Procedure: Impacted Tooth Exposure
Your orthodontist may refer you to Dr. Mangelson to expose a tooth that is covered by bone and gum tissue. By creating access to the tooth, the orthodonist can place a bracket on the newly exposed tooth so that it can be moved into its correct position.
Dr. Mangelson and your orthodontist will work as a team ensuring the best orthodontic outcome for your smile.
When a tooth is buried under bone and gum tissues and visible on the x-rays but not in the mouth, a periodontist needs to surgically uncover the tooth so that an orthodontic bracket can be placed and the tooth can be moved into place.
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Procedure: Soft Tissue Grafts
Your gums may have receded for a variety of reasons, including aggressive tooth brushing or periodontal disease. You may not be in control of what caused the recession, but prior to treatment Dr. Mangelson can help you identify the factors contributing to the problem. Once these contributing factors are controlled, a soft tissue graft procedure will repair the defect and help to prevent additional recession and bone loss.
Soft tissue grafts can be used to cover roots or develop gum tissue due to excessive gingival recession. During this procedure, Dr. Mangelson carefully selects gum tissue from your palate or another donor source to cover the exposed root. This can be done for one tooth or several teeth to even your gum line and reduce sensitivity.
What are the benefits of this procedure? A soft tissue graft can reduce further recession and bone loss. Root surfaces are more vulnerable to decay.Soft tissue grafting can cover exposed roots to protect them from decaying. It also helps to reduce tooth sensitivity and improve the aesthetics of your smile.
Sometimes when you lose one or more teeth, you can get an indention in the area where the tooth used to be. This happens because the bone naturally recedes when it no longer is supporting a tooth. In that case, Dr. Mangelson may suggest that ridge augmentation be performed whereby a gum graft is used in conjuction with the soft tissue graft so that there is more bone support for the restorative replacement and so that an optimal esthetic result can occur.
The muscles of the cheeks and lips are attached to the gums and tissue of the mouth by a piece of soft tissue called a frenum. Sometimes a frenum can be attached too high on the gums causing either recession or spaces between teeth.
In addition, there is another frenum under the tongue. If this frenum is attached too close to the end of the tongue it can adversely affect swallowing and speech. Sometimes this is referred to as being "tongue-tied".
A Frenectomy is a simple procedure where Dr. Mangelson releases either part or all of the frenum in question so that those strong muscles no longer pull on the healthy gingival tissue causing recession.
If you have had braces to correct rotated, overlapped or spaced teeth, your orthodontist may refer you to Dr. Mangelson for a fiberotomy procedure just before completion of your orthodontic treatment. The fiberotomy procedure is simple, quick and rarely requires pain medications.
Elastic fibers in the gum tissue anchor the teeth and during orthodontic treatment, these fibers can stretch to accommodate the new position of your teeth. It is possible that after removing the braces, the fibers may retract to the old position, thereby relapsing the teeth positions. The fiberotomy procedure releases these fibers and allows new fibers to grow.