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Medical Forum / General / Dentistry / August 2005

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Gum graft risks and rewards

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rwilson290@hotmail.com - 23 Aug 2005 18:24 GMT
All,
Thanks for your time.  I would like to get a gum graft to fill in the
dark gap between my 2 front teeth here, and to perhaps make my 2 front
teeth not look so "long in the tooth".  Here is a photo of the
situation...

http://tinyurl.com/95bf2

Is it worthwhile to pursue gum grafts to make the 2 front teeth in my
smile more gummy? What's a normal cost in a major metropolitan area?

Thanks.
Mark & Steven Bornfeld - 23 Aug 2005 19:23 GMT
> All,
> Thanks for your time.  I would like to get a gum graft to fill in the
[quoted text clipped - 8 lines]
>
> Thanks.

    Personally, I doubt it.  I can't tell that you have any significant
gingival attachment loss.  I think it would be easier if this bothers
you so much  to do resin bonding or porcelain veneers on your central
incisors to attempt to fill that space.
    It may not be possible to fill the space entirely this way without
overbulking the teeth.  But I think a gingival graft is even less likely
to accomplish this.

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

W_B - 23 Aug 2005 19:48 GMT
>> All,
>> Thanks for your time.  I would like to get a gum graft to fill in the
[quoted text clipped - 18 lines]
>
>Steve

I'm with Dr. SB, although the patient may look into 'gingimoll' (sp?)...
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
celtan - 30 Aug 2005 02:15 GMT
Your Doctor should try to move the interdental contact point apically
using bonding.  What you have is what we called the "dark triangle", a
sign that you have periodontal problems.  Ie. You are losing your
supporting bone to a chronic infection, _that_ needs top be treated
ASAP.  Visit a local Periodontist.

>> All,
>> Thanks for your time.  I would like to get a gum graft to fill in the
[quoted text clipped - 18 lines]
>
> Steve
W_B - 30 Aug 2005 17:40 GMT
>What you have is what we called the "dark triangle"

Dude, this is a dental group.
Keep it clean.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Amatus Cremona - 23 Aug 2005 19:25 GMT
> Thanks for your time.  I would like to get a gum graft to fill in the
> dark gap between my 2 front teeth here, and to perhaps make my 2 front
> teeth not look so "long in the tooth".  Here is a photo of the
> situation...

Generally gaps between the teeth after closure of spaces between the teeth,
do not close well by grafting soft tissue.  Generally, this requires a
different contour to the restorations which fill the space between the
teeth.  There is a range of distance from the crest of the bone surrounding
the teeth that the gun tissue will be capable of growing to.  To close the
"black triangle" *usually* the dentist has to make sure that the "apical
extent of the proximal margin" is close enough to that bony crest.  If it is
further away (as it seems to be in your picture), then the soft tissues will
not grow to fill the space.  If grafted into the space, the gum tissues will
most likely shrink back down again.

Signature

/

Amatus

/

> All,
> Thanks for your time.  I would like to get a gum graft to fill in the
[quoted text clipped - 8 lines]
>
> Thanks.
kureforcrohns@sbcglobal.net - 23 Aug 2005 21:59 GMT
Not a dentist, just another consumer.    Most people would be happy to have
teeth and gums that look like they are in as good a condition as yours are.
Do you have anything else to think about.    I would just worry about
keeping them that way for always.
Gail

> All,
> Thanks for your time.  I would like to get a gum graft to fill in the
[quoted text clipped - 8 lines]
>
> Thanks.
 
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