{"id":6313,"date":"2022-04-23T22:26:41","date_gmt":"2022-04-24T03:26:41","guid":{"rendered":"https:\/\/conceptdentaire.fabricator.plogg.in\/traitement-des-gencives-2\/"},"modified":"2025-01-08T09:29:20","modified_gmt":"2025-01-08T14:29:20","slug":"gum-treatment-2","status":"publish","type":"page","link":"https:\/\/conceptdentaire.com\/en\/gum-treatment-2\/","title":{"rendered":"Gum treatment"},"content":{"rendered":"\n
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Surgical procedures on the gums<\/h2>\n

The gingival graft<\/h3>\n

Gum grafting can be performed to restore sufficient gum tissue around teeth or tooth roots that have been exposed by decay. Dental professionals who are qualified to perform this type of grafting are general dentists for the simplest<\/strong> cases and periodontists for the most complex cases.<\/p>\n

Several techniques<\/strong> are used to perform gum grafts and each case must be analyzed by a dentist or periodontist to determine the best grafting technique. In all cases, the grafts come from the patient’s own palate or from an external donor.<\/p>\n

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  • Free autogenous graft<\/strong>: This is the oldest technique of gingival grafting. It consists in taking the graft from the patient’s palate and installing it on the gum affected by the receding gums. Its main disadvantage is the less aesthetic result, unlike that obtained with other methods. It is also not recommended to use this type of graft in cases where the dental roots must be covered, since the free autogenous graft is mainly used to stop the progression of the dental decay in a minimal way. However, the advantage of this technique is that there is no risk of graft rejection, since the graft is taken from the patient’s own mouth.<\/li>\n
  • Connective tissue graft<\/strong> (connective tissue root canal graft): This is a relatively new and versatile technique that can be used in the vast majority of cases requiring a gingival graft. The connective tissue is taken from the superficial gum of the patient’s palate and inserted under the gum adjacent to the teeth that are affected by loosening. Its main advantages are the very aesthetic results obtained, as well as the possibility of re-covering the dental roots that have been affected by gum recession. Also in this case, the patient cannot reject the graft, since it comes from tissue taken from his or her mouth.<\/li>\n
  • Allograft<\/strong>: This type of graft is relatively new. A graft from an external donor, which has been previously processed and is very safe, is used to implant it into the gum of another patient who needs to reinforce the attached gum in height and\/or thickness. The main advantage of an allograft is that there is only one surgical site, as the graft is not taken from the patient’s palate. It also provides results that are as aesthetically pleasing as a connective tissue graft. However, there is a small risk of rejection of the graft, since it is a foreign body implanted in the mouth of another patient.<\/li>\n<\/ul>\n

    The success rate of gum grafts is very high and its effects last for many years, slightly less in smokers.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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    La gingivectomie<\/h3>\n

    Gingivectomy is a surgical procedure that consists of removing part of the gum. It is performed under local anesthesia with special tools to cut the gum and usually has few complications.<\/p>\n

    Recent techniques allow for minor gingivectomies to be performed with a soft tissue laser<\/strong>, resulting in even fewer post-operative complications and discomfort for the patient.<\/p>\n

    There are three main applications for gingivectomy, as described below.<\/p>\n

    Aesthetic application<\/h4>\n

    Aesthetic gingivectomy removes part of the gum around one or more teeth to harmonize the shape of the gum and improve the appearance of a smile. Removing a line of gum tissue<\/strong> above certain teeth “lengthens” the crowns of these teeth, which are shorter than those of other teeth.<\/p>\n

    The collection of images below shows how a gingivectomy can be performed for aesthetic reasons. A repeat procedure is possible only a few days, at most a few weeks, after the original procedure, as shown in image E. The difference in the contour of the gums surrounding the central incisors between image B (after orthodontic treatment) and F (final result) is clearly visible.<\/p>\n

    Treatment of gingival hyperplasia<\/h4>\n

    Gingival hyperplasia<\/strong> is the condition in which the gums grow unusually large, to the point where part or all of a dental crown is hidden under the excessive gums. This is called a false gum pocket and can affect the health of the affected teeth in the medium to long term.<\/p>\n

    For this reason, a gingivectomy is recommended to remove the excess gum tissue<\/strong>. If the situation remains as it is, the patient is at high risk of developing periodontitis, because the false pockets prevent the patient from cleaning his teeth properly.<\/p>\n

    Gum overgrowth can be due to several factors, the most common being the use of medications known to generate excess gum tissue, such as certain drugs for epilepsy and hypertension. In such a case, the surgical procedure must be performed again when the recurrence of excess gum tissue is significant enough to increase the risk of developing periodontitis.<\/p>\n

    Periodontal treatment<\/h4>\n

    a periodontal pocket that may have formed during gum disease. This cleaning procedure is also known as periodontal curettage and is illustrated in the two images below.
    \nEn plus de l\u2019esth\u00e9tisme, si la poche parodontale est profonde, une moins grande quantit\u00e9 de gencive attach\u00e9e sera disponible apr\u00e8s la gingivectomie pour prot\u00e9ger l\u2019os alv\u00e9olaire supportant la dent, ce qui pourrait affecter n\u00e9gativement la solidit\u00e9 de cette dent \u00e0 moyen ou \u00e0 long terme.Apr\u00e8s l\u2019ablation d\u2019une partie de la gencive pr\u00e8s de la dent, le patient peut nettoyer cette dent plus facilement \u00e0 l\u2019aide d\u2019une brosse normale. Cependant, d\u00e9pendamment de la profondeur de la poche parodontale initiale, l\u2019aspect de la gencive apr\u00e8s l\u2019intervention peut \u00eatre moins esth\u00e9tique. En effet, si la poche initiale est profonde, la quantit\u00e9 de gencive \u00e0 enlever sera grande et les dents sembleront plus longues qu\u2019avant l\u2019intervention.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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    La gingivoplastie<\/h3>\n

    La gingivoplastie est une intervention chirurgicale mineure ayant pour but de\u00a0remodeler le contour de la gencive<\/b>. L\u2019intervention permet de rendre un sourire plus attrayant et harmonieux, et elle permet aussi de compl\u00e9ter une gingivectomie qui, \u00e0 elle seule, ne donnerait pas des r\u00e9sultats optimaux.<\/p>\n

    La proc\u00e9dure est habituellement effectu\u00e9e par les m\u00eames professionnels de la sant\u00e9 dentaire que ceux qui font des gingivectomies, soient les dentistes g\u00e9n\u00e9ralistes et les parodontistes. Une\u00a0anesth\u00e9sie locale<\/b>\u00a0est n\u00e9cessaire pour effectuer une gingivoplastie et des outils chirurgicaux sp\u00e9ciaux, ou encore plus r\u00e9cemment un laser \u00e0 tissus mous, peuvent \u00eatre utilis\u00e9s pendant l\u2019acte chirurgical. Les complications d\u2019une telle intervention sont rares et les inconforts post-op\u00e9ratoires sont minimes.<\/p>\n

    La gingivoplastie est surtout utilis\u00e9e dans le cadre d\u2019un\u00a0traitement orthodontique<\/b>\u00a0afin de finaliser l\u2019esth\u00e9tisme du sourire obtenu pendant l\u2019orthodontie. En effet, en d\u00e9pla\u00e7ant des dents ayant des couronnes de diff\u00e9rentes longueurs, il peut arriver que la ligne du sourire ne soit pas optimale, \u00e0 cause de la gencive qui contourne les dents de fa\u00e7on irr\u00e9guli\u00e8re.<\/p>\n

    Un professionnel de la sant\u00e9 dentaire peut \u00e9galement faire appel \u00e0 la gingivoplastie dans le cadre d\u2019un traitement de maladie de gencive. Dans ce cas, elle permet de redonner \u00e0 la gencive une forme normale apr\u00e8s avoir trait\u00e9 l\u2019os alv\u00e9olaire d\u00e9form\u00e9, endommag\u00e9 ou n\u00e9cros\u00e9.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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