Pink Aesthetics – Gummy smile
This is a surgical procedure commonly used in the cosmetic zone, before all-ceramic restorations, to achieve harmony between teeth and gums in a new, natural and aesthetic smile. It usually affects the anterior upper 6 teeth, and it is done in a single visit with immediate results. The goal is to correct gums severely discolored or uneven between the teeth, so that the new smile displays the right proportions.
Smile Design creates an ideal smile in relation to the teeth and the aesthetics of pink. With respect to biology, bone measurements are performed on CT scans, resulting in an accurate surgical design that ensures a balance between aesthetics and longevity. After the surgery, there is a slight to no sensitivity, the results are immediate and the healing is usually completed 6 weeks later.
Soft tissue grafts
During the surgical procedure, a piece of soft tissue is transferred to a point where there is a deficiency. It usually affects areas around implants that have lost keratinized gums or cover cervical recessions due to periodontitis, periimplantitis, or trauma (de-epithelialized connective tissue graft). Typical areas are usually the hard palate or the tuberosity. The procedure is demanding, fine sutures and ophthalmology scalpels are used under magnification and requires the full cooperation of the patient during the first period. Soft tissue maturation is observed 4-6 months later, ensuring stable, healthy results around implants or all-ceramic restorations.
A small piece of keratinized gum is removed from the palate and placed in another area to change local biology and increase width of attached gingiva or to cover a small recession. The graft bleeds again into the new site, increasing the thickness and width of keratinized tissues, usually in Miller I and II classification, before orthodontic treatment or before implant placement. The main disadvantage is the difference in the color of the soft tissues, after the procedure which is due to the different DNA of the donor area, while the main advantage seems to be the quite predictable process and the increased survival prognosis.