Posted on

Is Grafting Possible Without Teeth? | Chicago Dentist

Although most people concentrate on the teeth for an attractive, healthy smile, the appearance of the gums cannot be ignored. It has been said that the gums are the frame of the picture. You can have a nice picture, but an ugly frame will destroy the appearance. We will often use soft tissue to enhance the appearance of the tissue in conjunction with new restorations. The following case demonstrates one such example:

This case illustrates a 35-year old physician who was missing two teeth in the front and had a bridge placed many years ago. She did not like the appearance of the bridge and wanted to replace it. The before photos illustrate how an unsightly indentation in the gum tissue compromised the appearance of the bridge. In addition to replacing the bridge, we wanted to improve the appearance of the tissue in order to improve her “picture frame”. Utilizing minimally invasive tunneling procedures, a collagen graft was placed to build out the tissue and create an appearance that a tooth was present, but it’s missing. The improvement was seen immediately at the time of surgery, and after several weeks in a new temporary bridge, the result is even more apparent. As you can see, we have created the illusion that there are teeth present by simply reconstructing the tissue.

If you find that you have gums that are affecting your smile and self-confidence, soft tissue grafting may just be the solution you’ve been looking for. Not only will it improve the look of your gums but will also give you a discreet way to bring back a reason to smile.

If you would like more information about tissue grafting, call Dr. Cabrera in Chicago, IL at 312-994-7939 or visit www.perioimplantchicago.com.

Dr. Peter O. Cabrera proudly serves Chicago and all surrounding areas.

Posted on

Minimally Invasive Procedure in Soft Tissue Grafting | Chicago Dentist

It is important as a dental professional to give our patients the best experience we can, even when it requires a dental procedure that typically doesn’t have the best reputation – gum recession treatment. We are always looking for minimally invasive approaches for the correction of gum recession to ease the comfort of our patients.

Tunneling procedures have been around in periodontics for decades. These procedures are advantageous because small incisions, similar to the ones used in arthroscopic surgery, are also used to complete these procedures.

I had been working on this particular approach to this procedure for several years. In fact, it was featured at the 2015 meeting of the American Academy of Periodontology. The procedure is carried out by way of a few small incisions above the area of recession.

One of the reasons this procedure is an advancement to the treatment of gum recession is because of the recovery time. Typically, gum recession treatment takes a long time to heal and requires additional visits to the dentist for follow-up treatment. With this variation, dissolvable sutures are used to stabilize the area, allowing the patient to return to their daily practices, such as brushing, very quickly. In addition to a speedy recovery time, the ability to place sutures that will dissolve at different rates is beneficial because there is typically no need to have them removed, making additional dental visits required only in the case of complications arising.

Gum recession is just a fact of life. It is nice to know that treatment doesn’t need to be an unpleasant one.

If you would like more information about soft tissue grafting, call Dr. Cabrera in Chicago, IL at 312-994-7939 or visit www.perioimplantchicago.com.

Dr. Cabrera proudly serves Chicago and all surrounding areas.

Posted on

Soft Tissue Grafting When There Are No Teeth? | Chicago Dentist

Although most people concentrate on the teeth for an attractive, healthy smile, the appearance of the gums cannot be ignored. It has been said that the gums are the frame of the picture. You can have a nice picture, but an ugly frame will destroy the appearance. We will often use soft tissue to enhance the appearance of the tissue in conjunction with new restorations. The following case demonstrates one such example:

This case illustrates a 35-year old physician who was missing two teeth in the front and had a bridge placed many years ago. She did not like the appearance of the bridge and wanted to replace it. The before photos illustrate how an unsightly indentation in the gum tissue compromised the appearance of the bridge. In addition to replacing the bridge, we wanted to improve the appearance of the tissue in order to improve her “picture frame”. Utilizing minimally invasive tunneling procedures, a collagen graft was placed to build out the tissue and create an appearance that a tooth was present, but in actuality, it is missing. The improvement was seen immediately at the time of surgery, and after several weeks in a new temporary bridge, the result is even more apparent. As you can see, we have created the illusion that there are teeth present by simply reconstructing the tissue.

 

If you find that you have gums that are affecting your smile and self-confidence, soft tissue grafting may just be the solution you’ve been looking for. Not only will it improve the look of your gums, but will also give you a discreet way to bring back a reason to smile.

If you would like more information about soft tissue grafting, call Dr. Cabrera in Chicago, IL at 312-994-7939 or visit www.perioimplantchicago.com.

Dr. Cabrera proudly serves Chicago and all surrounding areas.

Posted on

Recession and Permanent Orthodontic Retainers | Chicago Dentist

An important component of orthodontic therapy is retaining the teeth in their final position to prevent relapse. This retention is either in the form of a removable retainer or a fixed, permanent retainer. The latter is typically Used on the inside part of the lower front teeth by bonding a wire to the six front teeth. However, not all wires are passive. In some cases, the wire retains tension and will force the teeth out of the bone over time.

We have seen an increased number of cases over the past few years.

The first case (fig 4) shows the recession and the wire along the tongue side. The second case (5-8) shows severe localized recession due to the torqueing motion of the wire.

This patient reported that she had a failed graft done several months before. In reality, the position of the tooth made it virtually impossible for any graft to succeed. This highlights that the most Important part of any treatment is an accurate diagnosis. The third case reflects the same problem.

If you see recession it is time to visit a periodontist. As part of the comprehensive exam, Dr. Cabrera will check all factors that may be contributing to the recession. If a fixed retainer is contributing to the problem, Dr. Cabrera will inform you and make the appropriate recommendation.

If you would like more information about gum recession, call Dr. Cabrera in Chicago, IL at 312-994-7939 or visit www.perioimplantchicago.com.

Dr. Cabrera proudly serves Chicago and all surrounding areas.