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Esthetic Plastic Periodontal Surgery.

In everyday life, “beautiful” usually means something that leaves a particularly pleasant impression: a beautiful music piece, a beautiful body, a beautiful smile with attractive gums.

Overview – A gum correction is interesting, if there are complaints and esthetic impairments due to too much or too little gum. Meanwhile there are numerous procedures that can correct the gums esthetically. These are accomplished with local anesthesia and are therefore painless.

Reasons – Gum corrections are performed for both medical and esthetic reasons. Injuries, tooth misalignments, tooth grinding, labial frenulum or the wrong tooth brushing technique can lead to a non-inflammatory gum recession. Exposed and sensitive tooth necks, impairments in chewing or the increased occurrence of caries may be due to decreased gums.

Esthetics and well-being can be improved in the long term by a gum correction. A gummy smile (gums are highly visible due to small teeth or excessive gingiva) can be alleviated by gum surgery.

Methods – Even if there is a basic law for harmony and esthetics in plastic surgery, beauty is nevertheless always completely defined individually. 

We therefore provide a plan for each patient, coordinated with their personality, ideas and expectations and results from the abundance of diverse working methods. 
It is our goal to achieve the best possible result with the least risk, with appropriate expenditure.

Healthy and esthetic gums – good for your whole body.

A precondition for the long-term preservation of your teeth is healthy tissue – both in the area of the natural teeth and around the implants. Healthy gums are a necessary foundation for all areas of dental work, including esthetic dentistry, prosthetics, implantology and orthodontics.

All other areas of dentistry, such as tooth preservation, esthetic dentistry, prosthetics, implantology and even orthodontics thus build on periodontics or are directly connected to it.

Precise microsurgical operating methods are standard for us and enable delicate procedures, predictable and stable results. Specially staged and perfectly organized postoperative aftercare ensures optimal healing.

The most modern scientific standards and highest qualitative requirements shape our treatment spectrum.

Only specially trained experts offer these treatment possibilities, because the procedures are technically demanding and sensitive.

Dr. med. dent. Marc Hinze, M.Sc. is a qualified Specialist in Periodontology® of the DGParo (German Society of Periodontology) and the EDA (European Dental Association) and Master of Science in Oral Implantology and Periodontology of the DGI (German Society of Implantology).

Esthetic plastic therapies

Recession coverage

Big change in a small space.

The gums very often recede even without the presence of an inflammation or periodontitis. These recessions then lead to unpleasantly exposed tooth necks. Hypersensitivity and root caries are possible consequences. Usually it is possible to cover the roots surgically (recession coverage).

Here, tissue is inserted from either the neighboring region by means of an advanced flap or from another donor region (e.g. connective tissue graft from the palate). An enlarging of the gums or a covering of the exposed root surface is thus possible. Modern techniques even prevent unpleasant scarring. The use of growth proteins may be indicated.

Gingival thickening

Stability and resistance.

Thick gums are more resistant to external impacts, e.g. teeth cleaning traumas or orthodontic measures and are less inclined to recede. By contrast, very thin fragile gums often show an increased tendency to recede, which is accompanied by exposed roots, crown margins or implant shoulders. This can be avoided, however, by thickening the gums (gingival thickening). Here, a connective tissue transplant taken from the palate is carefully introduced into the appropriate area through tunneling operation methods.

Gummy smile treatment / Esthetic crown lengthening

Harmony in the process.

An esthetic crown lengthening can be aesthetically sensible and/or medically necessary for different reasons. For patients with incomplete tooth eruption, the anatomical crown remains excessively covered by gums and/or by bones. The unaesthetic appearance is the result of the weakly formed scalloped gingival contours or the rather square and too short teeth. If a patient shows too much gum when laughing, under a high lip line, this is referred to as a “gummy smile”. A targeted esthetic relocation of the gingival margin (crown lengthening) creates a tooth form that is natural and harmonious. The teeth are completely visible and the excessive gingiva corrected.

Alveolar ridge augmentation

Small change, big effect.

Missing gums, gaps and dark shading under prosthetic restorations (e.g. bridge elements) are esthetically and functionally not satisfying. With special procedures for the augmentation of the alveolar ridge (gum augmentation), the volume of the gums can be improved. Dark shading is reduced, dental restorations are integrated more naturally and are visually appealing. 

Growth proteins

Emdogain / Tissue regeneration

The goal of any regenerative treatment is the re-establishment of a fully functional periodontal apparatus. Enamel matrix proteins (complex made of native proteins) play a key role in the development of our tooth-supporting tissue.

Emdogain® (a complex made of enamel matrix proteins) was developed to copy this biological tooth development process. The application of Emdogain® on the cleaned root surface of the periodontally diseased tooth supports the regeneration of the periodontium, which includes the cement, the periodontal ligament, the gums and the alveolar bone.

Emdogain® is indicated for: Regenerative Periodontal Surgery, Recession coverage. 

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