Many patients have cultural factors and imbalances of pigmentation components which form the basis for unusual colorations of ginigival tissues. The range of darkening effects can be spotted or splotchy (light and dark brown) all the way to nearly 100% of the gum tissues.
Black gums usually refers to the condition where all or most gum tissue is affected, with a complete brown appearance. Dark pigmentation of gums can be permanently removed using a surgical procedure. The dark pigmented areas are removed to expose the naturally pink tissue underneath.
Thus the result is a healthy smile that looks natural and radiates confidence. It can be performed on individuals of all ages. Healing of the treated tissues is fairly rapid. Discomfort for the patient, both during and after treatments is minimal. Patients commonly report having itchy gums for a short time during the post operative period.
Gum Contouring “Gummy Smile” is visibly big gum line in which teeth appears too short. Gum Contouring is done to expose more tooth structure. It can be done for single multiple or entire set of teeth.
A dental prophylaxis is a cleaning procedure performed to thoroughly clean the teeth. Prophylaxis is an important dental treatment for halting the progression of periodontal disease and gingivitis.
Periodontal disease and gingivitis occur when bacteria from plaque colonize on the gingival (gum) tissue, either above or below the gum line. These bacteria colonies cause serious inflammation and irritation which in turn produce a chronic inflammatory response in the body. As a result, the body begins to systematically destroy gum and bone tissue, making the teeth shift, become unstable, or completely fall out. The pockets between the gums and teeth become deeper and house more bacteria which may travel via the bloodstream and infect other parts of the body.
Prophylaxis is recommended twice annually as a preventative measure, but should be performed every 3-4 months on periodontitis sufferers. Though gum disease cannot be completely reversed, prophylaxis is one of the tools the dentist can use to effectively halt its destructive progress.
Gingival flap surgery is a procedure in which the gums are separated from the teeth and folded back temporarily to allow a dentist to reach the root of the tooth and the bone.
Gingival flap surgery is used to treat gum disease (periodontitis). It may be recommended for people with moderate or advanced periodontitis, especially if the initial, non-surgical treatment (scaling and root planning) has not eliminated the gum infection. It may also be done in conjunction with another procedure known as osseous (bone) surgery.
After numbing the area with a local anesthetic, we will use a scalpel to separate the gums from the teeth and then lift or fold them back in the form of a flap. This gives us direct access to the roots and bone supporting the teeth. Inflamed tissue is removed from between the teeth and from any holes (defects) in the bone. We will then do a procedure called scaling and root planning to clean plaque and tartar. If you have bone defects, we may eliminate them with a procedure called osseous recontouring, which smoothes the edges of the bone using files or rotating burs.
After these procedures are completed, the gums will be placed back against the teeth and anchored in place using stitches. We sometimes use stitches that dissolve on their own, and sometimes stitches that have to be removed a week to 10 days after the surgery. We may also cover the surgical site with an intraoral bandage known as a periodontal pack or dressing.
If the teeth are very loose, they can be splinted or joined together like pickets in a fence so that any biting force is distributed among groups of teeth rather than individual loosened teeth.