While the main goal of periodontal therapy is to preserve the health of the supporting structures of the teeth, there are several procedures that we perform to enhance dental aesthetics and improve the look of a patient’s smile. For patients presenting with gum recession or a “toothy” smile, gum grafting procedures may be performed to cover the areas of recession. For patients with a “gummy” smile or teeth that appear to be short, crown lengthening procedures are a relatively simple answer to solve this aesthetic problem.
Periodontal disease is caused by the buildup of plaque and calculus around the gum line and between the teeth. In order to prevent disease, it is imperative to remove these etiologic agents. This will prevent bacterial growth which leads to bone breakdown and advancement of the disease process. The objective of scaling and root planing is to physically remove the plaque and calculus which causes the disease. Scaling and root planing is a non-surgical procedure which is particularly effective in dealing with gingivitis and early stages of periodontitis. If performed effectively at these stages, no further periodontal treatment may be necessary.
Periodontal disease is caused by bacteria which infect the periodontal lining of the gum. If not removed, this bacterial growth will spread and will begin to destroy the bone that supports the teeth. As bone is destroyed by the bacteria that is found on plaque and calculus, pockets form between the teeth and gums. As these pockets become deeper, it is almost impossible to clean the bottom of the pockets using toothbrushing and flossing techniques. If the pockets are not adequately cleaned and debrided, they will continue to deepen and more bone will be destroyed. This destructive cycle will continue and will eventually lead to tooth loss. The goal of all periodontal surgical procedures is to eliminate the pocket and to allow the patient to keep the gums and teeth clean using proper brushing and flossing techniques.