Irregular gum levels detract from an attractive smile. Even with new crowns, the results can never be satisfactory unless the gum has a natural contour. This may be as simple as changing a single tooth, or may involve all the upper front teeth.
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Short lateral tooth, with
low gum
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Gum made level with adjacent teeth so normal
crown could be placed.
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Irregular gum levels with chipped teeth
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Following gum recontouring and crowns
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Irregular Gum Levels - Clinical Case
Regardless of the beauty of the crowns or veneers, unless the gum line is contoured in a pleasing manner, the esthetic results will be poor. Scalloping the gum to a pleasing form is generally very easy for the patient, with minimal post-operative discomfort. The general dentist should wait for 8-10 weeks before the final crowns are completed, to ensure the gum has healed to its final level. If the patient feels the teeth look too long during the healing phase, temporary crowns can be made.
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Pre-operative view. Note short
teeth and irregular gum contour
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Desired shape of tissue
determined on model
of patient's teeth
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Desired tooth form is waxed
on model, and a
plastic stent made
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Plastic stent placed over teeth
prior to surgery as a guide
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Tissue recontoured to desired
position and sutured in place
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Stent placed after scalloping to
confirm proper contouring
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Post-op tissue healing
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Click here for more information on irregular gum levels from the American Academy of Periodontology Consumer Page.