When orthodontists create treatment plans for their patients, it is their desire to give each individual patient the beautiful smile they’ve always dreamed of, but also to make sure that their bite is functional and healthy.
Sometimes, achieving these goals requires, some of the orthodontists to go beyond what most consider the routine orthodontic treatment pattern of braces or Invisalign. There are some cases that require periodontal treatment in conjunction with orthodontic treatment.
Three kinds of periodontal procedures that fall into this category are frenectomies, fiberotomies and gingivoplasties จัดฟัน.
A frenectomy is a minor surgical procedure performed to remove or reposition a segment of the frenum- fibrous gum tissue that connects the lips, cheeks or tongue to the gums- when that tissue is excessive or particularly thick, according to information published in a brochure by the American Association of Orthodontists.
Some of the orthodontists routinely recommend a frenectomy for patients who have a gap between their upper front teeth that may be caused by the frenum.
The frenectomy allows the gap between the teeth to close, and it stabilizes the teeth so the space continues to remain closed. Patients who have a thick frenum may need the procedure to relieve tension that otherwise could eventually cause gum recession. Sometimes, a frenectomy helps an orthodontist achieve optimal results from orthodontic treatment.
The AAO brochure describes a fiberotomy as a minor surgical procedure that releases tiny elastic fibers around a patient’s teeth. In some cases, these fibers cause teeth to rotate significantly. Orthodontics experts recommend this procedure as an additional measure to ensure that they maintain the patient’s functional bite and healthy, beautiful smile once that is achieved through orthodontic treatment.
Patients whose teeth are significantly rotated before orthodontic treatment may require a fiberotomy for optimum orthodontic results, because these teeth tend to relapse and return to their original positions otherwise. A fiberotomy acts to release the elastic fibers, which lessens the likelihood of rotational relapse after braces or other orthodontic appliances have been removed.
A gingivoplasty is a procedure done to sculpt or remove gum tissue. It may be performed individually, or simultaneously with a frenectomy or fiberotomy.
Gingivoplasty corrects a variety of cosmetic and oral health problems. It can be done to remove excess gum tissue, to correct a “gummy” smile, or to balance uneven gum heights.
Excess gum tissue can be the result of poor oral hygiene, particularly during orthodontic treatment. It also can be caused by some illnesses and certain medications.
This type of gingivoplasty also is known as “crown lengthening.” It uncovers normal tooth surfaces that are concealed by excess gum tissue, and help create a more beautiful smile