There are various kinds of gum surgery to improve or enhance other dental procedures such as a crown or filling.
Some common gum surgery procedures:
1) Crown lengthening
For patients who have periodontal disease causing pockets to form, or who have had a tooth break at or below the gum line, functional crown lengthening can allow access to more of the tooth’s surface for remedial dental work or gum treatment.
The crown lengthening procedure is also known as gum contouring. Excess gum tissue is carefully removed to expose more of the tooth surface and reduce gingival pockets that harbor bacteria. If the tooth is broken, the gum line can be lowered to allow access for the placing of a restoration.
Occasionally, esthetic crown lengthening may be performed to reduce the look of a “gummy” smile and provide a more even, attractive looking gum line.
The procedure takes between one and two hours and can be performed on a single tooth or on several teeth to reduce the depth of periodontal pockets.
Gum contouring is performed under local anesthetic and may involve removing a small amount of bone tissue or reshaping the end of a broken tooth while removing overlapping gum tissue, allowing for a restoration to be placed.
Small sutures will be placed and the gums allowed healing. If a restoration is being placed, it may be done in the same visit.
- can improve gum health by reducing pockets between the gum and the tooth and
- reducing chances of infection.
- Functional crown lengthening can also provide a more stable foundation for a needed restoration.
- Functional gum contouring promotes healthier gum condition and proper tooth restoration.
2) Distal wedge operation
This procedure is to remove a triangle-shaped slice of tissue on distal side of lower last molar teeth. It may be used to remove a tumor or some other type of tissue that requires removal and typically includes a small amount of normal tissue around it. It is easy to repair, does not greatly distort the shape of the underlying organ and leaves just a single stitch line as a residual.
3) Open flap curettage
This surgery is performed to increase access for scaling and root planning in order to remove plaque and calculus below the gum line. The pockets and position of the gums are reduced to minimize areas where disease-causing bacteria can hide. During this procedure, the gum tissue is folded away from the tooth and disease-causing bacteria removed from the root surface through scaling and root planing with hand and ultrasonic instruments, before securing the tissue into place with stitches.