The Smile is the most recognizable signal in the world. Smiles are such an important part of communication that we see them far more clearly then any other expression. Just as a nice smile can act as a powerful communication tool, an unpleasant one can have an equally powerful negative impact thats why patients seek orthodontic treatment. As society raises the bar on an acceptable smile, we have more patients reporting for smile make-over job at our Dental Center. But Gummy Smile is one aspect which may still vex up.
In this article we are giving you an insight about gummy smile and its treatment modalities available at Delhi Dental Center — to get a desirable, predictable and achievable result.
As society raises the bar on an acceptable smile, we at our Delhi Dental Center are having more number of patients reporting to get smile makeovers by correcting there gummy smiles .
GUMMY SMILE :
The gummy smile is a condition known by an excessive display of maxillary gingival during smiling. 2 mm or more of maxillary gingival exposure while full smiling can be treated as gummy smile.
Gummy smiles are classified according to the amount of gum tissue that shows in relation to how much tooth structure is displayed while smiling. These classifications are determined by measuring the patients gum tissue as a percentage of total tooth length.
Gummy smiles ranges from mild, moderate, and advanced, to severe gummy smiles.
MILD GUMMY SMILE If the amount of gum tissue shown while smiling is less than 25% of the entire length of the teeth, it is considered as mild gummy smile.
MODERATE GUMMY SMILE If the amount of gum tissue shown while smiling is between 25% – 50% of the entire length of the teeth, it is considered as moderate gummy smile.
ADVANCED GUMMY SMILE If the amount of gum tissue shown while smiling is between 50% – 100% of the entire length of the teeth, it is considered as advanced gummy smile.
SEVERE GUMMY SMILE If the amount of gum tissue shown while smiling is more than 100% of the entire length of the teeth, it is considered as severe gummy smile.
ETIOLOGY :
1. Vertical maxillary excess, skeletal and dental.
2. Short anatomical upper lip.
3. Hyper functional upper lip elevator muscles.
4. Gingival hypertrophy.
5. Short or insufficient clinical crown length.
6. Combination of any of above.
TREATMENT PLAN —
Once the diagnosis is established and etiology becomes apparent there are two treatment options : –
1. Orthodontic option.
2. Surgical option. Periodontal.
3. Surgical crown lengthening.
4. Botox.
5. Le-fort 1 osteotomy.
1. ORTHODONTIC OPTION —
* Intrusion of teeth will help to reduce gummy smile and proclination of teeth, as the teeth intrude, gums also follow the intrusion but not at the same rate.
* Developing vertical maxillary excess may be corrected by Appling orthodontic forces with help of a head gear.
2. SURGICAL OPTION —
* PERIODONTAL — It includes simple gingivectomy up to about 2mm.
* Surgical crown lengthening — When there is short clinical crown in combination with increase gingival display, it can be corrected with removal of crestal alveolar bone.
* Botox — Increase gingival display due to hyper active muscle may be corrected by botox, the upper lip becomes flaccid and falls down there by decreasing gingival display.
* Orthognathic surgery– Sever cases of 8mm or more gingival display are best corrected by this method.
CONCLUSION —
Patient cases reporting to our center for gummy smile correction usually doesnt fall purely in any of above category. Overlapping etiological factors may contribute to difficulty in analyzing the case. However the above mentioned diagnostic criteria help to arrive at a proper etiology based diagnosis followed by logical treatment planning.
Authors –
Dr. Amit Goswami.
Dr. (Mrs.) Vandana Goswami.The Smile is the most recognizable signal in the world. Smiles are such an important part of communication that we see them far more clearly then any other expression. Just as a nice smile can act as a powerful communication tool, an unpleasant one can have an equally powerful negative impact thats why patients seek orthodontic treatment. As society raises the bar on an acceptable smile, we have more patients reporting for smile make-over job at our Dental Center. But Gummy Smile is one aspect which may still vex up.
In this article we are giving you an insight about gummy smile and its treatment modalities available at Delhi Dental Center — to get a desirable, predictable and achievable result.
As society raises the bar on an acceptable smile, we at our Delhi Dental Center are having more number of patients reporting to get smile makeovers by correcting there gummy smiles .
GUMMY SMILE :
The gummy smile is a condition known by an excessive display of maxillary gingival during smiling. 2 mm or more of maxillary gingival exposure while full smiling can be treated as gummy smile.
Gummy smiles are classified according to the amount of gum tissue that shows in relation to how much tooth structure is displayed while smiling. These classifications are determined by measuring the patients gum tissue as a percentage of total tooth length.
Gummy smiles ranges from mild, moderate, and advanced, to severe gummy smiles.
MILD GUMMY SMILE If the amount of gum tissue shown while smiling is less than 25% of the entire length of the teeth, it is considered as mild gummy smile.
MODERATE GUMMY SMILE If the amount of gum tissue shown while smiling is between 25% – 50% of the entire length of the teeth, it is considered as moderate gummy smile.
ADVANCED GUMMY SMILE If the amount of gum tissue shown while smiling is between 50% – 100% of the entire length of the teeth, it is considered as advanced gummy smile.
SEVERE GUMMY SMILE If the amount of gum tissue shown while smiling is more than 100% of the entire length of the teeth, it is considered as severe gummy smile.
ETIOLOGY :
1. Vertical maxillary excess, skeletal and dental.
2. Short anatomical upper lip.
3. Hyper functional upper lip elevator muscles.
4. Gingival hypertrophy.
5. Short or insufficient clinical crown length.
6. Combination of any of above.
TREATMENT PLAN —
Once the diagnosis is established and etiology becomes apparent there are two treatment options : –
1. Orthodontic option.
2. Surgical option. Periodontal.
3. Surgical crown lengthening.
4. Botox.
5. Le-fort 1 osteotomy.
1. ORTHODONTIC OPTION —
* Intrusion of teeth will help to reduce gummy smile and proclination of teeth, as the teeth intrude, gums also follow the intrusion but not at the same rate.
* Developing vertical maxillary excess may be corrected by Appling orthodontic forces with help of a head gear.
2. SURGICAL OPTION —
* PERIODONTAL — It includes simple gingivectomy up to about 2mm.
* Surgical crown lengthening — When there is short clinical crown in combination with increase gingival display, it can be corrected with removal of crestal alveolar bone.
* Botox — Increase gingival display due to hyper active muscle may be corrected by botox, the upper lip becomes flaccid and falls down there by decreasing gingival display.
* Orthognathic surgery– Sever cases of 8mm or more gingival display are best corrected by this method.
CONCLUSION —
Patient cases reporting to our center for gummy smile correction usually doesnt fall purely in any of above category. Overlapping etiological factors may contribute to difficulty in analyzing the case. However the above mentioned diagnostic criteria help to arrive at a proper etiology based diagnosis followed by logical treatment planning.
Authors –
Dr. Amit Goswami.
Dr. (Mrs.) Vandana Goswami.
Frequently Asked Questions
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QUESTION:
How early can gingival recession occur from using Snus tobacco?
I just recently started using the new smokeless tobacco product Snus. I have heard that it can cause gingival recession. I am not a consistent user. I use about two packets a day about 3-4 days a week. Sometimes I do not even use all week. How early can gingival recession occur? Please let me know. I use tobacco as a stress-reliever, having a huge amount of stress in my life. Please be serious about the answers, I will report any inappropriate answers. Thank you very much.-
ANSWER:
Andrew, Yes snus can and does cause recession. The tobacco in the snus causes the capillaries to constrict, decreasing blood flow, which can and does cause the tissue to recede. As stated before, snus use is strongly related to mouth cancer. This is a very messy cancer that typically causes disfiguring destruction to the mouth. Please, find another way to relieve your stress. Small white patches where you use the snus are actually precancerous changes! Stopping NOW will greatly reduce your risks. Good Luck, Dr. Dan
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QUESTION:
Can anybody tell me how effective a gingival graft is?
I am considering a free gingival graft to add tissue to an exposed lower tooth. If you or someone you know has had this procedure done, how effective was it at covering up the exposed area? Also, how painful was the procedure and are you satisfied?-
ANSWER:
I and many others have come to believe that gum disease comes from bacteria and imbalances in the mouth. I have been able to heal gums and tootheaches and unfilled cavities. I took a water pik(they are generrally about ) and an antibacterial solution of some sort. I like using Xylitol(you can find at most health food stores) as an antibacterial lately.I started on a mild setting and found which areas were sensitive or bleeding. I used it about once to twice a week. Even after just two uses the teeth and gums become much less sensitive and I was able to turn up the power of the jet. It might not be the same for you, but for me it is always worth trying anything that activated the body into healing itself than to force, cut, burn, or poison which is usually very temporary.
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QUESTION:
What is the recovery period from gingival grafting surgery?
also the pain level on a scale of 1-10. I watched it on you tube….doesn’t look too pleasant.-
ANSWER:
Did nothing for me. had it done . didn’t fix anything. I think dentists listen to a tape in there sleep how to get $$$$ for nothing or a band- aid. Dentists are a scam. went to 1 that said iI needed ,000 in dental work , had it done for 00 at another. All liars looking for $$$$
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QUESTION:
Can you tell me about a gingival flap?
My son has been going to a periodontist for a few months to clear up one sensitive area, and the doctor told him today he will need a gingival flap performed on that area.I looked it up online, and it looks like the doctor will be pulling back the gum to look at/clean? the underlying bone structure. Is this a safe procedure? Any negative long term consequences of getting this done? Thanks in advance.
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ANSWER:
if he has recessed gingiva then the dentist might lift or shift this flap over the denuded area
relax there is no possible complication cause gingiva has a very high rate of regeneration over any other tissue of the body
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QUESTION:
In a free gingival graft, how deep do they cut into the roof of your mouth?
The thought of this is freaking me out. How big of a chunk do they take?-
ANSWER:
a nearly paper thin sliver. Aside from the fact that you shouldn’t
if you rubbed your tounge along the roof of your mouth, you’d have a hard time feeling where they did the actual graft. Relax. Ask them if you can get a valium for the night before/morning of. Most periodontists/oral surgeons can prescribe you a dose or two to calm your nerves. Good luck with your surgery ^_^
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QUESTION:
Does anyone have any experience with free gingival graft surgery?
I may need to have the proceedure done and was wondering if anyone would share their experiences in term of surgery, recovery, and cost. Thanks
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ANSWER:
I work for a dentist and my dad has had it done and it is very painful and I would only do it as a last resort. Very costly. Took my dad a month. Could not eat very very bad pain.
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QUESTION:
My dog has to have surgery for gingival hyperplasia. Which insurance is best for this?
My dog needs antirobe caps, hospital inject, iv cath, antibiotic, preanesth blood screen, and gingival hyperplasia cautery.-
ANSWER:
You won’t be getting any insurance if you already know something is wrong. Insurance, even on your pet, is something you buy BEFORE anything goes wrong. No one will insure the little guy now. Sorry, cash it is!
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QUESTION:
in the case of chronic gums infection, will gingival graft solve the problem?
the gums infection is treated with steroids, if that helps.-
ANSWER:
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QUESTION:
The section of a tooth that extends from the incisal edge to the crest of the gingival height is the?Dear Daniel,
Thank you for humiliating me…It was the necessary kick that I needed. The answer was right in front of me. I just stressed myself out. “Clinical Crown”! Sincerely, First time user-
ANSWER:
This question has come straight off a workbook or test! Please, do your own work! If you ever have a patient in the chair, are you going to run to Yahoo answers when you have a problem!
This is BASIC knowledge YOU must have down cold!
Do your OWN learning, be a professional!Dr. Dan
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QUESTION:
Does anyone know what a gingival graft costs?
I need two of them done on lower molars.-
ANSWER:
This is done by a periodontist who is a specialist. The fee would vary from state to state. For 2 molars I would think around the 0 range, but that is pretty much a guess. Gum surgery is usually in the 00 range depending on the teeth involved and this is less invasive. The price may include a splint that protects your palate tissue (the donor site).
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QUESTION:
What’s the worst thing A Gingival sulcus can do.?
Is a gingival sulcus bad??
Oops i mean a Periodontal Pocket..-
ANSWER:
Everyone has perio pockets, your pockets are different depths, if its over a 3 thats considered gingivitis, a 4,5 can be fixed with a good cleaning by a hygienist, 6 or higher is more of a problem and may need a “deep cleaning” where they will numb you and clean the roots of your teeth.
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QUESTION:
how to use a gingival retraction cord? Is it removed prior to impression taking or after?-
ANSWER:
It’s removed prior to taking the impression. The purpose of the retraction cord is to make the gingiva pull back from the tooth a bit so a good impression can be taken. If it’s left in place while the impression is done, the impression will be inaccurate.
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QUESTION:
Any help with a free gingival graft?
I am getting my hour operation on Monday the 15th of June and just nervous about it.
I know what happens and stuff but if you had it done how did you feel during and after the operation?Any tips and suggestions to help welcome !!
Best Regards,
David-
ANSWER:
The worst part of the procedure will be getting the area numbed especially on the roof of your mouth if that is where they will take the donor graft from. After that you should feel no pain during the procedure. Post op you will have some discomfort but it would be less than an extraction. The gum area will be raw and irritated and you will have to watch eating salty or acidic things for a few days. Healing usually is fairly quick and if instructions are followed the chance of infection is small. I wish you good luck with the graft.
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QUESTION:
My dentist said I should have a “gingival graft” due to the amount my gums have receded and the pain. ,000?
Is this procedure really going to help or is gum recession just a natural occurance due to aging? 00 seems VERY expensive. I was told I will need to be under a general anesthetic for this surgical procedure. How risky is procudure? This next question may or may display my lack of knowledge on this subject: Is this procedure for real? Or just a way to generate revenue for my dentist?-
ANSWER:
I have receding gums as well. My denstist never said I needed to have gum grafting. There are many other treatments out there that are usually considered before the gum grafting. For instance, there is special sealants that the dentist can put on. Also, there are special toothpastes for sensitive teeth. You need to use them for up to a month before you notice an improvement.Yes, gum grafting is a real procedure, but usually only considered as a last resort. Go to another dentist and ask them about special sealants that can be applied.
My sensitive teeth only bother me in the winter. So I try to keep the temperature up in the house.
I would try all your other options before you shell out 4 grand to a dentist. I would be finding myself a second opinion.
Good Luck.
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QUESTION:
I am suffering from generalized gingival recession and sensitivity. How long will my teeth last?
I want to know from experience what is the period like for tooth loss to happen if good care is given like flossing and two time brushing. I am 28 year old male and a smoker of 20 ciggs a day(i know quitting will reduce risk). Also sometimes I clench my teeth at night. I want to know exact reasons of recession – whther it is too much brushing, bruxism (clenching of teeth – nightguard needed and how to measure bruxism?), alchohal, plaque deposits or anything else? and if I reduce all risks how long will it take for tooth loss to happen? currently I have almsot 4-5 mm of recession on outer side of all teeth while no recession at all on inside of teeth except for lower front teeth (which are mis-aligned and thus gather more plaque). Dental x-rays show very minimal bone less. how you reduced risk? Whether gum grafting is successful as I am very concerned about this condition and fear immediate tooth loss if recession goes on at this rate(i have noticed recession only 6 months back).-
ANSWER:
As a dental hygienist of six years and now a dentist, I must tell you, no one can answer this question with out seeing you. Not only can you see recession but you must do a periodontal exam to evaluate the bone levels, if you have pockets, you have lost more bone than you know (add recession+pocket depth= total loss of supporting structure). I recommend, #1 see a dentist for a comprehensive exam and voice your concerns. #2 QUIT SMOKING (it increases your risk of periodontal disease). #3 Keep up with regual dental visits (often people with gum disease need to have cleanings and maintianance every 3-4 months). In most cases, someone as young as you are who practices good home care can reverse some of the loss or at least halt the disease in which case you could keep your teeth your entire life. Recession can be caused by many of the things you mentioned, aggressive/improper bruhsing, brusxism, plaque and calculus (tartar) depostits. Seriously, go see a dentist now, before it gets beyond help.
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QUESTION:
Can I do anything to my gingival smile?
My gum shows when I smile.-
ANSWER:
My dentist would use his soft tissue laser to retract the gum tissue exposing the full length of the tooth. you don’t necessarily need crown lengthening unless you’ve ground your teeth down making them short.
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QUESTION:
I have to have a gingival graft done tomorrow,(where they take gum from the roof of your mouth and graft?
stitch it to where your gums are gone). Mine is from wearing a labret piercing for many years and it ended up wearing the gum down to nothing. ANYWAY, has anyone had one? Does it hurt? Do they prescribe pain meds to help?-
ANSWER:
it depends on where you have healthy gums. Usually it is taken from the side of the area where the gum is missing & slided to cover up.
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QUESTION:
I need a gingival graft and I’m scared to death!!?
I had braces and now I’m wearing a fixed retainer. For some reason it messed with my lower gums and 3 teeth need to be repaired – gingival grafted. How bad does this hurt? I’ve watched videos on youtube and I’m scared out of my mind :”(
My dentist says I would lose the teeth if I don’t get it done soon and I’m also in pain. HELP!-
ANSWER:
Hi! I just had a gum graft this last Tuesday (two actually), and it wasn’t as bad as I thought it’d be at all. I usually hate any sort of dental work. You will most likely get some numbing shots first (which always suck a little, but make everything much better). After that you will feel pressure being put on your gums, but no pain, and if you gain any sensitivity back, they will stop and re-numb you. They will also probably prescribe a pain medication for afterwords. It definitely gets sore, but if you just take the medicine, it’ll be fine. I’m already able to eat solid foods (you’ll be on a liquid diet for the first few days), and I’m not taking any pain meds anymore. Mostly I just got bored during the procedure, then sat around watching movies after. It’ll be alright!!!
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QUESTION:
Will getting my gingival fibers (in my gums) cut hurt?
I just got my braces off so the dentist has to do this…Will it hurt?-
ANSWER:
sorry, yes it will. the dentist will give you pain meds.
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QUESTION:
The following structures are part of the gingival unit:?
1. interdental papilla
2. free and attached gingival
3. mucogingival junction
4. all of the above-
ANSWER:
4. all of the above.
Thanks for taking a quiz .
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QUESTION:
gum recession ( Free Gingival Graft) Any tips ?
Hi , i had my braces off now since Feburary and i have gum recession on my lower gum , i was at the gum specialist today and i have to have a gingival graft done in a few weeks . Can anyone tell me tips on how not to worry and is it painfull after ?-
ANSWER:
Don’t worry! I’ve just had a bone graft, which is similar except for bone (well duh:) It is really easy.It doesn’t hurt at all. Your Perio will totally numb you up. The only scary thing is possibly the injection into your palate. That may smart a bit, but it really isn’t bad.
If you are nervous, you may be able to get nitrous oxide to help you calm down. Ask your DDS about it. It will make you not even care what’s going on in your mouth.
My most important random tip: ask your Perio or assistant to tell you and show you exactly what your mouth looks like and feels like before you leave the chair. BEcause when you get home and are healing, it can really mess up the healing process if you are messing with your site with your tongue, or pulling back your lip to look. So I have my Perio tell me and show me exactly what it looks like so I know but don’t have to mess with the site! Just a tip that not many people think about, hope it helps
You will be fine after the procedure! You may be given a script for pain pills. Take one asap, as the most pain will be just after the procedure. But after that, I was fine with my bone graft, I didn’t really need pills. If your donor site is bleeding a bit, moisten a tea bag and gently apply pressure with it. Be really gentil, cause the bag will bust open if you press too hard, and tea leaves will go everywhere!
You can ice for up to 12 hours after your surgery, which may help if you are in any pain. But otherwise, you should be great and will be happy with what turns out!
Good Luck!
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QUESTION:
Gingival recountouring, shaping, or “gum lifts”…Anything you can tell me about them?
After my braces treatment I want to get ginvival recountouring. However, I can’t find a whole lot of information on this. Has anyone here gone through this? Any advice, info, tips? Thanks!-
ANSWER:
it’s basically sculpting the gums to be even and pretty. Your gums are a little sore right at first (make you want to stick with soft food and avoid orange juice). It heals quickly, then it’s done! Then you have a fabulous smile afterwards
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QUESTION:
how much does a laser gum lift cost (gingival recontouring)?
how much does it cost, is it per tooth? thank you-
ANSWER:
It’s normally per section. You would need to see a periodontist, it can run about 00 per section.
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QUESTION:
Classification of Gingival Retraction?
I believe it’s Chemical and Mechanical, but would someone please elaborate?-
ANSWER:
When done with chord it’s almost completely mechanical. The chord(s) basically stretch out the sulcus by pushing the gingiva out of the way. It is left in for several minutes so that when the chord is removed the ginigiva remains retracted (for an impression)
Sometimes the chord is soaked in a hemostatic agent (ie ferric sulfate) this would be chemical. It is used to help stop/ prevent bleeding from the sulcus.
Retraction in general is used for impressions and some hydrophobic (don’t work well in water) restorations (when better isolation is sufficient)
Some lasers can be used to take the place of retraction.
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QUESTION:
Dental question about gingival sulcus depth?
My notes for Periodontics says that the clinical healthy depth of the gingival sulcus is 1-3mm but says that the histologic depth is 1.5-1.8mm. It then says “why is there a difference?”. Does anyone know what “histologic depth” of the gingival sulcus means?-
ANSWER:
THIS DEPTH IS THE NATURALLY OCCURING BIOLOGIC DEPTH WHEN THERE IS NO INFLAMMATION, aka when the gums are in perfect condition.
WHEN THERE IS GINGIVAL HEALTH AS MEASURED BY THE DENTIST, MEASUREMENTSOF 1-3mm ARE OBTAINED BY USING A PERIODONTAL PROBE.
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QUESTION:
what are the gingival diseases of bacterial origin?
-treponema pallidum associated lesion
-information about symptoms risk factors;diagnosis, prevention, and treatment-
ANSWER:
Try a search engine of medical terms….many on the net with details galore!!!
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QUESTION:
I am maybe going to get a Gingival graft?
Does it hurt? I no they use Novocaine. am only 9-
ANSWER:
you batter see a doctor and take good care of your oral health, my gingivitas started when i was 10 but i never took it serious and now some of my tooth are loose.
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QUESTION:
how much does a gingival flap cost?-
ANSWER:
You can easily check your minimal health care rates in internet, for example here – health-quotes.isgreat.org
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QUESTION:
Getting my “supracrestal gingival fibers” cut?
I just got my braces off after 4 years of wearing them. My ortho told me to give a letter to my dentist saying I have to get my “supracrestal gingival fibers” cut..1) What does this mean?
2) What is the purpose?
3) What are the side affects and does it hurt?thank you so much! I’m really scared
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ANSWER:
1) it means they want to cut the micro fibers that are attached to your teeth.
2) the micro fibers don’t detatch from the tooth when it’s moved with braces, so they end up just stretching from their previous position. what this means is when the braces come off, the fibers can pull your teeth back to their original position. If they’re cut, they will be forced to reform in a straighter position and lessen the chances of relapse.
3) you will be numb for the procedure and the healing time is minimal. Don’t worry too much.
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QUESTION:
Gingival recession question?
i recently noticed that i have a minor case of gingival recession most likely due to my aggressive brushing technique and frequent brushing. ive started using a softer toothbrush and a more gentle technique. if it was my brushing that cuased it and this new technique works, then how long will it take for my gums to heal?-
ANSWER:
yrou gums wont actually grow back – after a week they may stop receeding..
gum recession is something everyone goes theough with age anyways.. but if your brushing has calmed down then the recession will stop now but they wont grown back down sorry !
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QUESTION:
Gingival recession vs abrasion lesion?
Hi everyone how do you distinguish gingival recession from abrasion lesion clinically? Because i think they look similar especially if the abrasion lesion is at cervical third of tooth near the gingival margin. Or can the two actually be the same?? Thx a lot~-
ANSWER:
Usually you will get recession from brushing to hard which will leave the cementum of the tooth abraded. If someone brushes too hard, the gums will recede. Once they are receded and the patient does not change the way they brush it can cause abrasion which can be mechanical. Something that is hard to distinguish is the difference from abrasion, and abfraction.
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QUESTION:
what is hyper gingival?
has anyone had this on there gums?-
ANSWER:
It basicly means you have ‘big gums’.
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QUESTION:
gingival cyst or cancer lump?
what would be the diffrence in size, texture, movabiltity, appearance, location? im talking about gingival cyst and cancer lump on the gums-
ANSWER:
If it is soft, squishy or slightly firm, normal color, and regular shape then it’s probably a benign thing.
Cancer is usually white, velvety red, irregularly shaped and very hard
( like a rock)
Location is important as well. Gums next to the teeth, top surface of the tongue, and front of the roof of the mouth are low risk areas.
Under the tongue and its sides, very back of the roof of the mouth and insides of the cheeks are higher risk areas
Most lumps on gums are associated with abscessed teeth (even without pain) and bony exostoses (extra bone growth… whitish lumps that are very hard). Sometimes it’s viral related.
Get it checked
Good luck
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QUESTION:
What is the difference between oral surgeon and periodontist?
Are these the same people?Which one does gingival gum grafts?
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ANSWER:
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QUESTION:
How long do stitches take to dissolve?
I had some dental work done, gingival flap & bone graft. This was on Wednsday morning. The dentist used the dissolving stitches. Today, about 20 min ago, I can already feel them moving around and getting lose, like part of it has broken off. I just want to make sure nothing is wrong.
So my question is how long do they normally take to disolve?-
ANSWER:
FYI,
this varies with each person. It can be from 3-7 days depending on how the sutures were placed. If this just happened Wednesday and today it’s Friday, they won’t last much longer
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QUESTION:
What Are Some Natural Alternatives To Gum Grafting? How Can I Naturally Reverse Periodontal Disease?
I’m using a sub-gingival applicator to probe the gums with a hydrogen peroxide based solution. It only helps the disease from progressing, but hasn’t done much to gain back lost gum tissue. What are other alternatives besides hydrogen peroxide or colloidal silver for saving my gums? Gum grafting is too expensive.-
ANSWER:
Hi,
Kudos to you for trying your best to save your teeth!! But using hydrogen peroxide or colloidal silver will not help the disease from progressing. If you were told you had periodontal disease, then you will need (not unless you already had) deep cleanings, that means you will get shots to numb up your mouth. Then after that, you may need to have gum surgery to reduce the pockets around your teeth. The best way to help slow down the progression of gum disease is to have your teeth cleaned at your periodontal office every 3-4 months and for you to brush and floss everyday and do whatever else they tell you at your periodontal office. As far as your gum problems….gums DO NOT GROW BACK!! Once they are gone, they are gone. Gum grafts are the best way help cover exposed roots on teeth and help strengthen areas of thin gums. Yes, I am sure its expensive. See if you can take out a loan, sell stuff on ebay or have a yard sale. Do one graft at a time. Always use a soft toothbrush and don’t scrub the crap out of your teeth and gums. People can actually scrub their gums right off their teeth! Also, there is no natural way to reverse periodontal disease. Sorry. Please try to do what your periodontist says, its the best way to save your teeth. Good luck and take care of those teeth!! ps……don’t use hydrogen peroxide or colloidal silver – not unless your periodontist told you to!
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QUESTION:
Gum/Gingival graft and frenectomy?
On tuesday I’m having surgery to get a gingival graft on my lower front teeth and a frenectomy on the skin that connects from lip to gum. Basically, I’m scared to death.Has anyone had either of these procedures done before and if so, can you tell me a little about what to expect? How badly will it hurt, what’s the recovery time, etc.
Oh, and worst part, I won’t be able to eat on Thanksgiving. :[
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ANSWER:
This proceedure should be preformed by a Periodontist. A Dentist that specialized in treatment of the gums. You should direct these questions to the Doctor or a member of his staff.
You will be numb and will not hurt during the procedure. Usually the area is covered with a packing material sort of like a cast for a week. Another week of good hygiene and you will be in good shape. You will be ok by turkey soup time. Good luck!
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QUESTION:
Who is the manufacturer or distributor of pyodontyl and give the email address and contact number?
Please email me complete name and address, tel. no, email address, fax no. of the manufacturer of Pyodontyl gingival paste. Or distributor's complete name and details as per manufacturer.
Kindly reply asap.Thank you so much.
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ANSWER:
Try Kabayancentral.com.I hope that helps!
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QUESTION:
when i leave for Basic Combat Training and go to reception can the army disqualify me for having gum disease?
i have gingival recession/gum disease and am scared that when i leave for BCT and they check me out at the reception battalion they will disqualify me. I would get it fixed before i leave but my medical will not cover it and i cant pay out of pocket. it would be cool to get an answer from a recruiter or someone that would kno for sure but anything helps.-
ANSWER:
Depends on how bad it is. You'll have another physical at MEPS before you take off for Basic. If it's bad enough you wont go to Basic until you take care of it otherwise they'll send you to recption where you'll be pulled aside get treated at Reception and join the gimp platoon until your fit enough to start Basic. Good Luck and enjoy the ride.
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QUESTION:
Is a (non-surface) cheek/dimple piercing a bad idea if you have a problem with gum recession?
I have had two gingival grafts in the past year and have been warned about some 'problem areas'.What is the likelihood of the piercing causing further recession?
I had a labret piercing three years ago and never had a problem.-
ANSWER:
I don't know about cheek piercings, but other piercings in or around the mouth can definitely cause gums to recede. My orthodontist highly recommended that I take my tongue piercing of two years out because he could see my gumline starting to fade.
I think it really depends on the location. I have two lip piercings and they don't rub my gums because they are up high, situated right below my lip line. I would ask a few piercers and see what they have to say.
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QUESTION:
When will gum tissue regeneration become available to the general public?
I've heard scientists are developing ways to regrow gum tissue- for people with receding gum lines/gingival problems. When will this become available to the general public?-
ANSWER:
Not anywhere in the near future. It has a long way to go.
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QUESTION:
Does anyone know how to use a dental water pick ?
They say they are good for keeping up your oral hygiene and maintaining good health and vitality of your gingival tissue, teeth, and gums. Is this really true....Has anyone ever used one before ?-
ANSWER:
I used one all the time when I had braces. I stopped when I had them taken off though. Flossing works better, but you can't floss well with braces on, so you use the water pick.
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QUESTION:
apicoectomy or gingival flap?
i everyone! i just had a tooth abscess a few weeks ago. THe oral surgeon says i needed an apicoectomy. There was no consent form, and she didn't inform me that my gums would recede after the surgery. Now 7 days after, i notice severe gum recession. i don't know if she did an apicoectomy or a gingival flap? how would i know? THe reason why i opted for an apicoectomy coz i don't want my crowns removed or damaged, now i can't even smile anymore coz of the recession..i feel so upset...I hope anyone can shed light on this..im gonna have my stitches removed tomorrow. I needed to know if she really did an apico coz i heard in apicos, they only cut a small portion of the gum. But what she did she opened a flap from my gumline. By the way i have 2 teeth that underwent an apico or so she says...i appreicate ur help thanks-
ANSWER:
Apicoecetomys are a last resort to save a tooth which have recurrent long term infections on teeth which have been root filled. It involves the gum being lifted up and the tip of the root being cut off and sealed from the bottom tonprevent any bacteria entering the tooth. This allows the surrounding bone to heal better as often it has been distoroyed as part of the infection. Thi this fails the tooth should be removed.
To gain acess there are different flap
Designs depending on the tooth being operated on. A flap is just cuts in the gum allowing it to be peeled back to access underlying structures. The bigger the flap the bigger the blood supply the quicker it heals. Some people leave a slice of gum just above the tooth and cut the flap above the ape of the tooth. This has the advantage of improved aesthetics but you risk the slice of gum dying... It is not abnormal to raise the flap from were the gum meets the tooth right up to the top of the root.
You should have been told the benefits and risks beforehand and should have been offered alternative options such as extraction. It might be worth writing a letter of complaint to your dentist telling them you didn't understand and please will they be clearer innfuture or offer you a consent form.
The dentist probably didn't realise that you didn't understand and this is just a break down in communication.I hope it all works out!
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QUESTION:
What is Gingival Stripping?!?
Something in relation to preventive orthodontics.
i need a definition
i need a definition-
ANSWER:
you can prevent it by brushing your teeth and eating food rich in vitamin c..
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QUESTION:
Have you had a gingival gum graft before? (I am giving best answer)?
Gingival Gum Graft - A free gingival graft is a dental procedure where a layer of tissue is removed from the palate of the patient's mouth and then relocated to the site of gum recession. It is stitched into place and will serve to protect the exposed root as living tissue.
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I went to a Periodontist because I have periodontal gum recession. She said I need to have a gingival gum graft done in the next couple of years (preferably this year). She said it needs to be done on the right and left side of my lower teeth because my gums have receeded a lot and the gum is not attached to the teeth.Those of you that have done a gingival gum graft:
-How was the pain? Were you able to eat easily after the the gum graft?
-Do you regret it?
-What were the results of it? (Were the results good or bad?)
-What were some problems you had?
-Do you recommend I do it? If so, should I do it sooner or wait a while?
-Any tips?
Thank you for answers....I am going to give a best answer within a day to the most thoughtful one
Another question:Should I get a second opinion from another dentist?
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ANSWER:
I am a dental hygienist and while I was in hygiene school I had a graft done by a periodontal student because I had sensitivity due to recession on my lower bicuspid.- It was a little tender afterward but eating was not a problem, though my palate did swell late that evening and I would not have been able to eat then but by morning it was back to normal however that is very uncommon for the palate to swell.
- I don't regret it because now I can tell my pateints about the procedure having first hand experience. I do regret that I did not comply with the home care instructions better becasue it makes ALL the differnce. When they say don't brush that area for several days, they mean it because the graft needs time to attach before it is touched by anything!!!
- My results weren't spectacular only beacuse I brushed the area, I thought that brushing lightly wouldn't matter, I was wrong. Don't brush it!!
-Only problem was the swelling.
- I definitely recommend it, I have had many patients with excellent results. It will prevent so many problems in the future such as root decay, sensitivity and bone loss. And the sooner you do it the better.
- Follow the home care instructions --don't brush and floss that area for however long they tell you, most likely they will give you a medicated mouthrinse to aid with healing (Peridex) use it even though it tastes bad and may stain your teeth but your hygienist will be able to remove the stain at your next cleaning.
- If you are unsure go ahead and get a second opinion, it can't hurt. Either way always make oral hygiene a top priority, you onlty get one set of teeth, take care of them!!
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QUESTION:
what is the shape of gingival epithelium????????-
ANSWER:
I believe they are hair-like fibers, so my guess would be cubodial, but I'm not 100% sure....
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QUESTION:
Lip piercing with relation to gingival recession and gum problems; your experiances!?
So a couple of days ago I got my bottom lip pierced twice.
I've been wanting to have them done for four years, (since I was fourteen) and had some spare cash so I went for it. I'm confident in the piercing studio, as it was recommended by several people, was spotless, and people working there were lovely! I was done with a sterilised hyperdermic needle rather than a gun.
The piercings appear to be healing ok, although I admit it's early days yet!
I then read some papers on science direct in relation to the increased risk of gingival recession in people which laberet piercings. The evidence used was all in countries i'm not in (the main study was in Israli teenages, and another in texas) and the figures were presented in such a way that made it difficult to compare fairly.
I'd never heard of this before, and couldn't find any papers looking specifically at the link between lip piercing and gingival recession in the UK.I was hoping the people of yahoo answers could share their experiances on the matter?
Thanks.-
ANSWER:
My lip piercing does not touch my gums.
Therefore, it won't do any gum damage. :]Edit:
If the piercing rests on your teeth, you’re likely to get teeth erosions because your jewelry will rub against the enamel on your teeth.
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QUESTION:
i think i have gingival abscess?
well i have most likely had it for like 5 years because i had a boil/pimple and every time i went to the dentist she did nothing infact i went to more then 1 dentist and still nothing and x rays were done.
but the thing is that the only sings of me having it is that its kinda looks like gingival abscess and it drains or wen put presure on it white stuff and sometimes blood.
i cant go to the dentist i am poor and i realy cant.
it dosent realy bother me cuz it dosent hurt. could it be something else. help tnx u
and i think i got it in about grade 6 or 7 and now im going to grade 10-
ANSWER:
sorry to hear about your dental problem and financial situation.What you are describing sure does sound like a tooth with a necrotic pulp acting as a source of infection that is showing up on your gums. This may or may not be painful when you bite down.
WHAT CAN YOU DO ABOUT IT?
If you do have an infected tooth…there are 2 choices:
1) root canal therapy
2) extract toothWHAT IF YOU CAN’T AFFORD TO GO TO A DENTIST?
1) some dentists will treat your condition and allow you to make payments.
2) if you are poor, you may qualify for medicaid coverage. you are still a minor (<18) and you could get help. contact your county health department and just ask them what is available.
3) some counties/states have free or very minimal fee public health clinics.good luck
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QUESTION:
I found out I have Gingival Recession(Gum Recession). I was wondering how much treatment cost?
I found out I have Gingival Recession only below one of my front bottom tooth. I have had it for a long time(dont remember when i first seen it) and i am very embarresed of it. It also is causing me to have bad breath 24/7 even though i brush my teeth. I am 19 yrs old dont have an income and soon to be shipped to BCT for the Army at the end of Aug. I am scared that once i get my dental exam for the Army they will kick me out because of it. I have medical insurance but I dont even know who would take care of this a dentist or a specialist? Once I know i can see if they take insurance but if not does anyone kno how much root planting or surgery cost for this?-
ANSWER:
You can easily check your minimal health care rates in internet, for example here – healthquotes.awardspace.info
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QUESTION:
Could the same blue light that treats acne also promote oral health?
I know that the blue 405-420 nanometer wavelength blue light has provided significant sub-dermal bacteria reduction. Could it do the same for sub-gingival bacteria?-
ANSWER:
The answer is “no” for several reasons. First, oral bacteria is completely different from dermal bacteria. None of the strains of oral microbes have been shown to have their growth be altered by exposure to any type of light, including the blue light range.Secondly, subgingival bacteria is just that: deeply embedded beneath the overlying tissues. As such, light is not able to penetrate sufficiently to effect any changes.
I hope this helps.
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