Find out if this surgical procedure could restore your damaged tooth.
There are many cosmetic and restorative benefits that come with crown lengthening. If you are embarrassed by your gummy smile and wish your smile was more proportional then our periodontist in Lexington, MA and serving Northwest Boston and the surrounding areas, Dr. David Rosen, can help with this procedure.
Besides improving the overall appearance and symmetry of your smile, our periodontal specialist here in Lexington, MA, might also recommend crown lengthening if there is a crack or fracture in a tooth that goes below the gum line or if there isn’t enough tooth to support a restoration like a dental crown or bridge. In these cases, crown lengthening can help reveal more of the tooth and to treat any damage immediately before the problem gets worse.
What goes into crown lengthening?
Before the procedure is performed we will take x-rays of your mouth and also discuss your detailed medical history. We will also need to perform a dental cleaning prior to your surgery.
The first thing that we will do is administer a local anesthesia to numb the area. The length of treatment will depend on how many teeth we need to treat. In some cases, only gum tissue is removed, but sometimes we have to remove both gum tissue and bone. We will make small incisions in the gums to pull them away from the teeth. By removing excess gum tissue we can often reveal as much of the tooth that’s needed either for cosmetic or restorative purposes. Once the gum tissue and/or bone have been removed, we will stitch up the gums.
We will provide you with thorough instructions on how to care for your smile while your mouth heals. In about a week to 10 days, you’ll come back into the office to have the stitches removed. During that time if you notice any of these signs of infection you must call us right away:
- Bleeding that won’t stop
- Severe or worsening pain that pain relievers can’t treat
- Swelling or discharge from the gums
- Swollen lymph nodes under the jaws
Call our periodontist in Lexington, MA and serving Northwest Boston and the surrounding areas about whether crown lengthening surgery is right for you.
Are your gums trying to tell you that something is wrong?
While we would all like to think that our teeth and gums are impervious to problems; unfortunately, this just isn’t true. In fact, the CDC reports that half of adults over the age of 30 have gum disease. Could you also have gum disease? Our periodontist in Lexington, MA and serving Northwest Boston and the surrounding areas, Dr. David Rosen, is here to tell you more about this infection, its symptoms and why you should seek medical attention if you think you have it.
How does gum disease happen?
Our mouths contain bacteria that constantly create a thin, clear coating on teeth known as plaque. The easiest way to get rid of plaque is by brushing and flossing your teeth. Of course, if plaque isn’t removed it quickly turns into tartar, a hardened form of plaque. Once plaque hardens you won’t be able to remove it with your toothbrush. Only a dentist will be able to remove tartar buildup.
Of course, if you don’t brush regularly (or properly) and if you don’t get regular professional cleanings then plaque and tartar won’t be removed, which can lead to gum inflammation. There are two stages of gum disease: gingivitis (the earliest stage) and periodontitis. By visiting your periodontist regularly and practicing good oral hygiene you can reduce plaque and tartar buildup and protect against gum disease.
What are the symptoms?
Sometimes gum disease is present but the sufferer doesn’t even notice. Don’t assume that if you don’t have symptoms that everything is okay or that you don’t have to come in for routine checkups. Of course, it’s important to call our periodontist in Lexington, MA and serving Northwest Boston and the surrounding areas if you are experiencing any of these symptoms:
- Gum swelling and inflammation
- Gums that bleed easily (often when flossing or brushing)
- Sore or tender gums
- Receding gums (teeth may appear longer)
- Loose teeth (or tooth loss)
- Chronic bad breath
Is gum disease treatable?
If gum disease is caught in its earliest stage (gingivitis) then it can be eliminated with the proper care. We offer a variety of ways in which to help you get your symptoms under control and to prevent tooth loss and other complications from happening. Whether you require medication, scaling and root planing treatment or surgery, we are here to provide you with the care you need to treat your gum disease for the long run.
If you are concerned that you might be dealing with gum disease, it’s important that you schedule an appointment with our periodontic specialist in Lexington, MA, as soon as possible. Of course, we are also here to help serve your dental implant and sleep apnea needs in the Northwest Boston and surrounding areas. Schedule an appointment with us today.
Tooth decay may not be as prevalent as it once was, but it remains a problem for almost half of all American adults over the age of 30 according to the American Dental Association (ADA) and Centers for Disease Control and Prevention (CDC). Although traditionally associated with old age, periodontal (gum) disease and tooth loss continue to be a significant problem for millions of adults of all ages in the United States. If you are one of the millions of otherwise healthy adults missing one, a few, or all of your natural teeth due to oral health problems or trauma from an accident or sports injury, you may be a good candidate for dental implants. Dr. David Rosen, a periodontist in Lexington, MA and serving Northwest Boston and the surrounding areas, recommends implants for better oral health, as well as a cosmetically attractive smile.
Implants have a major advantage over other dental restorations in that they replace the entire tooth, including the root. Roots may not necessarily affect your ability to eat, speak clearly, or smile confidently for pictures, but they play a vital role in your oral health and dental stability. In addition to nerves and blood vessels, teeth are supported by bone tissue in the gums, which begins to erode when a tooth falls out or gets extracted. Implants, which are made of small titanium screws which are surgically placed in the socket of a missing tooth, help to prevent bone loss and generate healthy new bone tissue.
Once the implant has healed, a custom made cosmetic crown is attached. With proper oral hygiene and regular dental care, dental implants have a very high success rate. In order to be a good candidate, you must be in good general health and have enough remaining bone tissue to support the implant.
Find a Dentist in Lexington, Northwest Boston, MA, and Surrounding Areas
If your oral health, self-esteem, and quality of life have been impacted by tooth loss, dental implants can help you get your smile and life back! For more information and to find out if you qualify, contact Dr. David Rosen in Lexington, MA and serving Northwest Boston and the surrounding areas by calling (781) 862-4550 to schedule an appointment.
How gum grafting from your Lexington, Massachusetts periodontist can help your smile
Your gums are a very important part of your smile. Along with the bone in your jaw, your gums help to anchor and protect your teeth. They provide a protective shield for the roots of your teeth, guarding them against exposure to sugars and acids which can cause tooth decay. The tiny fibers and ligaments in your gums provide your teeth with a strong attachment. Sometimes your gums might need a little extra help, which is where gum grafting comes in. Dr. David Rosen in Lexington, MA and serving Northwest Boston and the surrounding areas wants to share how gum grafting can help your smile.
The most common reason you might need gum grafting is for gum recession, a condition during which your gums have slipped down and exposed your tooth roots. Tooth roots don’t have hard enamel coverings like the crowns of your teeth. Roots are much softer and more prone to sensitivity and tooth decay.
Older people are more prone to gum recession and heredity also plays a part in receding gums. If you have gum or periodontal disease, one of the consequences of the disease is gum recession.
Other reasons for gum recession include:
- Rotated, twisted and poorly-aligned teeth
- Poor brushing technique and using a hard toothbrush
- Chronic, poor oral hygiene
- Chronic grinding or clenching your teeth
- Wearing poorly-fitting dental appliances
There are many reasons to consider gum grafting. Gum grafting has been shown to:
- Reduce tooth sensitivity due to exposed roots
- Reduce the possibility of root decay
- Restore gum tissue lost to disease
- Improve support and stability of your teeth
- Improve gum tissue health
- Improve the appearance of your smile
There are several types of gum grafting procedures. Dr. Rosen can help you decide which choice is best for you.
Gum grafting can be a great solution to enhance both the health and the appearance of your smile. For more information about gum grafting procedures and other periodontal services call Dr. David Rosen in Lexington, MA and serving Northwest Boston and the surrounding areas. Call (781) 862-4550 today!
In terms of periodontal health, the least invasive methods should be used first in treating your periodontal issues. Non-surgical periodontal treatment is used by Dr. David Rosen in order to treat gum disease in Lexington, MA. While it has been proven to be successful, in some severe cases surgery may be needed to restore your periodontal health.
About Non-Surgical Periodontal Therapy
There are a few stages of periodontal disease. The mildest is gingivitis that causes the gums to be swollen, red and to bleed. There is little to no discomfort at this stage of gum disease. Untreated gingivitis can advance to periodontitis. Plaque spreads and grows below the gum line. The toxins that are produced by this bacteria irritate the gums leading to an infection. The gums will separate from the teeth forming pockets that become infected. As the disease continues to progress, the pockets will deepen and more gum tissue as well as bone is destroyed. The teeth can even become loose and may need to be removed.
As you can see, it is important to treat gum disease at all stages. The most common way to do so is with root planing and scaling, the careful cleaning of the root surfaces. It is done in order to remove tartar and plaque from deep pockets as well as to smooth the tooth root to remove toxins. It is sometimes followed up with antibiotics and antimicrobials, depending on the severity of the case. Typically, ongoing maintenance is done in order to sustain the patient’s health.
To schedule an appointment with Dr. Rosen in Lexington, MA to discuss treatment for your gum disease, call 781-862-4550 today.
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