the natural appearance of the gums and teeth and give the smile an unesthetic appearance. New “cosmetic surgery” procedures are now available in periodontics, which effectively correct cosmetic problems and restore natural beauty to the smile. Here are some of the most common gum and jawbone corrective treatments:
Common Gum Treatments
Crown Lengthening (Gum Lift)
Crown lengthening is usually performed to correct a “gummy” smile, or to expose more of the tooth prior to a restorative surgery. In some cases, the teeth look short and stubby and partly covered by gum tissue due to genetics or gingivitis. Excess gum tissue can easily be removed to reshape the outline of the gums, expose the natural tooth length, and provide a fuller, more attractive smile. The same procedure is also an excellent way to create a more aesthetic gumline for dental crowns and other restorative procedures.
Gum Grafts
Gum grafts are generally performed to correct a crooked smile or to restore symmetry to the gumline after periodontal disease has been treated. Periodontal disease causes the gums to recede, making the smile look overly “toothy.” During a gum graft, a thin strip of tissue is removed from the palate and stitched in place over the recession site. Gum grafts are often used to re-contour the gum line and give the teeth a more pleasing appearance.
Pocket Reduction Surgery
Periodontal disease can cause the smile to be marred with unattractive teeth, brown gums and ridge indentations. The aim of pocket reduction surgery is to clean the root surfaces of the teeth subgingivally (beneath the gum line). During this procedure, tartar, plaque and bacteria that are affecting the teeth and gums will be removed.
The gum is first gently separated away from the tooth, and then the calculus (tartar) and plaque are removed using special ultrasonic and hand instruments. An antimicrobial liquid may be administered to the area to destroy bacterial colonies and ensure the pockets are given the chance to naturally heal. Pocket reduction surgery is an effective way to restore health to the gums and bone.
Common Jawbone Treatments
Sinus Augmentation
This procedure is usually performed prior to the placement of dental implants to ensure that the prosthetic teeth are both functional and firmly affixed to the bone. The success of an implant hinges on the quantity and quality of the jawbone to which it will be attached. If the jawbone has receded or been injured, a sinus augmentation can slightly elevate the sinus floor to allow new bone to form. Generally, a small incision is made in the bone and the underlying space is packed with grafting material. The incision is sutured closed, and the implant will be placed when healing has occurred.
Ridge Modification
Ridge modification procedures are used to treat deformities in the jawbone that have occurred due to periodontal disease, trauma, or birth defects. Birth defects can leave an unattractive indentation in the jaw, which makes placing dental implants difficult. During the ridge modification procedure, the gum is gently pulled away from the bone to fully expose the defect. The defect is filled with bone graft material or a similar synthetic product and then sutured closed. When healing occurs, the cosmetic appearance of the jaw is much improved, and implants can be successfully placed where necessary.
Bone Grafts
There are a wide variety of reasons why a bone graft may be necessary. Bone grafting thickens the jawbone to allow for the successful placement of implant anchors. Bone grafts can also help elevate the sinus floor, fill craters or deformities in the jawbone itself, or allow for successful nerve repositioning. The grafting material may be harvested from the lower jaw, the iliac section of the pelvis, or synthetically created. In most cases, a small opening is made in the jawbone and packed with the bone graft material. Sutures are placed, and restorative treatments are performed when healing is complete.
FAQs on Gum & Jawbone Corrective Treatments
How do I know which corrective treatment is right for me?
Every case is different, and the right approach depends on the extent of gum recession, bone loss, or structural concern involved. Your gum specialist will evaluate your smile and health history before recommending a treatment plan tailored specifically to you.
Is recovery painful after gum or jawbone corrective treatment?
Most patients experience mild discomfort that is easily managed with over-the-counter or prescribed medication. Swelling typically subsides within a few days, and your care team will provide detailed aftercare instructions to keep healing on track.
Will my insurance cover these procedures?
Coverage varies depending on your provider and the specific treatment needed. Our team is happy to help verify your benefits and discuss payment options so cost concerns don’t stand between you and a healthier smile.
How long do results from corrective treatment typically last?
With good oral hygiene and regular checkups, results from most gum and jawbone corrective treatments are long-lasting. Your gum specialist will also recommend a personalized maintenance plan to help protect your results for years to come.
Ready to Restore Your Smile?
Gum and jawbone problems don’t have to hold your smile back. Whether you’re dealing with recession, bone loss, or the lasting effects of periodontal disease, our team offers a full range of corrective treatment options designed to restore both health and beauty to your smile. With advanced techniques and a gentle, personalized approach, you can feel confident knowing your care is in experienced hands. Reach out to Karl A. Smith DDS, LLC today to learn more about which corrective treatment may be the best fit for you.