Tips to Control Receding Gums

When you think about the landscape of your smile, your gums are prime real estate. In fact, you may not realize how valuable your gums are until you don’t have enough. Once the gums recede or are diseased, they just don’t grow back, and the consequences are both unattractive as well as unhealthy.

Receding gums can have a negative impact on the overall appearance of your smile. The teeth tend to look longer, and the exposed root surfaces are generally darker in color and rougher in texture than the rest of the enamel. Aside from the cosmetic impact of receding gums, the teeth are more sensitive to temperature and other stimuli and also more prone to cavities and staining.

Once the gums recede or are diseased, they just don’t grow back, and the consequences are both unattractive as well as unhealthy.

With the expert help of your periodontist, you’ll find that you can control or correct your receding gums in order to improve the state of your oral health.

The first step in addressing the issue of receding gums is to arrange a comprehensive periodontal evaluation. Your periodontist can determine the extent of the recession, and then recommend preventive therapy or surgical intervention.

The gums are thin and delicate tissues that can be destroyed by plaque buildup, abrasive brushing, or an unbalanced bite. Recession can even occur when the ligaments connecting the lips to the gums pulls too tightly. Identifying and eliminating these factors can often prevent the gums from receding any further.

For more advanced cases of recession, surgical intervention can prevent further damage as well as repair existing damage. Most of these surgical procedures can be completed in the dental office with the help of modern techniques, laser dentistry, local anesthetics, and sedation if necessary.

Following the appropriate treatment for the recession, you will receive specialized instructions for controlling the health of the gums. Your home care habits will be evaluated, you may receive recommendations for certain oral hygiene products, and you may be advised to schedule more frequent periodontal checkups.

You may not be able to control receding gums on your own. For professional help, contact any of our experienced periodontists for an appointment today.

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Aesthetic Dental Transformations

If a flawlessly beautiful smile is what you desire, you may need a little team spirit to achieve your goal. Sometimes it takes a collaborative effort to turn an ordinary smile into a true masterpiece. Although your dentist has the skill to straighten and whiten your teeth, it is often the job of the periodontist to make sure that your gums look their best. Together, your general dentist and your periodontist can rejuvenate your smile with fantastically predictable results.

You may not think about the impact of your gums on your smile, but they actually play an important role in your appearance. Where the gums appear uneven, the roots of the teeth are exposed, or the teeth seem to be too small, cosmetic periodontal surgery can be used to give your smile a second chance.

Even the subtlest change in the contour or position of your gumline can have a major impact on your smile. That’s because receding gums tend to make the teeth look too long, bulky gums can make the teeth look to short, and uneven gums can make the teeth look disproportionate. These are conditions that cannot be corrected with crowns and veneers alone.

There are various safe and predictable periodontal procedures that can be employed when you desire a comprehensive approach for your new smile.

The crown lengthening procedure might be recommended for you if an uneven gumline, a gummy smile, or noticeable short teeth are your concern.

Soft tissue gum grafting is the often the solution when receding gums, long teeth, and exposed roots are noted.

These surgical procedures can be performed as needed around individual teeth, or they may be performed in a generalized area of the mouth, according to the extent of your treatment plan. All procedures are performed under local anesthesia with your comfort and safety in mind from start to finish.

For the best possible outcome, your periodontist will complete your periodontal surgery prior to your restorative dental procedures, but first you’ll need to schedule a personalized periodontal consultation. Contact our skilled periodontal team today at 817-267-1851 to make an appointment today.

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Gum Graft: How long will it take for my mouth to heal?

One of the consequences of periodontal disease is receding gums, which can cause physical discomfort due to exposed root structures of the teeth, along with emotional distress due to the effects on the smile’s appearance.

A periodontist can address this condition with a surgical procedure known as a gum graft. In this procedure, the periodontist will remove soft tissue from elsewhere in the mouth, often the palate, and suture it into the site of insufficient gum tissue.

Gum grafting is an outpatient procedure, and you will return home the same day. Some patients prefer to take a sedative to relax them prior to surgery, and if this is the case, you will need to arrange for a responsible adult to escort you home from the appointment. 

Most patients can return to a normal routine the day after gum grafting, but it does take the mouth a few weeks to heal completely. 

Most patients can return to a normal routine the day after gum grafting, but it does take the mouth a few weeks to heal completely. You may need to make some adjustments during this time, and your periodontist can give you a list of guidelines to follow during the healing process.

For example, you will want to avoid brushing or flossing along the gumline in the area of the graft. You will also want to switch to softer foods for at least a few days to avoid disruption to healing.

You should also be aware of symptoms that can indicate a problem with the gum graft. Excessive bleeding, especially if its more than 24 hours after the surgery, warrants a call to the periodontist. Other signs of concern include excessive swelling, fever or pain.

In addition to the healing process, most patients are worried about the possibility of undergoing another gum graft. Your periodontist can also make recommendations for a good oral hygiene routine that can reduce your chances of needing another gum graft.

Don’t be fearful or anxious if a gum graft has been recommended in your case. Talk to your periodontist about any concerns that you may have about the procedure or the post-operative healing process. After all, tooth loss may be an ultimate outcome of receding gums, and that’s a situation that you’ll want to avoid, if possible. Contact our skilled periodontal team and schedule an appointment today.

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Detriments of Living with Untreated Gum Disease

Because the mouth is a warm, moist environment, it’s a haven for oral bacteria. Those bacteria can attack any of the structures in the mouth, but when they turn on the soft tissues, gum disease can be the end result. This condition can have serious consequences for patients who fail to seek treatment.

We try to keep those bacteria in check through our daily oral hygiene routines and semiannual visits to the dentist, but the bacteria can proliferate when we are not thorough enough with our brushing and flossing or when we skip out on professional exams and cleanings. Smokers also put themselves at higher risk for developing gum disease.

Although you may be tempted to ignore signs of gum disease—especially if you tend to be anxious about dental appointments—doing so can be quite detrimental not only to your oral health but also to your overall well-being.

Gum disease occurs in stages, the mildest of which is gingivitis. This condition is diagnosed when the gums are red, swollen or bleeding. Gingivitis generally responds to a thorough professional cleaning by a dental hygienist.

More advanced forms of gum disease necessitate treatment by a periodontist. Periodontitis, which is evident when pockets begin to form between the gums and the teeth, will require a specialized deep cleaning known as scaling and root planing. If the gums have receded, a gum graft surgery may be recommended.

If you fail to seek treatment, tooth and bone loss may be the end result.

Gum disease doesn’t just have implications for your oral health. Research has suggested a link between the inflammation associated with periodontal disease and other systemic issues like heart disease and diabetes.

Of course, the smile’s appearance is always an important consideration in oral health, and this too will suffer when uncontrolled gum disease is present. The pockets that develop in periodontitis are unappealing, and an empty space in the smile due to tooth loss certainly won’t improve your appearance.

Seeking prompt treatment for gum disease can help ward off these negative outcomes. If you’ve noticed signs of periodontal problems, discuss them with our skilled team of periodontists to learn what you can do to restore health to your gums. Call our office at 972-242-7603 to schedule an appointment today.

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Improve your chances of a successful dental implant recovery

When choosing dental implants to replace missing teeth, patients are getting the best technology that modern dentistry has to offer for this purpose.

Of course, dental implant placement does involve a surgical procedure. Although patients can typically return to a regular routine the day after the surgery, this procedure can be somewhat invasive and patients need to be prepared to allow time for adequate healing.

Work with your periodontist to develop a post-operative self-care plan that will limit the likelihood of complications that might disrupt the healing process and interfere with your day-to-day routine.

Here are some steps to take for a smooth recovery after getting dental implants:

  • Keep up with your oral hygiene – You may need to use a gentler technique in the first few days after the surgery, but you should continue to brush and floss to minimize the presence of bacteria that can cause inflammation that may lead to implant failure. Your periodontist may also recommend adding an anti-bacterial mouthwash as an extra measure of protection.
  • Steer clear of habits that may interfere with healing – Smoking is out, if not for good then at least until your implants have fully integrated with the bone, which takes a few months. Don’t use drinking straws for the first few days after the surgery, either. This can affect the clotting process.
  • Take it easy for a few days –Don’t engage in vigorous aerobic activity for a few days after your surgery. Ask the periodontist when it is safe for you to return to strenuous exercise.
  • Choose soft foods – You may have some discomfort in the first few days after your procedure, and incorporating more soft foods in your diet will feel better. Also be sure to drink enough water. Hydration is important for healing too!

Your dental implants can last for decades if you treat them well. The durability of your dental implants starts with the actions you take in the days immediately following placement. Follow the recommendations of your periodontist to improve your chances of dental implant success.

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Periodontal Osseous Surgery: Purpose and Procedure

When you think about gum disease, it’s normal to think about signs and symptoms such as bad breath, bleeding, and tartar buildup. However, it is important that you know that the true extent of this chronic disease spreads far beyond the surface. The irreversible damage caused by gum disease can destroy the very structures that literally hold your smile together.

Bone loss, gum recession, and ligament damage are the unfortunate consequences of advanced gum disease. Although you may not be able to see or feel this damage occurring, the changes can create a chain reaction of complications that can be almost impossible to control without professional help.

Fortunately, your periodontist specializes in a number of therapeutic procedures that are designed to stabilize your condition while making your home care efforts more effective.

One such procedure, known as periodontal osseous surgery, has proven to be especially helpful in the fight to control gum disease. Sometimes the destruction caused by gum disease leaves the underlying bone jagged and uneven. This creates deep pockets beneath the gumline that are often extremely difficult to access with toothbrushes and floss. It is within these pockets that plaque and bacterial toxins can remain undisturbed despite your best efforts to control them.

Osseous surgery effectively eliminates defects, and irregularities of the bone in order reduce deep pockets and simplify oral hygiene. In a sophisticated same-day procedure, your periodontist will use local anesthetics to numb the gum tissue. Next, the gum tissue will be gently pulled away from the teeth and the area will be cleaned thoroughly to remove diseased tissue and tartar buildup. The damaged surface of the bone will be smoothed and recontoured, and the gum tissue will be repositioned. Sutures and/or surgical dressings will be used to stabilize the tissues as they heal.

The elimination of periodontal pockets and the smooth contour of the bone will improve your ability to access plaque bacteria between the teeth and under the gumline. To find out if periodontal osseous surgery can improve your oral health, contact our experienced team of periodontists for an evaluation today.

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Jawbone Atrophy: What are my options?

It’s a well-documented medical fact that, after a tooth has been extracted, the surrounding bone will naturally begin to recede (or atrophy). Studies show that as much as 40% to 60% of the jaw’s height and width could be lost within the first three years. This loss of bone volume can be expected to impact all patients, without regard for age, sex, or the level of overall health. It can cause the neighboring teeth to shift, make chewing difficult, cause facial muscle weakness, and create complications for conventional dental implant placement.

To prevent jawbone atrophy from occurring or progressing, many patients are turning to the Teeth in a Day procedure. Not only are these patients remembering that life is better with a strong and comfortable set of teeth, they are also making the decision to address the serious issue of jawbone deterioration. 

 Loss of bone can cause the neighboring teeth to shift, make chewing difficult, cause facial muscle weakness, and create complications for conventional dental implant placement.

Bone atrophy can typically be anticipated when a tooth has been lost due to periodontal disease, extensive cavities or trauma. In the absence of the tooth roots, the bone will diminish in size and eventually shrink away. Traditional bridgework and conventional dentures cannot slow or prevent this process from occurring. Unfortunately, in addition to the loss of function and the decrease in bone density, there is the risk of some significant and premature aging that can occur with severe bone atrophy.

Fortunately, dental implants (which are the basis for the Teeth in a Day procedure) can prevent bone atrophy. Just about any patient who is missing all of the upper or lower teeth can be considered as candidates for the procedure, as long as they are healthy enough to tolerate the same-day surgery. The end-result of the procedure is a full set of permanent teeth that are anchored by a series of approximately four dental implant posts.

You don’t have to live with an unsatisfying smile. In fact, the risk or the possibility of bone deterioration may actually be the motivation that drives many patients to confront tooth loss and take the appropriate steps to resolve it.

Talk to any of our experienced periodontists today to learn more about your options for addressing jawbone atrophy. Call our office at 972-242-7603 to schedule an appointment today.

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What is the overall success rate for the All-on-4 technique?

The success rate of any dental procedure can be measured in at least two ways:

  • Whether or not the outcome of the procedure met or exceeded the patient’s expectations.
  • Whether or not the procedure is able to function properly over an extended period of time.

When it comes to the All-on-4 technique, you can expect a level of success that meets both of the previously mentioned criteria. That’s because this technique for replacing a full set of teeth is based on the extraordinary success that we have seen with dental implants for more than 40 years.

Whereas conventional dental implants have been used to successfully replace individual missing teeth, the All-on-4 technique can be used to replace an entire arch of teeth. To accomplish this goal, a set of only four implants are positioned at pre-determined locations in the jawbone in order to form a foundation for your new teeth.

The strength of this network of implants is based upon the permanent integration or fusion between the implant post and the surrounding bone tissue.

Additional strength and integrity can be credited to the strategic placement and angulation of the implant post. For patients who may have lost bone volume due to gum disease or years of tooth loss, this technique is especially appealing since it can be performed even without additional procedures like bone grafting or augmentation.

With the implants in place, a permanent denture or bridge can often be connected to the foundation right away (this is known as an “immediate load”) and patients are able to resume normal eating and speaking on the day of the procedure.

The finished restoration is attractive, strong, and a comfortable set of teeth. For millions of patients, this outcome qualifies as immeasurable success.

Statistically and clinically, there is more than a decade of well-documented success (more than 95%) regarding this procedure. For patients who desire attractive, immediate teeth without grafting, the All-on-4 procedure has proven to be tremendously successful option.

To find out if this tooth-replacement solution is right for you, contact our skilled team of periodontists for a consultation today.

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Will a Gum Graft Help with Tooth Sensitivity?

In order to strengthen your smile and address the effects of gum disease, specialized periodontal procedures must sometimes be performed. One example is a procedure known as a gum graft, in which your periodontist replaces gum tissue that has been pulled away from the teeth. Receding gums may be due to advanced gum disease, chronic clenching and grinding of the teeth, aggressive brushing, and even chewing tobacco. It is encouraging to know that even after the gums have begun to recede, the exposed roots of the teeth can be covered and protected, often with beautiful results.

There are a number of advantages associated with the gum graft procedure:

Less sensitivity –Gum grafting effectively covers the exposed tooth root, helping to reduce sensitivity to temperature and pressure.

Improved aesthetics – Receding gums and exposed roots can make the teeth appear too long. With gum grafting, you can achieve a smile that is more proportionate, symmetrical, and attractive.

 In order to strengthen your smile and address the effects of gum disease, specialized periodontal procedures must sometimes be performed. One example is a procedure known as a gum graft…

Healthier gums and teeth –Gum grafting can prevent the loss of gum tissue and bone, and can reduce the risk of decay on the root surfaces of the teeth.

If gum grafting is right for you, your periodontist will take several steps to prepare you for the procedure. A specialized cleaning may be performed, and you will be educated about the oral hygiene regimen that will help to prevent receding gums in the future. The procedure will typically be performed in the dental office under local anesthetic. The newly grafted gum tissue will be stabilized with sutures and the area may be protected with a surgical dressing to permit proper healing.

The details of your procedure will be customized according to the extent of your receding gums and the current status of your health. With current advancements in dental technology, periodontal procedures are less invasive and tend to heal much faster than ever before.

If you have suffered from sensitive teeth as the result of receding gums, it may be time to contact our team of periodontists today to find out if gum grafting is right for you. Call us at 972-242-7603 to schedule an appointment.

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Tooth Extraction: Is a dental implant in my future?

If you are planning to have a tooth extracted, it’s beneficial to plan ahead and learn as much as possible about your options for replacing it. Generally speaking, your periodontist will recommend dental implants as the most natural and efficient form of tooth replacement.

Choosing dental implants as soon as possible following an extraction is the best way to prevent the unwanted consequences of tooth loss. Still, you should know that even a tooth that has been missing for years can be replaced with an implant. In fact, experts would agree that “late is better than never” when it comes to tooth replacement.

Understanding the procedure as well as the advantages of implant dentistry will ensure that you experience a seamless transition from tooth loss to tooth replacement. Here’s what you should know:

• In most cases, an implant consists of a replacement tooth root as well as the biting surface of the tooth.

• Dental implants can prevent the deterioration of the jaw bone (a normal occurrence with missing teeth).

• The jaw bone at the location of the missing tooth will shrink (resorb) significantly within the first 6 months following the extraction.

• Research suggests that an implant placed immediately after an extraction provides the best chance of preserving the bone and the soft tissue (gums).
This is especially important when the extraction is planned in an area that is visible when you smile.

• When an implant is planned as a part of your future treatment, or if the implant procedure must be delayed, bone grafting and other procedures to preserve the tissue may be performed during your extraction if necessary.

Dental implants should be an important part of your discussion when you are at risk of losing a natural tooth. Our team of periodontists can help to develop a treatment plan that is right for you, as well as answer any questions that you may present. To learn more, call today to schedule your consultation.

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Donald J. Steinberg
M.B.A., D.D.S., M.S.D.