To avoid this, it is recommended to use a fixed retainer bonded on the palatal aspect of maxillary anterior teeth, after restorative esthetic recontouring of the anterior teeth. 22, 23, 24 Only once the etiologic factor was successfully managed in the initial. via online form. , 1999). The plan can consist of two or more of any of the smile-transforming services that we offer, like gum recontouring, teeth whitening, porcelain veneers, etc. The distance from the gingival margin of each tooth and the horizontal line is measured with a digital ruler. Email. San Antonio: Stone Oak 1130 E Sonterra Blvd, Suite 120 San Antonio, TX 78258-4235 (210) 614-4700 . Dr. It typically involves a minimally invasive laser procedure to get rid of uneven or excessive gum tissues. A wide variety of procedures are available for correction of excessive gum display based on the cause of the condition. Harris Dental is known throughout the Phoenix metropolitan area for quality and compassionate dental care. Excessive gingival display (EGD), known as "gummy smile," is a major esthetic hurdle in today's population. It is also referred to as "gum contouring" or "gum lift”. Abstract. Usually, the permanent canines have erupted in a more mesial position, filling part of the lateral incisors space, which. Anything above that is considered a. When a patient finishes their orthodontic treatment, we have the opportunity to perfect their aesthetics with gingival laser recontouring. However, gum problems are more common than you might imagine. operculectomy). To determine which is best, a soft tissue laser or traditional techniques, let a local dentist explain. Before and After. Treatment of gummy smile: Gingival recontouring with the containment of the elevator muscle of the upper lip and wing of nose. Figure 3. Case. If necessary, we can remove or reshape the soft tissues around your teeth with a minimally invasive laser procedure that results in natural-looking, symmetrical gums for a nicer overall smile. Crown Lengthening/Gingival Recontouring. A 23-year-old woman with prolonged retention of the primary mandibular right central incisor was referred after completing orthodontic treatment and a novel gingival recontouring method for one-piece mini-implants was described. During the procedure, the doctor uses a soft tissue laser and re-sculpts the gum line. This procedure obtained 80% average reduction in gingival display considering only 6 months of follow-up. 03 9500 2091. We offer Gum Recontouring procedure in San Antonio. ac. So (as you might expect) there is a complimentary procedure known as tooth recontouring. “Gingival (gum) contouring” is the process of recontouring the gum only. More recently, Storrer et al. To achieve healthy and natural-looking gums with gingival sculpting, we use a minimally invasive laser method done in our Chattanooga, TN. Thus when healthy, it presents an effective barrier to the. Your gums can be numbed at the beginning of the procedure to reduce the discomfort. Rubberpiks do not demonstrate inferiority to conventional interdental brushes. – Esthetic rehabilitation of anterior teeth through gingival recontouring and ceramic veneers: a case report Introduction Different. Testimonials "I had several operations combined into one procedure which is really very difficult to achieve. 8 and 1. More recently, a lip repositioning surgery technique aimed to treat the excessive gingival display, removing a strip of outlined mucosa by a superficial split thickness dissection, leaving the connective tissue exposed. The Waterlase uses water, air and laser energy to gently vaporise the excess gum tissue. Currently, dentists use scalpels, lasers, and radiosurgery to perform the gum contouring procedure. Fortunately, that’s no longer the case. Marsh features the use of a diode laser or a radio surgery unit. Provisional restorations are often overlooked when dealing with marginal integrity. It can be done with specialised instruments and is completely painless. et al. Our Doctors; John F. This device uses a narrow beam to light to gently removed and reshapes the gum tissue as needed. With a soft tissue laser, the procedure involves significantly less bleeding and discomfort as well as faster healing. The blood flow velocity in the same location was measured 3 days after the gingival massage using a laser Doppler flowmeter. Rahmani will need to determine the reason for a gummy smile. This paper reports on two cases of gingival recontouring by the fabrication of a provisional implant restoration to produce an optimal emergence profile of a definitive implant restoration. We offer Gum Recontouring procedure in San Antonio. Gummy smile treatment is technically called “gingival recontouring. Our dentists in San Diego offer non-invasive Laser Gum Recontouring to provide better balance and symmetry between the gums and teeth. There are various types and levels of sedation, with nitrous oxide being the mildest and (often) the least expensive. Smile makeovers. About. Hornbrook has dedicated his career to improving the lives of others through state-of-the-art cosmetic dentistry. Periodontal surgery can still be considered a keystone in the treatment of periodontitis. A 19 year old female patient was referred from depigmentation of Maxillary anterior Gingiva was performed. OPEN EVENINGS AND WEEKENDS . Before the procedure the teeth look. Gingival Recontouring. Gingival (Gum) Recontouring. After the second surgery, a preliminary impression was taken to make a soft tissue working cast. The upper lip length on average is 20 to 24 mm. The closure of diastemas in anterior teeth using direct adhesive restorations and gingival recontouring is a viable option for the clinician because it restores esthetic harmony between soft and. However, the canines were relatively dark in shade, which was not a concern to the patient. Remove excess gingival tissue easily with the use of a diode laser. To reliably perform gingival recontouring procedures, the dentist must have a clear understanding. Grade 1: Overgrowth confined to Interdental papilla. There are several factors that can affect the final price of the gum lift procedure. "Crown lengthening" refers to recontouring of both gum and supporting bone. This can be performed in conjunction with gingival recontouring if necessary. This procedure obtained 80% average reduction in gingival display considering only 6 months of follow-up. The tissue involved will first be numbed with a local anesthetic. Four to six weeks after placing the provisional restoration, the gum reformed with harmony between the peri-implant gingiva and adjacent dentition. This paper reports on two cases of gingival recontouring by the fabrication of a provisional implant restoration to produce an optimal emergence profile of a definitive implant restoration. These spaces can also cause phonation problems as well. 02073281200. It can also recontour the gum tissue or bone. Thalia | (757) 486-2525 4169 Virginia Beach Blvd. a laser-assisted lip repositioning surgical technique accompanied by gingival recontouring. In stage one, a gingivectomy procedure is done and required amount of crown is exposed. Gingival Recontouring Below are two common scenarios for which our patients often seek gingival recontouring treatment. Led by Dr. What is Gum Recontouring?. Your periodontist can improve a “gummy” smile by correcting gingival contours and reducing excessive gums. Gummy smile (GS) is a condition that affects the confidence of many young people. If you think you could benefit from a consultation about gingival recontouring and grafting, give us a call at 970-221-5115 today. 75 W/30 Hz with a MT-4 tip for soft tissue removal; then at 2. The patient was then evaluated more comprehensively, and gingival recontouring was accomplished with a mucoperiosteal flap and osseous recontouring. 103San Ramon, CA 94582(925) 735-1881. Gingival recontouring; Root canal therapy; Laser Gum Surgery Offers More Comfort and Convenience for You. Home. Gum recontouring or shaping may also be recommended by your dentist as a necessary periodontal procedure. Unfortunately gum problems usually affect more or all teeth so it is more common for dentists to charge by quadrant or for full mouth treatments. Joy. Both excess and lack of gum can cause different health problems. The association of periodontal disease and occlusal trauma was the main etiologic factor for the occurrence of the gingival recessions. Gum recontouring can have several. Gum Contouring. It is also called gum recontouring, gum sculpting, or gingivectomy. Gum Contouring: What to Expect. 11. Laser Contouring. Bonding. Miller, the godfather of periodontal plastic surgery, likely would have a differing opinion. Robbins JW. D7971 excision of per coronal gingival; Dental Crown Lengthening For better oral hygiene and comfort, dental crowns need to be properly fixed. Return to Figure. 277 – RSBO. When gummy smile is caused by excessive gingival tissue partially covering the anatomical crown of the teeth (which is also caused by altered passive eruption), a resective. Gold, DMD, MD;The gingival texture, shape, tooth to tooth progression and its relation to the extra oral tissues is interdependent on many factors. It is typically performed by a periodontist or cosmetic dentist who specializes in gum health and aesthetics. Gum recontouring, also known as gum reshaping, is a dental procedure that involves reshaping the gumline to improve the appearance of the gums and teeth. Pages 229-240. Gum contouring is a procedure used to reshape the gum line, fix a gummy smile, remove excess gum tissue, or even add gum tissue when needed. Gingivectomy means excision of the gingiva. These include anatomy of the dentogingival complex, tissue hierarchy, osseous crest considerations, periodontal biotype and biform, tooth morphology, contact points, tooth position and extra-oral skeletal and. Meet Dr. More recently, a lip repositioning surgery technique aimed to treat the excessive gingival display, removing a strip of outlined mucosa by a superficial split thickness dissection, leaving the connective tissue exposed. Mylar strip was extended out of the sulcus by approximately 1 mm high from the gingival margin, and a small cotton pellet was used to provide the emergence contour. If you need gingival contouring in the Seminole County area we can help you. Tarnow DP, Magner AW, Fletcher P. As a matter of fact, the cost of gum recontouring is different for different people. This procedure obtained 80% average reduction in gingival display considering only 6 months of follow-up. This study presents an innovative and effective therapeutic option to obtain a natural and harmonious smile in patients with gummy smile. It was amazing! I practically (literally) don't have veins, but Dr. This patient had palatal impaction of 1. 2. Cobb has placed a lot of emphasis on cosmetic dentistry techniques over the span of his career and has the advanced education to provide transformative procedures like porcelain veneers in Odessa. If you are not sure that you will be doing the braces, I would do it now. Uneven gingival margins (pre–operative). Menu. Ref #:1013 . Full size image. Teeth that appear short, may actually be the proper length, but are covered with excessive gingival tissue. Learn About Our Commitment to Your Family’s Safety . Unfortunately, the majority of cases will involve bone recontouring as well as gingival resection to accommodate aesthetics and function. Surgical procedures are designed to either remove diseased gum and bone for better cleaning access. Traditional treatment for advanced periodontal disease, for example, consisted mainly of osseous surgery, wherein Dr. Osseous Surgery. This is a more delicate procedure that requires exposing root surface, positioning gingival margins at the desired height, and apically reestablishing the biological width. Couple your laser gingival recontour procedure with this form of orthodontic correction and you are sure to be smiling brighter for years to come. 1, 2. Some issues that esthetic gingival recontouring can address include: Excess gum tissue that makes the teeth appear short and stubby. The goal of the 3D Smile Design process was to create a smile prototype that would translate the treatment :Gum Recontouring in San Diego, CA. Excessive or uneven soft tissue can create an overly “gummy” appearance, hiding perfectly healthy and beautiful dental structure unnecessarily. After the procedure the new smile has changed dramatically to highlight the teeth. Texas Dental Surgery specializes in implants, oral surgery, and periodontics in Prosper, TX. Download (PPT) The patient's treatment plan was designed to achieve gingival symmetry before the fabrication of the veneers. “My gums show too much when I smile or talk. . Gum lifts may also be performed to reconstruct the gums (aka gum reconstruction) which builds back gum to cover more of the teeth. 9790/0853-1802065256 53 | Page was placed in such a way that it was co-incident clinically with the location of interproximal soft tissue. The periodontal treatment, the scaling, removal of the factors for bacterial plaque accumulation, and gingival recontouring favored esthetics, made the impression procedure easy, and enabled the construction of the ceramic laminates 5,8,10 with better adaptation and emergence profile. After crown lengthening, the gingival display while smiling was reduced to approximately 6 mm [Figure 3]. Our digital x-rays are equipped with special cavity-detecting software, and we also utilize an intraoral camera to show you. For both applications, 11% air and 11% water was used. 3. The emergence profile concept of an implant restoration is one of the most important factors for the esthetics and health of peri-implant soft tissue. In addition, if your gum line is irregular, cosmetic gingival recontouring might help you achieve a more balanced, symmetric smile. Similarly, it is not unusual for people to be unhappy with the length or shape of their teeth. We may be able to provide gummy smile correction via a minimally invasive gum recontouring procedure. Advanced searchLip repositioning is a conservative surgical technique used to treat excess gingival display. Gingival massage was performed on the gingiva on the mesial aspect of the maxillary left first molar twice a week for 4 weeks, for a total of eight sessions. After completing 4 weeks of blood measurements, hematoxylin. August 2009. J Clin Periodontol. 23. Technology; 3D. This technique resulted in shortened vestibule and restricted the muscle pull of the elevator muscles of the lip, thereby reducing gingival display when. Periodontal surgical procedures consisting of gingival flaps and osseous recontouring are indicated for crown lengthening of several contiguous teeth in the esthetic zone; both in cases where restorations are required and in cases where no restorations are planned, such as in patients with excessive gingival display due to altered passive eruption. Dental Crowns. Gum recontouring is a cosmetic process that is often used when a person has an excess of oral tissue that is causing a gummy smile. The laser surgery is performed by either experienced dentists or trained periodontists. If you are doing the braces in the near future, it is best to do it afterwards because your teeth and gums will shift. Gum recontouring or shaping may also be recommended by your dentist as a necessary periodontal procedure. com (614) 549-5835 2 E. Complementary lines are drawn such as the gingival zenith, joining lines of the gingival and incisal battlements. 2006 Oct;18 (9):suppl 2-6. [Show full abstract] is dictated by the distance from the gingiva crest to alveolar crest. In this case, stable gingival recontouring was accomplished by mucoperiosteal flap and resective osseous surgery followed by fabrication of a zirconia-based ceramic bridge. Advanced searchGum recontouring is a safe and efficient treatment that can give a patient new confidence in their smile. D4274. "Gingival (gum) contouring" is the process of recontouring the gum only. 1. Gum contouring or reshaping is a cosmetic procedure that is performed on the gums. The cost of gum recontouring is only one fee that you may have to pay. D7971 is used when inflammatory or hypertrophied tissue is being removed on a partially erupted or impacted tooth (i. Answer: Gum recontouring and veneers. This section, however, will consider localised gingival recession. In the present study. The patient was dissatisfied with the size, color, and shape of the teeth. Similar to crown lengthening, gum recontouring redefines the shape of your gumline to expose more of your dental structure. 6 Choice of Technique to Manage Gingival Recession and Aesthetics. , 2014). Firstly, this is a procedure carried out chairside in the dental practice and not in a hospital setting. This can help to address issues such as a "gummy smile" where the gums cover too much of the teeth, or an uneven gumline where the gums are not symmetrical. Dental Checkups; Restorative Dental Care. Uzri. This study presents an innovative and effective therapeutic option to obtain a natural and harmonious smile in patients with gummy smile. 942 . For both applications, 11% air and 11% water was used. Sometimes gum recontouring procedures can be done in order to provide adequate room for the dentist to place. Maslowski or Dr. After the procedure the teeth are much more balanced and naturally reveal more of the tooth. Factors affecting GHOC: 1. Laser dentistry has revolutionized gum surgery. Bryant StTreatment of gummy smile: Gingival recontouring with the containment of the elevator muscle of the upper lip and wing of nose. 1 Initial consultation and treatment planning During the initial consultation, the dentist will evaluate the patient’s oral health, discuss their concerns and goals, and determine if gum recontouring is the appropriate treatment. If the implant is placed in the ideal position, normal gingival recontouring will occur in the intermediate abutment stage. Are You a Candidate for Tooth or Gum Recontouring?. Instead, the gingival shape of the maxillary centrals and canines is elliptical and gingival zenith is located distal respect of axis. When recession of the gingiva occurs, the body loses a natural defense against both bacterial penetration and trauma. Although it is often caused by an. Home. Contact Esteem Braces and Aligners at (786) 744-1570 or fill out this. Discover the seven signs you need to talk to your dentist about gum. Gingival (gum) contouring is the process of recontouring the gum only. Patient Reviews; Services. In most of the cosmetic dentistry cases, cosmetic gingival contouring can be successfully performed by the soft tissue diode laser. . During the procedure, they use a laser to cut away portions of the gums, exposing more of your tooth's surface and giving you a more even gumline. Gum recontouring is one such option you may want to consider. Related; Information; Close Figure Viewer. 1. Anesthesia and sedation usually cost extra. Surgical Periodontal Therapy is the re-contouring of gum and bone to decrease the risk of further periodontal disease. GET A QUOTE . Couple your laser gingival recontour procedure with this form of orthodontic correction and you are sure to be smiling brighter for years to come. Gum contouring, medically known as gingivoplasty, is the surgical reshaping of gums around the teeth. “Crown lengthening” refers to recontouring. It may be that the tissues are interfering with restorative procedures or causing aesthetic concerns. Crown Lengthening. The procedure is performed by recontouring gum tissue or bone, which exposes more of a tooth’s. A low gumline that makes the teeth appear disproportionately long. Excess gum tissue, (known as a “gummy smile”) can hide the natural contour and length of a tooth, preventing the “golden proportion” of length to width. This procedure is followed to create physiological gingival contours. A dentist can shape and reduce the gums through a simple process called gum recontouring. A similar procedure called crown lengthening can be used to make room for a cosmetic crown. It is usually done by a periodontist or cosmetic dentist, in their office. This was undertaken with oscillating mounted strips with increasing widths ( Fig. This procedure is most commonly used on top front teeth, which tend to show the most when smiling. Concerning adult patients ( Fig 3 ), decision-making should be based mainly on the anteroposterior relationship of teeth, smile line height and patient profile. Received 11 October 2011 Accepted 19 November 2011. Diode laser treatment is a virtually painless technology to treat minor gum problems such as low frenums and the. EGD more common in women than men. Menu (858) 535-8300; Home; Our Doctors. By using diagnostic bone sounding, the practitioner can determine the. This treatment option can also be used aesthetically to reduce gums along the tooth line if a patient has a ‘gummy’ smile. The containment of the elevator muscle of the upper lip and wing of nose was used for the treatment of patients with gummy smile. Search life-sciences literature (42,046,431 articles, preprints and more) Search. Learn about the process and post-recovery care. Cosmetic Periodontics Louisville, KY | Soft Tissue Grafting | Gingival Recontouring. Skip to content 704-365-0123gingival recontouring using direct adhesive restorations: a case report. Enameloplasty, also known as dental contouring, is a cosmetic procedure that corrects minor irregularities of the shape of teeth. There are various alternatives for correcting a gingival smile, ranging from techniques such as gingivectomy to more complex and invasive procedures such as orthognathic surgery. The gum line, and the bone just beneath the gum line, can be lowered to change the appearance of your smile. A gummy smile is usually considered to be a cosmetic dentistry issue, not one that. Email Us! 400 SW Bond St #300, Bend, OR 97702 (541) 848-6642. Correct the gum line with Columbus laser gingival recontouring and frenum removal using the diode laser at Columbus Orthodontic Center. Licensed Under Creative Commons Attribution CC BYThe purpose of this paper is to determine the effect of abutment contour modifications at these zones on the peri-implant soft tissues, including the gingival margin level, papillae height,Gingival architecture, labial alveolar profile, and gingiva color. After eruption, the gingival complex will gradually recede to create a sulcus depth 1 to 2. Ultimately, the ideal proportions in crown length should be achieved in combination with a normal physiologic. Our cosmetic services can be found at all of our Genesis Dental locations as well as our sister practices, Bright Smiles and Central Ave Dental. Close; About Us. Added benefits include ease of use, patient acceptance, and recontouring of interdental tissues. They surround the teeth and provide a seal around them. For example, 47% of adults over 30 have some signs of periodontal disease. You might be curious about gum recontouring, so let us explain it clearly. Enhance your smile with gingival recontouring at Trinity Dental Loft. The Pinhole Surgical Technique is a minimally invasive, less painful, and faster way to treat receding gums then the more traditional methods, making it a great alternative to treat. The surgery will normally only take 25-45 minutes, depending on how impeded the tooth is. When both the bone and gum will be addressed, crown lengthening is also included. This can create a more even gum line or make the teeth appear longer. This is a relevant and maybe the main factor in decision making. The containment of the elevator muscle of the upper lip and wing of nose was used for the treatment of patients with gummy smile. J Esthet Restor Dent, 21(4):241, 01 Jan 2009 Cited by: 0 articles | PMID: 19689721The patient was then evaluated more comprehensively, and gingival recontouring was accomplished with a mucoperiosteal flap and osseous recontouring. At Boulder Smiles, we can use gum recontouring to remove excess gum tissue and create a more symmetrical and aesthetically pleasing gum line. Esthetic gum recontouring cannot even be planned until all existing inflammation in the gingival tissue is resolved. Contact us today! We genuinely hope this site is helpful to you in learning more about our San Ramon Periodontal & implantology practice, dental conditions and treatments, dental recommendations, payments & insurance and practice hours. elimination and gingival recontouring in the presence of supra-bony pockets with normal bony configuration. Gingival smile is one of the most common complaints of patients seeking an aesthetic smile. This simple and quick procedure can make a. The closure of diastemas in anterior teeth using direct adhesive restorations and gingival recontouring is a viable option for the clinician because it restores esthetic harmony between soft and hard tissues. B. This paper reports on two cases of gingival recontouring by the fabrication of a provisional implant restoration to produce an optimal emergence profile of a definitive implant restoration. Renken Dentistry of Oak Hill (737) 204-1781 7826 West US 290 Suite 102 Austin, TX 78736After a comprehensive evaluation of the periodontal tissues and gingival health, the patient was scanned intraorally, and new photographs were made. Clicking or popping noises when you attempt to move your jaw. Crown lengthening is a simple surgical procedure to remove excessive gum tissue and expose more of the tooth structure. We conclude that in some cases resective approach in the treatment of gingival recessions may offer more favorable and predictable results compared to regenerative techniques. The missing tooth fragment had been left at the accident site. Adequately contoured implant restorations need to transition from the circumferential design of the implant head to the correct cervical. (310)216-9600. . 3. The type of anesthesia used in the operation. Thanks to laser gingival recontouring, you can make the most out of your smile. 3. Genesis Dental is a General, Cosmetic, Family Dentist & Orthodontist in Utah & Kansas. Achieving optimal gingival esthetics around restored natural teeth and implants. Thankfully, Dr. GINGIVECTOMY ANDGINGIVOPLASTY Gingivectomy means excision of the gingiva. In addition, crown lengthening procedures can also be used to correct a “gummy” smile, where teeth are covered with excess gum tissue. For tooth #7 only. This paper reports a case on diastema closure in anterior teeth that was successfully treated using gingival recontouring and composite resin restorations. – Esthetic rehabilitation of anterior teeth through gingival recontouring and ceramic veneers: a case report required, they must have. A radiographic and probing assessment revealed sufficient sulcular depth which could allow the removal of sufficient amount of gingival marginal tissues, which was. This procedure may involve the use of laser and local anesthetic to numb the. Section 2: The Gum Recontouring Procedure 2. Beaver. Skip to content 704-365-0123 gingival recontouring using direct adhesive restorations: a case report. Crown Lengthening. 5 watts, depending on the melanin spots of the gum. Remove excess gingival tissue easily with the use of a diode laser. 61. The importance of the mucogingival complex in any restorative procedure has long been recognized, and various surgical and nonsurgical procedures have been developed to restore the compromised gingiva to its original health. Added benefits include ease of use, patient acceptance, and recontouring of interdental tissues. Ideally, you shouldn’t show very much gum tissue at all when smiling. Opens Monday-Friday 8AM–5PM call us (619) 427-4336. Thankfully, our doctors make use of a soft tissue laser to. Services. Gingivectomy means excision of the gingiva. Note the disharmony of the gingival arch and absenceGum recontouring, also known as gum reshaping or gingival sculpting, is a dental procedure that involves the removal of excess gum tissue to enhance the appearance of your smile. A radiographic and probing assessment revealed sufficient sulcular depth which could allow the removal of sufficient amount of gingival marginal tissues, which was consistent with. To find out how to achieve your ideal smile, contact our offices today at (305) 224-1138. Marshall will use very conservative techniques. Four to six weeks after placing the provisional restoration, the gum reformed with harmony between the peri-implant gingiva and adjacent dentition. Ref #:1014 . We do this through the modern technology we offer. Some people have a “gummy smile” that makes their teeth look short or boxy. Whip your gums into shape with gum recontouring treatment in Dallas, Texas! Call DNA Dental Dallas at (214)-295-9270 for a healthier-looking smile. Abstract. Fax. After discussing the treatment plan again with the patient, the informed consent was obtained to perform the tooth reduction for six porcelain. For people who have an excess of gum tissue that shows whenever they smile, Dr. Gingivectomy before and after procedure. Gum recontouring . Surgical therapy was performed to provide a better aesthetic. Sometimes, teeth aren’t actually the culprit when you’re unhappy with the way your smile looks – it’s your gums. This procedure removes the excess gum and exposes more of the tooth crown. For example, to make the upper teeth appear longer, your orthodontist will utilize a laser to eliminate extra gum tissue surrounding them. Home; About;Laser Gum Recontouring “All on 4” Dental Implant Dentures; Sleep Apnea and Snore Guards; TMJ Disorders/Pain Treatments; Orthodontics; Urgent Care. Gingivoplasty, on the other hand, is the reshaping of the gingiva to create physiologic gingival contours with the sole purpose of recontouring the gingiva in the absence of pockets. Then the dentist or periodontist will use a surgical scalpel or a dental laser to remove the unwanted tissue. The procedure was accomplished by laser-assisted removal, through scraping a strip of mucosa from the maxillary buccal vestibule and suturing the mucosa of the lip to the mucogingival junction. DR MUZAMMIL MOIN AHMED, BURAYDAH COLLEGES, KSA. Call 210-341-4409 Now! admin@stoneoakaesthetics. ,, 17. Bone sounding before gingival recontouring is dictated by the distance from the gingiva crest to alveolar crest. 343. An upper lip lengthening as wel.