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1st Gum Disease - Dental Disease And Ridge Augmentation. |
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Dental Disease And Ridge Augmentation
By Laura Minsk, DMD
Whether a tooth has been lost to periodontal
disease, tooth decay, or trauma, one may be left with a cleft, an indentation,
or uneven gum margins. This happens because after a tooth is removed, the bone
that was encasing it disintegrates and the gum around it collapses. If this
occurs in the front of the mouth, it can result in an esthetic problem. No
matter how well designed the replacement teeth are, they may appear to be too
long and unattractive. To have a pleasing smile, the shape, color, and texture
of the gums is just as important as that of the teeth they frame.
Ridge augmentation is a cosmetic periodontal procedure that may include gum
and/or bone grafting. A dentist will determine which option is better suited to
a patient's esthetic needs. Regardless of what treatment method a dentist
chooses, ridge augmentation is a very predictable procedure with long-lasting
results.
What to Expect from Periodontal Ridge
Augmentation
Ridge augmentation is a surgical procedure that is done in the dentist's
office with local anesthesia (lidocaine). Stitches (sutures) are placed to aid
in healing. Post-surgical discomfort can last a few days and is usually minimal.
It can be easily managed with commonly available over-the-counter medications
such as aspirin, acetaminophen, or ibuprofen. Patients can expect to follow
their normal routine the day after
oral surgery. The dentist will provide special
instructions related to diet, exercise and medications.
To ensure more esthetic results,
ridge augmentation procedures should always
be done before new crowns are made. Although a temporary (provisional) tooth
replacement can be made at the time of tooth loss, the final restoration should
not be fabricated until after six to eight weeks of gum healing.
Alternatives periodontal treatments
It is possible to help prevent collapse of the gum tissue by doing a bone
grafting procedure or by placing an implant at the time of extraction. Although
sometimes it may still be necessary to do further periodontal plastic surgery
procedures, these treatments can help maintain the space that was previously
occupied by the tooth and prevent bone loss. If this was not feasible, ridge
augmentation can be done to improve esthetics after tooth extraction.
Ridge augmentation should be considered as part of an individual's cosmetic
dentistry options when there are uneven gum contours, clefts, or indentations on
the gums. The most beautiful teeth will not look natural if the gum surrounding
them is not cosmetically pleasing. Talk to a dentist about esthetic concerns and
the possibility of incorporating cosmetic periodontal procedures (see
article "Cosmetic Periodontal Procedures")
as part of a "smile lift."
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