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Cosmetic Dentistry and Periodontal Procedures

Not even the most beautiful teeth can look attractive if healthy and pleasing-looking gums do not surround them. That's because the gums frame the teeth like a picture frame frames a picture. To have a pleasing smile, the shape, color, and texture of the gums are just as important as that of the teeth they frame. Although tooth development, periodontal disease, trauma, or tooth loss can create esthetic gum deformities, modern periodontal procedures and cosmetic dentistry can give individuals a smile to smile about.

Common Cosmetic Gum Problems

Unhealthy Gums

As a result of periodontal disease, gums may appear red, swollen, and shiny. If an individual has gingivitis or periodontitis, the gums have to be periodontally treated prior to cosmetic dentistry procedures.

"Gummy Smile"

Teeth that appear too short may be normal-sized teeth hiding under too much gum. This can be the result of normal tooth development, or the use of certain medications that may cause gums to overgrow. Either way, a crown lengthening procedure can help reveal the normal tooth structure.

Gum Recession

If the teeth appear to be too long or if the root surfaces are exposed, it may be due to gum recession. Soft tissue grafting is very successful in correcting this problem.

Uneven Gum Margins

If the gum margins appear to be higher on some teeth and lower on others, this may be due to gum recession, altered eruption, or gum defects that resulted from tooth loss. The treatment of uneven gum margins may require crown lengthening, soft tissue grafting, ridge augmentation, or a combination of these procedures.

Gum Indentations

After a tooth is lost, the bone that encased it disintegrates and the gum around it may collapse, creating an indentation where the tooth used to be. Ridge augmentation procedures can help correct this problem.

Uneven Pigmentation

Changes in the color of the gums may be part of normal gum development, or the result of scarring. Soft tissue grafts can predictably correct this problem.

Spaces In Between the Teeth

Periodontal disease can result in spaces in between the teeth that may appear like black triangles. These spaces can be very difficult to treat. They can be made less unattractive by a combination of procedures that include orthodontics (braces), crowns (caps), and/or periodontal (gum) surgery. The best way to avoid these spaces is to treat periodontal disease in its early stages and avoid the need later for cosmetic dentistry.

Missing Teeth

One or more missing teeth can be predictably replaced with the aid of dental implants. Dental implants can look and feel like natural teeth.

Changes in the appearance of the gums can occur as a result of normal tooth development, periodontal disease, trauma, or tooth loss. By working with a restorative dentist who has expertise in cosmetic dental care and through the aid of modern periodontal techniques, individuals can design a smile that is both esthetic and youthful in appearance.

By Laura Minsk, DMD

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Cosmetic Tooth Bonding Fixes Damaged Teeth

Cosmetic dentistry is everywhere these days.

With new materials, especially dental "superglues," we're reshaping teeth, filling gaps between teeth, restoring broken teeth, replacing missing teeth, placing lighter braces. The technique is called dental bonding, and the aesthetic result is wonderful.

But it's not forever.

The American Dental Association puts the life of tooth bonding materials at about five years. This may be a conservative estimate, but there will come a time when a bond needs attention.

In general, if you treat a bonded tooth like your other teeth, you'll keep your dental restoration intact longer. Lax home care habits or the wrong foods can hasten wear and tear.

So go easy. If your tooth restoration is brand new, or years old and still flawless, keep smiling. With care, we've seen dental bonding last a long, long time.

Here are some reminders to help lengthen the life of your dental restoration.

• Expect to come in more often just after your tooth restoration is placed. The edges of bonded restorations need a once-over after a few months to verify a smooth fit. And we'll check to make sure there is no gum irritation, too.
• Certain unforgiving foods can threaten any dental restoration. Watch nuts, hard candies, some fresh fruits - a bond could crack. We don't see it often, but with heavy-handed treatment, veneers can pop right off - not a real confidence-builder in a crowd.
• Nail-biting and ice-chewing are out.
• Use a non-abrasive toothpaste and a soft brush.
• Coffee, tea, colas, and cigarettes, of course, are not your restoration's best friends. They stain, among other unsavory things.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.