Posts for: August, 2013

GumRecessionandPlasticSurgery

Did you know that millions of Americans have some degree of gum recession? Are you one of them?

Gum recession is the loss of the pink gum tissue that surrounds your teeth and can lead to exposure of the root surface of your teeth. In addition to the obvious aesthetic issues, recession can also result in tooth loss in very severe cases.

So, what causes gum recession? Well, first of all, if you are genetically predisposed to having thin gum tissues, your gums will be more prone to receding than those with thick tissues. However, other factors include ineffective oral hygiene, excessive brushing and mal-positioned teeth. In addition, poor fitting appliances, such as partial dentures can also cause gum recession.

If you think you are suffering from gum recession, you should make an appointment with us immediately, so that we can perform a thorough examination to accurately diagnose your condition. We'll look at your teeth and their position within the supporting bone and surrounding gum tissue. Depending upon our diagnosis, we may recommend a technique known as gum or soft tissue grafting, which allows us to regenerate lost or damaged gum tissue. Grafting is the surgical manipulation of tissue, taking it from one site and moving it to another, so that it can attach and grow.

There are two basic gum tissue grafting techniques, the free gingival graft and the connective tissue graft. Here is a description of each:

  • Free Gingival Grafting. With this technique, we remove a thin layer of tissue from the roof of your mouth or any other site where the tissues are identical to gum tissue (the donor). We then shape and transplant it to the recipient site to create new gum tissue. Both donor and recipient sites heal within two to three weeks.
  • Connective Tissue Grafting. This technique is used to cover exposed roots in the treatment of gum recession. It involves more microsurgical maneuvers to prepare both the donor and recipient sites. We take donor tissue from beneath the surface of the roof of your mouth and then cover it with the gum tissue surrounding the exposed root. Another alternative is to use processed tissue rather than your own tissue as a donor material.

When you visit us for an appointment, we will assess which procedure is best-suited to your needs.

If you would like more information about gum recession and plastic surgery, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Periodontal Plastic Surgery.”


August 06, 2013
Category: Oral Health
Tags: celebrity smiles   orthodontics   gap  
FixingthatGapinyourTeeth

We all know Madonna, Seal, David Letterman, Anna Paquin and Michael Strahan (of the talk show Kelly and Michael). What do all of these celebrities have in common? Each has a “signature gap” between their front teeth. Given that they have been in the public eye for quite some time, it's not likely that these famous faces will choose to change their well-known smile. In fact, Michael Strahan has publically stated that he will never close his gap.

However, it is not uncommon for people to desire to fix a small gap in their teeth, particularly in advance of important events, such as weddings. Often times, fixing this small gap requires relatively simple orthodontic movements or tooth straightening. Since the teeth don't have to be moved very far, we can usually use simple appliances to correct the issue within a few months.

In order for us to determine your course of treatment, you'll need to make an appointment with our office for a thorough examination. When we examine you, we'll be looking for a number of items that will affect our treatment recommendation:

  • Is there enough room to close the space without creating other bite problems?
  • Are the roots of the teeth in reasonably good position to allow for minor tooth movement to close the space? X-rays will be required to make a proper assessment.
  • Is there an involuntary tongue habit that has pushed the teeth forward and created the gap? If so, this could be difficult to fix quickly.
  • Are the surrounding gum tissues and bone healthy?

Based on our assessment and your individual needs, we may recommend one of the following options:

  • Clear retainers, a computer-generated series of clear retainers customized for your bite to move the teeth
  • Removable orthodontic retainers to which we will attach small springs or elastics to facilitate the minor tooth movement
  • Traditional fixed orthodontic appliances (most commonly known as braces), small metal or clear brackets bonded to your teeth through which tiny wires are used to move the teeth

Regardless of the method we choose, once your teeth have moved into the new position, it is important for you to remember that they must be kept in this position until the bone stabilizes around the teeth. We may therefore advise you to wear a retainer for a few months to a few years, depending on your situation.

If you would like more information about orthodontic treatments, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Minor Tooth Movement.”