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Gums and Roses???

  • 07-12-2009 8:00pm
    #1
    Registered Users, Registered Users 2 Posts: 595 ✭✭✭


    Hey just looking for some advice and to see if anyone has had a similar problem that they've had fixed.

    So I had a slightly crooked canine tooth which gave me a gap between my canine and second tooth. So I got it fixed 2 years ago in Smiles Clinic using a composite veneer. Loved the results initially but since then I though the veneer was starting to disappear from the gum line leaving a very annoying sharp edge which was big enough to stick my fingernail into....

    So im booked back into smiles in 2 weeks to have it redone/fixed but after having a good look I now think that it actully may be the gum which has receded away from the veneer as opposed to the veneer disappearing.

    Now my canine tooth looks like a less extreme version of the one on the left below. I've found some info online in relation to this technique called 'gum grafting' where they do exactly that...graft gum to cover the exposed tooth.

    The below pic is a before and after of the procedure. Just wondering if anyone has had this done or anything similar? Thanks


    farley_photo_of_gum_grafting.jpg


Comments

  • Closed Accounts Posts: 6,926 ✭✭✭davo10


    Roro, I have seen a couple of patients who have had this procedure done in the US mainly, with mixed results. The graft is best taken from the palate which can be quite painful, in time the gum does tend to receed to original level and most of the patients I have seen would not have it done again . Also, if you have a ceramic restoration with an open margin/overhang, you are certain to have recession in future. Run your fingernail down from gum to biting edge of tooth, you should just barely be able to feel where top margin of veneer meets the tooth, if you feel an edge or channel, it is not accurate and will gather plaque and probably contribute to recession. Again I keep telling people this, good lab work is essential when having veneers/crowns/bridgework etc done.


  • Registered Users, Registered Users 2 Posts: 595 ✭✭✭Roro4Brit


    Ok thanks for the advice. Actually looking back at that pic I originally posted my tooth is actually not that bad at all. I've always had pronounced canine teeth on both sides. I don't think I'd go through that much pain/effort just for cosmetic reasons.

    There is enough of a gap between the top of the veneer and the gum line for me to get my fingernail in behind it....it drives me crazy.

    I'm going back to the original dentist who did it first time and I think I'm just going to ask for him to remove all the old veneer and replace it with a fresh one...think thats a good idea?


  • Closed Accounts Posts: 6,926 ✭✭✭davo10


    yip


  • Closed Accounts Posts: 9,535 ✭✭✭btkm8unsl0w5r4


    I prescribe gum grafting in my practice often and it works really well. However the most important thing is who does it. I have a good periodontist (gum specialist) who gets good results with this proceedure, if I did it I would get nowhere near the results cause I dont have the experiance. there are also cosmetic fixes with pink composite of ceramic which IMHO tend to look bad in general.

    BTW - kudos for the thread title, only got that there now.


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