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Aesthetic Oral Surgery
Aesthetic Oral Surgery: labial and lingual frenulum of the tongue removal, gum correction, crown lengthening, gum surgery, vestibuloplasty at Pure Dental Dentistry.
FRENULECTOMY (REMOVAL OF THE LABIAL FRENULUM AND LINGUAL FRENULUM)
In the case of a strong thick lip and/or tongue frenulum that inhibits the patient in some way, these anatomical features are removed. How can these features hinder us? In newborn babies it is common for the tongue to be too loose (strong frenulum) and the sucking rate to be inadequate. In most cases this is corrected as soon as it is discovered. However, it may not prevent the infant from sucking so the frenulum is not removed, but later in infancy speech is difficult (incorrect "R" sound formation). In such cases we may decide to operate in collaboration with a speech therapist. In adulthood frenulum removal is less common. Problems caused by thick lip brakes often become visible later. If the growth is extreme it can make it difficult for the baby to keep the front milk teeth clean or a gap can develop between newly emerging incisors when changing milk teeth. In this case we work with an orthodontist to decide whether to remove the frenulum. Removal of the labial frenulum is also more common in adulthood, for example for aesthetic reasons.
ELECTROSURGICAL GUM CORRECTION
Gum correction is usually necessary for aesthetic reasons. Normally, the gum growth runs at the tooth enamel-cement boundary, but there are cases where it runs above it. This can affect 1-2 teeth or occur in several teeth. An unsymmetrical gumline or an inappropriate white-to-pink ratio can be aesthetically distracting so we aim to correct this. There are cases where gum correction alone can restore the effect of natural, beautiful, aesthetic teeth. However, there are cases where this is not enough so some aesthetic restoration (shell, crown) must be added to restore the shape of the tooth possibly its alignment.
Crown lengthening is usually necessary for restorative treatments (fillings, crowns) or for aesthetic reasons. In cases of severe decay or fracture we try to restore the teeth with fillings or crowns. However, there are cases where the edge of the affected area is under the gum and in such circumstances we cannot prepare the filling/crown due to lack of proper isolation. With crown lengthening we can move the edge of the area to be restored towards or in line with the gum line so that the isolation is correct and the procedure can be performed. The other indication is aesthetic restorative treatments. Normally the gumline runs at the enamel-cement boundary but there are cases where it runs above it. This can affect 1-2 teeth or occur in more than one tooth. A non-symmetrical gum line, teeth of different sizes/shapes or a disproportionate white-to-pink ratio can be aesthetically distracting so we aim to correct this. There are cases where gum correction alone can restore the effect of natural, beautiful, aesthetic teeth but there are also cases where we need to change the bone alignment. In these cases we usually also do a veneer/crown to give you the most beautiful smile.
GINGIVOPLASTY, CT GRAFT, FGG, TUNNEL SURGERY
If the quality and quantity of the mucosa around the tooth or implant is not sufficient, we can increase the quality, thickness and aesthetics of the mucosa by gum surgery. If these treatments are not carried out in time an advanced form of gum recession can develop and is more difficult to repair. Patients are divided into two groups based on the thickness of the gums: thin and thick biotype patients. Thin biotype patients are more likely to develop gingival recessions.
The development of gum recessions is greatly increased by improper, heavy brushing. There are many forms of gum surgery but what they have in common is that we usually have to remove the tissue from the palate and transfer it to the affected area and fix it there. The grafted tissue allows us to influence the quality of the gums. If only tissue is used, it is called a CT (Connective Tissue) graft, if the connective tissue is also covered with epithelium it is called FGG (Free Gingival Graft).
The deepest part of the mucous membrane of the lip and cheek facing the oral cavity is called the vestibule or oral cavity. This is the part where the soft tissue that covers the oral cavity folds over onto the jawbones. The soft tissues covering the jawbones are made up of the loose, flexible and firm gums. The correct proportion of these parts is vital around teeth and implants both aesthetically and functionally. Because if the vestibule is very shallow and the gums are also very weak the gum margin around the teeth or implants will shift making it impossible to "close" the teeth/implants and clean them. This can lead to gingival recession, inflammation (peri-implantitis, etc.). The aim of vestibuloplasty is to deepen the overbite and increase the proportion of firm gums. This can also be important for removable dentures, whether they are traditional or anchored on implants.