THE GUMS ARE A VERY IMPORTANT FACTOR
To have a pleasant smile, the appearance of the gum is as important as that of the tooth. Sometimes, despite having beautiful and attractive teeth, the overall set of the smile is not the desired one due to the existence of alterations in the shape or contour of the gum. Some several problems and diseases that can alter the gums, below, we detail some of them:
Periodontitis or pyorrhea causes red, swollen, and bleeding gums. It is solved with adequate periodontal treatment.
What symptoms can make us suspect that our gums are not healthy?
- Bleeding when brushing and eating.
- Swollen and inflamed gums.
- Halitosis or a bad taste in the mouth.
- Teeth that are separated or moving.
This may be due to a problem with the jawbones, the presence of an upper lip that is too short or the gums did not migrate correctly during the eruption of the teeth. This last case is the easiest to correct with a gingivectomy or crown lengthening, that is, we uncover the entire real tooth and move the gum just where the enamel ends and the root begins. It is a very simple intervention and the results are seen immediately.
This usually has multiple causes that tend to come together at the same time. In patients with advanced periodontal disease, a generalized retraction will be observed due to the loss of supporting bone. In healthy patients, retractions occur when the gums are very fine (sometimes the root becomes transparent), when there is too strong a brushing technique and with horizontal movements, due to chewing forces or parafunction such as bruxism, due to habits such as biting nails, or by the presence of piercings in the lips or tongue that produce continuous friction on the gum.
In these cases, we will use mucogingival surgery techniques to cover the exposed root. Normally we take gum from the palate area and with it, we cover the retraction. The area of the palate where the graft has been taken regenerates after a few weeks. And the treated area will have a sufficient gum thickness so that the retraction does not reappear.
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