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Osteoplasty and Gingivoplasty was a part of surgical periodontal therapy for people suffering from some gum disease. Now a days, these procedure are also done in case of pre implant or prosthetic preparation of jaw bone and gingival tissue and as a part of smile designing protocol.
Dental Osteoplasty is a resective therapy, done to alter or repair the bony structures which support the gums. A procedure by which changes in the alveolar bone can be accomplished to rid it of deformities induced by the periodontal disease process or other un-physiologic architecture related factors, such as exostosis and tooth supra-eruption.
When is Osteoplasty advised?
• Aesthetic:
- Remove any visible bony ledges and tori, etc.,
- To help in getting proper architecture for gingival.
• Periodontics:
- Buccal or lingual bony ledges, tori, etc.,
- Intrabony and interproximal defects,
- Furcation involvements;
- Improvement of alveolar contours for flap adaptation.
• Prosthetic:
- To remove the exostosis that hurts during chewing with dentures,
- To remove tori, that is hurting under dentures or decreases the retention of dentures.
• Restorative:
- To get adequate length and ferrule effect for crown retention.
- To get a restoration margin that can be cleaned and maintained easily.
Gingivoplasty refers to the modification of height, thickness, shape and size of the gingival tissue surrounding the teeth. It is done to achieve a more healthy, harmonious, even, uniform pink colored gingival tissue that envelops the teeth appealingly and easy to maintain.
When is Gingivoplasty or Gingivectomy advised?
• Aesthetic:
- Remove excessive gingival tissue that gives uneven appearance to the gingival,
- To get symmetrical gingival level in the smile zone,
- To correct the zenith of gingiva as per the axial inclination of teeth,
- To get a coming through look for pontics,
- To fill the interdental black triangles,
- To remove the discoloured dark patches on gingiva.
• Periodontics:
- Excessive gingival tissue covering the clinical crown of teeth,
- Pockets that difficult to be clean,
- To adapt the gingival as per the contour of underlying bone.
• Prosthetic:
- To remove the flabby tissue in upper anterior, retromolar area or tuberosity area before denture impressions.
- Excessive gingiva in partial denture ridge area.
• Restorative:
- To get adequate length and ferrule for crown retention,
- To get a restoration margin that can be cleaned easily.
