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Duration: 48 minutes, 11 seconds

Author: Dr. James Kohner

Aesthetic Periodontal Surgery to Enhance Restorative Results


The field of dentistry constantly seeks innovative techniques to enhance the overall aesthetic outcome of restorative procedures. One such technique gaining popularity is aesthetic periodontal surgery. This article explores how aesthetic periodontal surgery can significantly improve restorative results, focusing on the impact of excessive gingival display, the technique of gum shortening, effective patient communication, and the correlation between posterior crowns and restorative outcomes.

The Impact of Excessive Gingival Display

When it comes to achieving a beautiful smile, it is not just about having whiter and brighter teeth. The display of excessive gingiva, commonly known as a “gummy smile,” can significantly impact the overall aesthetic result. This excess of gum tissue can create an imbalanced appearance, drawing attention away from the teeth and negatively affecting the harmony of the smile.

The Technique of Gum Shortening

Aesthetic periodontal surgery offers a solution to address the issue of excessive gingival display. One effective technique is gum shortening, also known as crown lengthening. This procedure involves reshaping the gum line to achieve a more symmetrical and visually pleasing smile. By reducing the amount of visible gum tissue, the focus is shifted back to the teeth, resulting in a more proportionate and aesthetically pleasing smile.

The Role of Symmetry

Symmetry plays a crucial role in the overall aesthetic appeal of any smile. With gum shortening, the dentist carefully evaluates the patient’s smile and determines the appropriate level to reshape the gum line. This process ensures that both the upper and lower gums are symmetrical, creating a harmonious balance that complements the restorative work.

Enhancing the Aesthetic Result

Furthermore, gum shortening enhances the success of restorative procedures. By repositioning the gum line, more tooth structure becomes visible, allowing the dentist to achieve a better fit and aesthetics with the restorative work, such as dental crowns or veneers. This improved visibility leads to more accurate measurements, better blending with natural teeth, and ultimately, superior restorative results.

Effective Patient Communication

When discussing aesthetic periodontal surgery with patients, using alternative terms can significantly impact their understanding and acceptance of the procedure. It is essential to effectively communicate the concept of gum shortening as an alternative to crown lengthening. By presenting it as a technique that enhances aesthetic outcomes and balances the smile, patients are more likely to embrace the procedure and appreciate its potential benefits.

Functional and Mechanical Problems with Posterior Crowns

While aesthetic periodontal surgery primarily focuses on the impact of excessive gingival display, it is important to take into account the functional and mechanical aspects that can influence restorative outcomes, particularly in posterior crowns. A separate presentation highlights the significance of addressing these problems and their potential impact on the final result.

Challenges with Posterior Crowns

The posterior region of the mouth often presents unique challenges for dentists when it comes to restorative procedures. Issues such as occlusal discrepancies, inadequate tooth structure, and functional problems can hinder the success of posterior crowns. Therefore, a comprehensive understanding of these challenges and their solutions is crucial for achieving satisfactory restorative results.

Improving Restorative Outcomes

By addressing functional and mechanical problems related to posterior crowns, dentists can significantly enhance restorative outcomes. This may involve techniques such as occlusal adjustments, ensuring proper tooth preparation, and utilizing appropriate materials that are durable and long-lasting. Taking these factors into account during the treatment planning stage contributes to the successful integration of aesthetic periodontal surgery and restorative dentistry.


Aesthetic periodontal surgery offers a valuable solution to enhance restorative results in dentistry. From addressing excessive gingival display and utilizing gum shortening techniques to effective patient communication and acknowledging functional and mechanical problems related to posterior crowns, this approach emphasizes the importance of achieving both aesthetic and functional excellence. By considering these aspects, dentists can achieve superior restorative outcomes, providing patients with beautiful and long-lasting smiles.


1. Is aesthetic periodontal surgery painful?

Aesthetic periodontal surgery is performed under local anesthesia, ensuring minimal discomfort during the procedure. The level of discomfort experienced post-surgery may vary among individuals, but it can typically be managed well with prescribed pain medication.

2. How long does it take to recover from gum shortening?

The recovery time after gum shortening varies from patient to patient. Generally, it takes around one to two weeks for the gums to heal completely. However, it is important to follow the aftercare instructions provided by your dentist to ensure a smooth recovery.

3. Can gum shortening be reversed?

Gum shortening, once performed, cannot be reversed. It is a permanent alteration of the gum line to improve aesthetic and functional outcomes. Therefore, it is crucial to consult with a qualified dentist and carefully weigh the pros and cons before undergoing the procedure.

4. Are there any risks associated with aesthetic periodontal surgery?

As with any surgical procedure, there are some inherent risks, although they are minimal. Potential risks include infection, bleeding, sensitivity, or changes in gum texture. It is important to discuss these risks with your dentist beforehand and follow post-operative instructions for optimal healing.

5. Will insurance cover the cost of aesthetic periodontal surgery?

Insurance coverage for aesthetic periodontal surgery varies depending on the individual insurance plan. While some policies may cover a portion of the cost, others may classify it as a cosmetic procedure and not provide coverage. It is advisable to consult with your insurance provider and dentist to determine the coverage eligibility before proceeding with the surgery.

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