This specialty treats the tissues that surround and support the teeth, such as gums and bone.
If correct oral hygiene is not practiced ,bacteria, food particles, and plaque will accumulate on the teeth, in both exposed and covered areas by the gums. Over time, this plaque turns into stone and becomes a constant irritation to the gum. After some time deep spaces start to form between the tooth and the gum causing bone loss and the gum itself begins to retract. Aesthetically the teeth look longer, it causes mobility, creates spaces between them, and bad breath. This disease is called periodontitis and it is not possible to be cured, however it can be controlled and treated to avoid teeth and bone loss.
Treatment begins by taking x-rays of all the teeth to assess how much bone has been lost, the degree of mobility of the teeth, and how much the gum has retracted. We then place local anesthesia and remove all the stone and accumulated plaque. An evaluation is performed a few weeks later and follow up appointments are scheduled for maintenance every 4 months. If hygiene is effective we’ll no longer need to use anesthesia. With this treatment and proper hygiene it is possible to stop the disease from spreading and extend the lifetime of ones. Nonetheless with this treatment it won’t be possible to recover the damaged bone or gum.
Time: 2 visits, 1:30 hour each
Cost: full mouth $400 usd
The tooth is made up of two parts: the crown (the part we see externally) and the root (which is immersed in the bone and covered by gums). When there is damage under the gum, this procedure will be necessary. Crown Lengthening consists of recontouring gum tissue, and sometimes bone, to expose more of a tooth’s surface for a crown and be able to treat the lesion. It is also used in cases where the tooth fractures at the level of the gum and it is necessary to expose a healthy tooth to increase the retention of the restoration and avoid having to extract the tooth. Also used in gummy smiles for aesthetic reasons.
Time: 1 hour / aesthetic 2 hours
Cost: $220 usd / Aesthetic $900 usd 6 teeth
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