Catalog Number:

Duration: 1 hour, 10 minutes, 44 seconds

Author: Dr. Giorgio Tabanella

Esthetics in a Diseased Periodontium: Tips and Tricks

Esthetics plays a crucial role in maintaining the overall appearance and confidence of individuals. A beautiful smile not only enhances our facial features but also boosts our self-esteem. However, when periodontal disease affects the gums and supporting structures of the teeth, it can have a significant impact on the esthetics of the smile. In this article, we will explore the lecture on esthetics in a diseased periodontium and delve into the tips and tricks shared by the speaker for effective treatment.

Understanding Periodontal Disease and Treatment Options

Periodontal disease is a chronic inflammatory condition that affects the gums and the supporting structures of the teeth. It can lead to gum recession, loss of bone, and ultimately tooth loss if left untreated. The first step in treating periodontal disease is a thorough diagnosis to assess the severity of the condition and plan the appropriate treatment.

Case 1: Residual Bony Defects and Sinus Elevation

In the lecture, the speaker shares the first case study of a patient with residual bony defects. These defects can significantly impact the esthetics of the smile and the placement of dental implants. To address this issue, the patient underwent sinus elevation and bone regeneration before the placement of dental implants.

Sinus elevation is a surgical procedure that involves lifting the sinus membrane to create space for bone grafting. This procedure helps in increasing the quality and quantity of bone, providing a solid foundation for dental implant placement. The bone regeneration process involves using grafting materials to stimulate the growth of new bone and restore the lost bone structure.

Case 2: Extruded and Flared Teeth

The second case study discussed by the speaker involves a patient with extruded and flared teeth. These issues can lead to an unbalanced smile and affect the overall esthetics. In this case, the speaker emphasizes the importance of preserving all the teeth to provide immediate reinforced provisionals.

Immediate reinforced provisionals are temporary restorations that are placed immediately after tooth extraction or any other dental procedure. They help in maintaining esthetics, function, and stability during the healing process. By preserving all the teeth in this case, the speaker ensured that the patient can maintain a natural-looking smile while undergoing necessary treatment.

Importance of Anatomy and Planning in Treatment

The speaker strongly emphasizes the importance of understanding the anatomy and careful planning before initiating any treatment in a diseased periodontium. Every patient’s case is unique, and the treatment plan should be tailored to their specific condition and esthetic goals.

By thoroughly analyzing the patient’s oral structures, including the gums, teeth, and bone, the dentist can accurately diagnose the existing issues and plan the most effective treatment approach. This ensures predictable results and enhances the overall esthetics of the smile.


Esthetics in a diseased periodontium can be challenging to achieve, but with the right understanding, planning, and treatment options, it is possible to restore a beautiful smile. The lecture discussed in this article highlights the importance of addressing residual bony defects through sinus elevation and bone regeneration and preserving all teeth for immediate reinforced provisionals in cases with extruded and flared teeth. By considering the individual anatomy and customizing the treatment plan, dentists can successfully enhance esthetics while treating periodontal disease.

Frequently Asked Questions

1. Can periodontal disease be completely cured?

While periodontal disease cannot be completely cured, it can be effectively managed and controlled through proper oral hygiene practices, regular dental visits, and professional treatments such as scaling and root planing.

2. Are sinus elevation and bone regeneration procedures painful?

These procedures are performed under local anesthesia, ensuring that the patient does not experience any pain during the treatment. However, some discomfort and mild swelling may be experienced during the initial healing phase.

3. How long do immediate reinforced provisionals last?

The longevity of immediate reinforced provisionals depends on various factors, including the patient’s oral hygiene, habits, and the treatment plan. Typically, they can last for several months to a year before the final restorations are placed.

4. Is esthetic treatment in a diseased periodontium affordable?

The cost of esthetic treatment in a diseased periodontium can vary depending on the severity of the case and the specific treatments required. It is best to consult with a dental professional who can provide an accurate estimate based on individual needs.

5. Are there any alternative treatment options for esthetic restoration?

Depending on the individual’s specific condition, alternative treatment options such as orthodontics or orthognathic surgery may be considered to achieve the desired esthetic outcomes. However, a comprehensive examination and consultation with a dental professional are necessary to determine the most suitable treatment plan.

Add comment