Clinical Extension of the Original Tooth’s Crown
The appearance and condition of the gums play an important role in achieving harmony and beauty.
Healthy gums, without visible asymmetry or discolouration caused by inflammation, can significantly contribute to a balanced teeth appearance.
When lips move, and especially when smiling, all the deformations on the gums are revealed.
Women mostly have shorter upper lips than men, so, in most women, the gums are visible even when they are not smiling. In such cases, the irregularities are even more prominent and a disturbance for the affected person.
Even completely healthy and symmetric gums can be too dominant when the person smiles, so beautiful, healthy teeth look too short and stubby. The phenomenon is called “the gummy smile”. The problem is simply solved by a small aesthetic procedure in the dental office.
The aesthetic surgical procedure includes the removal of excess gums, and sometimes even of a part of the bone surrounding the tooth for the purpose of releasing the surface of the visible part of the tooth. This is called aesthetic extension of the tooth crown.
The treatment is carried out in a few visits to the dental office.
After a detailed clinical examination and X-ray image analysis, a small aesthetic team consisting of a paradontologist, a prosthetics specialist and a dental technician, in cooperation with the patient (and in accordance with the patient’s wishes), makes the decision on the continuation of the treatment.
Evaluation of the smile and tissue balance, observation of the patient during speech, analysis of the gum level and tooth shape, analysis of the incisal dental ridge, the position of the lip in relation to the centre of the face, are just some of the factors that need to be considered in making the treatment plan or “smile design”.
The team proposes the type of the surgical procedure, whether prosthetics are indicated after the surgery and, if so, what they should be like (non-metal ceramic veneers or crowns) and whether teeth whitening is recommended.
The surgical procedure includes the removal of excess gums and their slight detachment from the bone in order to remove excess bone so that the gums would fit and heal at the desired position. Tissues are then adapted and sewn with very thin, transparent and absorbable sutures.
The recovery period is very fast because the procedure itself is very precise and minimally traumatic.
The prosthetics, if indicated, are made after 6-8 weeks. It takes that much time for the tissues to completely heal and stabilize in their new positions.
The results of the procedure are amazing: complete smile modification and restored confidence.