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Duration: 1 hour, 30 minutes, 46 seconds

Author: Dr. Eric van Dooren

Perioprosthetic Considerations Around Natural Teeth

The Importance of Plastic Periodontal Surgery

Understanding the Need for Soft Tissue Intervention

In this lecture, the significance of considering plastic periodontal surgery around natural teeth is highlighted. It becomes apparent that certain cases may require interventions at a soft tissue level, while others can be resolved by optimizing prosthetic components.

Overview of Plastic Periodontal Surgery

Transmucosal-Level Procedures for Implants and Prosthetic Components

The concept of plastic periodontal surgery for implants and prosthetic components at a transmucosal level is briefly discussed. This approach proves to be an effective strategy in ensuring the success and longevity of dental restorations.

Differentiating Thin and Thick Biotypes

Influence on Treatment Planning

Distinguishing between thin and thick biotypes plays a crucial role in treatment planning for both natural teeth and implants. Understanding the characteristics and challenges associated with each biotype helps in tailoring appropriate interventions.

Receptive Procedures for Aesthetic Alterations

Crown Lengthening for Improved Proportions

The lecture focuses on two types of procedures: receptive procedures, such as crown lengthening, and additive procedures. These techniques are aimed at altering tooth proportions for aesthetic purposes, thus improving the overall harmony and symmetry of the smile.

Additive Procedures for Aesthetic Modifications

Enhancing Tooth Proportions

Additive procedures complement receptive procedures in achieving desirable aesthetic outcomes. The speaker emphasizes the potential of these techniques in enhancing tooth proportions and creating a more pleasing visual appearance.


Plastic periodontal surgery around natural teeth is a vital consideration in dental practice. Its significance lies not only in addressing soft tissue concerns but also in optimizing prosthetic components. By differentiating between thin and thick biotypes and employing receptive and additive procedures, clinicians can deliver aesthetically pleasing and functional outcomes.

Frequently Asked Questions

1. Is plastic periodontal surgery only applicable to natural teeth?

No, plastic periodontal surgery can also be performed for implants and prosthetic components to ensure optimal aesthetics and functional outcomes.

2. Is crown lengthening painful?

Crown lengthening is typically performed under local anesthesia, ensuring minimal discomfort during the procedure. Any post-operative discomfort can be managed with over-the-counter pain medications.

3. How long does the recovery process take after plastic periodontal surgery?

The recovery time varies depending on the extent of the procedure performed. In general, it takes a few weeks for the soft tissues to heal completely.

4. Can thin biotypes be transformed into thick biotypes through plastic periodontal surgery?

No, plastic periodontal surgery cannot change the inherent biotype of an individual’s gum tissue. However, it can help optimize the aesthetics and function within the existing biotype.

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

Insurance coverage for plastic periodontal surgery varies depending on your specific insurance provider and plan. It is best to consult with your insurance company for details regarding coverage and reimbursement.

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