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Gingivectomy

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statistically significant sexual dimorphism relative to the height of visible maxillary incisor crown at rest. The data from a study also clearly indicates that higher smile lines are more common among female, and lower smile patterns among male patients. A high smile line displays the entire crown of the tooth and an abundant amount of gingiva. Thus, this procedure can be viewed subjectively by some people as some degree of gingival display may be aesthetically pleasing and is considered youthful, and vice versa.
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The results of studies which have looked at healing of electrosurgical wounds compared to scalpel wounds vary widely but it has been found that electrosurgerical equipment minimises bleeding and most patients experience very little post-operative pain after the procedure. There may be more damage to
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levels and post-operative care, then it is inevitable that the disease will return. Patients may struggle with self-performed oral hygiene initially after the procedure, due to pain and discomfort, so regular visits for professional tooth cleaning are advised. Immediately after the surgery, patients
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In males and females, the mean vertical height of the maxillary central incisors averages 10.6mm and 9.8mm respectively. With the lip line at rest, the mean maxillary incisors display is 1.91mm for men and 3.40mm for women (nearly double the amount). More recent studies have been done to confirm the
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Another cause of gingival enlargement would be a hereditary condition known as gingival fibromatosis. The extensive overgrowth of gingival tissue is usually treated with a gingivectomy, as it produces good aesthetic results. However, recurrence in these cases are unpredictable. This means that those
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is needed, usually in the form of an indifferent plate behind the patient's back. The current begins in the electrosurgical unit and flows to the oral site through a wire and then to the secondary electrode. Heat is produced on contact with the oral tissues and cutting results. Bipolar devices have
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Electrosurgery may be used where a blood-free environment is required, providing that there is no bone coming into contact with the instrument and good oral hygiene is maintained. The technique is not widely used due to multiple factors including cost and lack of information available on the topic.
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as the surgeon can make it. If the procedure has been carried out carefully, the patient's post-operative pain is minimised. Pain may be experienced initially following the procedure, but this should subside within a few days and can be appropriately controlled with drugs to alleviate the pain. The
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are often used to describe smiles where there is more than 3mm of gingival tissue seen clinically and is usually deemed unaesthetic to the individual. Similar to subgingival crevices margins, gingivectomy to increase the crown height can be performed to provide better aesthetics and normal gingival
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Besides that, the harmony of the gingival outline between anterior and posterior segments may be affected. Some people are more prone to expose the maxillary teeth from the second premolar of one side to another side of the second premolar while smiling. Hence, there have been discussions in some
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In cases of gingival enlargement induced by drugs, surgical treatment through a gingivectomy proved to be effective with most patients showing no clinical sign of recurrence after one year. Even though it is the most frequent method of treatment, it is only indicated when overgrowth is severe.
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cases whereby all teeth between the first molars are included in the procedure, especially in surgical crown lengthening, to achieve an aesthetically pleasing gingival architecture blending in harmoniously the gingival contours of the maxillary anterior and posterior teeth. Apart from that, "
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and suprabony pockets. In a retrospective comparison between different treatment approach to periodontitis management based on the initial and final gingival health, conventional gingivectomy was proven to be more successful in reducing pocket depths and inflammation compared to non-surgical
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to begin again, gentle brushing is demonstrated to the patient using a toothbrush that has been softened in hot water. In the early stages after the procedure, the use of interdental brushes is strongly advised against due to the potential damage to interdental tissues in the operated area,
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treatments in pockets measured 3mm or more. Removal of suprabony deep pockets will allow better visibility and access for the removal of calculus. As a result, this provides a suitable environment for the healing of the gingiva and the physiological contour of the gingiva to be restored.
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Regarding wound healing animal studies have shown better response in rat skin after Nd:YAG laser application than following scalpel incisions but this is only valid when energy and frequency parameters were low and higher levels of energy lead to scar formation and delayed
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and facilitate the healing process. Laser treatment seems to also have good patient acceptance as patients report minimal pain. Nd:YAG lasers used for curettage of pocket epithelium cause little or no damage to the underlying tissues.
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the tissues and eliminates the need for a post-surgical dressing. One study found that in patients with drug induced gingival overgrowth recurrence was minimal or eliminated when comparing laser gingivectomy to scalpel gingivectomy.
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toothpicks are recommended as an alternative. The patient is asked to visit every two weeks for monitoring of their plaque levels. The time between visits will gradually increase if the patients’ plaque control is up to standard.
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Romanos GE, Pelekanos S, Strub JR (February 1995). "A comparative histological study of wound healing following Nd:YAG laser with different energy parameters and conventional surgical incision in rat skin".
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Dental/gingival morphologic characteristics and peri-oral variables influence the patient's smile frame. They are essential in achieving a predictable successful rehabilitation of the patient's smile.
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of soft tissues. The basic types of electrosurgical techniques are coagulation, desiccation, fulguration and electrosection (cutting). The majority of clinical operations are done by electrosection.
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Moritz A, Gutknecht N, Doertbudak O, Goharkhay K, Schoop U, Schauer P, Sperr W (February 1997). "Bacterial reduction in periodontal pockets through irradiation with a diode laser: a pilot study".
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Tarnow, Dennis P.; Magner, Anne W.; Fletcher, Paul (1992). "The Effect of the Distance From the Contact Point to the Crest of Bone on the Presence or Absence of the Interproximal Dental Papilla".
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Periodontal health and reattachment of gingival tissues to previously infected root surfaces is the goal of periodontal therapy and this is typically achieved through conventional treatment by
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Mavrogiannis M, Ellis JS, Seymour RA, Thomason JM (September 2006). "The efficacy of three different surgical techniques in the management of drug-induced gingival overgrowth".
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Lepsevich BD (1986-01-01). "Book Reviews : Report Writing for Business and Industry. Steven Golen, Glenn Pearce, and Ross Figgins. New York: John Wiley & Sons, 1985".
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was performed when chewing during the initial healing stage. Adequate plaque control is important in ensuring long-term results from the procedure, and if post-operative
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A gingivectomy can also be done to increase the clinical crown height of teeth. This is suitable in treatment planning for teeth with inadequate tissue for retention of
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two electrodes on their cutting tip and the current travels from one to the other, which removes the need for an indifferent plate. Bipolar devices make a wider cut.
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Waxman B (September 1995). "Practical electrosurgery. S. Duffy and G. V. Cobb (eds). 240 × 158 mm. Pp. 124. Illustrated. 1994. London: Chapman and Hall. £35".
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in an electrosurgical unit, allowing current to flow. By changing the mode of activation of this current, electrosurgery may be used for the cutting or
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Romanos GE, Pelekanos S, Strub JR (1995). "Effects of Nd:YAG laser on wound healing processes: clinical and immunohistochemical findings in rat skin".
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The clinical use of a laser for gingivectomy involves repeated lasing and wiping away tissue remnants with moist gauze and this results in a bloodless
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Moritz A, Schoop U, Goharkhay K, Schauer P, Doertbudak O, Wernisch J, Sperr W (1998). "Treatment of periodontal pockets with a diode laser".
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Miron, Hagai; Calderon, Shlomo; Allon, Dror (2012-01-01). "Upper lip changes and gingival exposure on smiling: Vertical dimension analysis".
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Kerns DG, Scheidt MJ, Pashley DH, Horner JA, Strong SL, Van Dyke TE (July 1991). "Dentinal tubule occlusion and root hypersensitivity".
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Waite IM (August 1976). "A comparison between conventional gingivectomy and a non-surgical regime in the treatment of periodontitis".
2255: 375:, root surface instrumentation and ultrasonic instrumentation. Conventional treatment however does not completely remove plaque and 1433: 210:" are likely to develop in areas where there is labial or interproximal soft tissue recession. This leads to the desired outcome. 1952: 280:
through the tissues of the body to achieve a controllable surgical effect. It has been used in dentistry for more than 60 years.
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Majzoub, Zeina A.K.; Romanos, Alain; Cordioli, Giampiero (2014-09-01). "Crown lengthening procedures: A literature review".
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or coronal fractures. Surgical treatment resets the margin while maintaining the biological width and clinical attachment.
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and restoration of a physiologic gingival contour. The procedure may also be carried out so that access to sub-gingival
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Mavrogiannis M, Ellis JS, Thomason JM, Seymour RA (June 2006). "The management of drug-induced gingival overgrowth".
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are removed, the area should be irrigated and the teeth should be polished. If the area is ready for mechanical
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Tjan, Anthony H.L.; Miller, Gary D.; The, Josephine G.P. (1984-01-01). "Some esthetic factors in a smile".
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Padbury A, Eber R, Wang HL (May 2003). "Interactions between the gingiva and the margin of restorations".
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Gingivectomy is the primary treatment method available in reducing the pocket depths of patients with
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By removing the pocket wall, gingivectomy provides visibility and accessibility for complete
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removal and thorough smoothing of the roots, creating a favourable environment for gingival
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Vig, Robert G.; Brundo, Gerald C. (1978-05-01). "The kinetics of anterior tooth display".
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and a laser has been suggested as an effective tool for periodontal treatment because:
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Up to 3mm of gingival display when smiling is described to be cosmetically acceptable.
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allowing better visibility and greater ease for the operator. Apart from ablating and
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It efficiently sterilizes the infected root surfaces and periodontal pocket microflora
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It has been suggested that laser treatment results in minimal or no post-operative
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O'Leary TJ (February 1986). "The impact of research on scaling and root planing".
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therapy and is usually done for improvement of aesthetics or prognosis of teeth.
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control levels are maintained then the patient should be able to keep a healthy
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or crown margins is allowed. A common aesthetic reason for gingivectomy is a
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Zafiropoulos GG, Flores-de-Jacoby L, Tsalikis L, Zimmermann A (1991). "".
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There are two main types of electrosurgical units, monopolar and bipolar.
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are recommended to rinse with an appropriate anti-plaque agent. After the
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Gold SI, Vilardi MA (July 1994). "Pulsed laser beam effects on gingiva".
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10.1002/(SICI)1096-9101(1998)22:5<302::AID-LSM7>3.0.CO;2-T
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It has been suggested that lasers can give a substantial reduction in
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Waite IM (1975). "The present status of the gingivectomy procedure".
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Lindhe J, Lang NP, Berglundh T, Giannobile WV, Sanz M (2015-06-15).
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patient should also be advised to avoid using the area where the
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Aesthetic considerations, particularly in anterior region of the
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affected face the possibility of undergoing repeated procedures.
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Newman MGm Takei HH, Klokkevold PR, Carranza FA, eds. (2006).
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American Journal of Orthodontics and Dentofacial Orthopedics
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Deutsche Zahn-, Mund-, und Kieferheilkunde mit Zentralblatt
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Shetty AK, Shah HJ, Patil MA, Jhota KN (October 2010).
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Newman MG, Takei H, Klokkevold PR, Carranza FA (2018).
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Gingivectomy can be performed by various techniques.
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Periodontitis as a manifestation of systemic disease
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Dentistry involving supporting structures of teeth (
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Keglevich T, Benedek E, Gera I (December 1999). "".
2490: 2389: 2264: 2233: 2226: 2151: 2055: 1971: 1918: 1911: 1835: 1713:Elavarasu S, Naveen D, Thangavelu A (August 2012). 26: 21: 1369:Manivannan N, Ahathya RS, Rajaram PC (July 2013). 1258:Babaji P, Singh V, Chawrasia V, Jawale MR (2014). 814:"Correction of gummy smile: A report of two cases" 1605:"The state of the science of lasers in dentistry" 113:Elimination of suprabony fibrous and firm pockets 1680:Journal of Clinical Laser Medicine & Surgery 1465:Journal of Clinical Laser Medicine & Surgery 812:Narayan S, Narayan TV, Jacob PC (October 2011). 310:adjacent tissues, slower wound healing and more 214:Techniques and post-operative management/healing 1260:"Electro surgery in dentistry: Report of cases" 1172:Bashetty K, Nadig G, Kapoor S (October 2009). 1124:Davies BR, Millar BJ, Louca C (October 2007). 473: 471: 1811: 1093:Clinical periodontology and implant dentistry 531:Newman and Carranza's clinical periodontology 8: 1719:Journal of Pharmacy & Bioallied Sciences 1375:Journal of Pharmacy & Bioallied Sciences 818:Journal of Indian Society of Periodontology 726:Journal of Indian Society of Periodontology 573:Journal of Indian Society of Periodontology 335:(Neodymium: Yttrium Aluminium Garnet) laser 183:When bottom of the pocket is apical to the 2230: 1915: 1818: 1804: 1796: 287:It is essential to have the presence of a 230:for the patient, the surgery should be as 1740: 1730: 1396: 1386: 1275: 1199: 1189: 1141: 839: 829: 747: 737: 594: 584: 272:is defined as the intentional passage of 152:restorations as a result of subgingival 1963:Combined periodontic-endodontic lesions 567:Kohale BR, Agrawal AA, Raut CP (2018). 449: 386:Curettes the adjacent pocket epithelium 81:It is the oldest surgical approach in 18: 2352:Subepithelial connective tissue graft 1167: 1165: 1163: 1161: 949: 947: 903: 901: 865: 863: 861: 859: 807: 805: 769: 767: 7: 1938:Generalized aggressive periodontitis 715: 713: 711: 562: 560: 558: 455: 453: 360:Actinobacillus actinomycetemcomitans 999:The Journal of Prosthetic Dentistry 910:The Journal of Prosthetic Dentistry 126:Elimination of gingival enlargement 39: 1933:Localized aggressive periodontitis 1766:Journal of Clinical Periodontology 1512:10.1111/j.1600-051X.1994.tb00735.x 1500:Journal of Clinical Periodontology 1237:10.1111/j.1600-051X.1975.tb01748.x 1225:Journal of Clinical Periodontology 776:Journal of Clinical Periodontology 682:Journal of Clinical Periodontology 632:10.1111/j.1600-051x.1976.tb01865.x 620:Journal of Clinical Periodontology 462:Carranza's Clinical Periodontology 68:cuts away part of the gums in the 14: 2256:Full mouth ultrasonic debridement 1301:Journal of Business Communication 1178:Journal of Conservative Dentistry 404:, scar tissue formation or pain. 139:Increase in clinical crown height 1953:Necrotizing periodontal diseases 1778:10.1111/j.1600-051X.2006.00968.x 788:10.1034/j.1600-051X.2003.01277.x 694:10.1111/j.1600-051x.2006.00930.x 1636:Lasers in Surgery and Medicine 1422:Lasers in Surgery and Medicine 1264:Journal of Pediatric Dentistry 301:In monopolar units a separate 265:Gingivectomy by electrosurgery 16:Surgical removal of gum tissue 1: 1958:Abscesses of the periodontium 1011:10.1016/S0022-3913(84)80097-9 922:10.1016/S0022-3913(78)80179-6 392:Enhances calculus elimination 314:than the scalpel technique. 104:due to gingival overgrowth. 968:10.1016/j.ajodo.2011.07.017 2545: 2312:Guided tissue regeneration 1344:British Journal of Surgery 1313:10.1177/002194368602300111 1054:10.1902/jop.1992.63.12.995 884:10.1053/j.sodo.2014.06.008 321: 2282:Coronally positioned flap 1609:Journal of Dental Hygiene 1603:Romanos GE (2012-12-01). 1582:10.1902/jop.1991.62.7.421 1570:Journal of Periodontology 1535:Journal of Periodontology 1042:Journal of Periodontology 438:List of surgeries by type 226:To reduce post-operative 40: 2337:Pocket reduction surgery 2317:Enamel matrix derivative 2307:Guided bone regeneration 2272:Apically positioned flap 2246:Scaling and root planing 2152:Treatment and prevention 2113:Linear gingival erythema 2068:Clinical attachment loss 1982:A. actinomycetemcomitans 1732:10.4103/0975-7406.100245 1715:"Lasers in periodontics" 1547:10.1902/jop.1986.57.2.69 1388:10.4103/0975-7406.114317 1277:10.4103/2321-6646.130379 872:Seminars in Orthodontics 586:10.4103/jisp.jisp_239_18 274:high-frequency waveforms 2390:Important personalities 2251:Full mouth disinfection 2214:Host modulatory therapy 2179:Chlorhexidine gluconate 2159:Periodontal examination 1191:10.4103/0972-0707.58332 831:10.4103/0972-124x.92585 739:10.4103/0972-124X.76935 510:www.unboundmedicine.com 389:Removes the smear layer 363:(Aa) which will reduce 2108:Horizontal bony defect 1692:10.1089/clm.1995.13.11 1648:10.1002/lsm.1900160408 1477:10.1089/clm.1997.15.33 1356:10.1002/bjs.1800820965 1130:British Dental Journal 2332:Open flap debridement 2327:Lateral pedicle graft 1928:Chronic periodontitis 1888:Mucogingival junction 1883:Junctional epithelium 328:Laser types include: 312:inflammatory response 222:Surgical gingivectomy 185:mucogingival junction 178:Need for bone surgery 2529:Dentistry procedures 2462:Paul Roscoe Stillman 2437:Willoughby D. Miller 2407:Per-Ingvar Brånemark 2234:Conventional therapy 2143:Vertical bony defect 2088:Gingival enlargement 2038:Entamoeba gingivalis 1893:Periodontal ligament 1863:Free gingival margin 1143:10.1038/bdj.2007.949 144:Sub-gingival margins 2477:James Leon Williams 2342:Socket preservation 2292:Free gingival graft 2174:Bleeding on probing 2128:Periodontal disease 1898:Sulcular epithelium 1725:(Suppl 2): S260–3. 1381:(Suppl 2): S154–9. 2123:Periodontal pocket 2098:Gingival recession 1989:Capnocytophaga sp. 324:Laser gingivectomy 318:Laser gingivectomy 2516: 2515: 2491:Other specialties 2447:John Mankey Riggs 2432:Preston D. Miller 2397:Tomas Albrektsson 2385: 2384: 2322:Implant placement 2297:Gingival grafting 2287:Crown lengthening 2222: 2221: 2189:Hydrogen peroxide 2046:Trichomonas tenax 1102:978-0-470-67248-8 540:978-0-323-53323-2 173:Contraindications 51: 50: 2536: 2508:Prosthodontology 2467:Dennis P. Tarnow 2412:Robert Gottsegen 2231: 2083:Furcation defect 1916: 1820: 1813: 1806: 1797: 1790: 1789: 1761: 1755: 1754: 1744: 1734: 1710: 1704: 1703: 1674: 1668: 1667: 1631: 1625: 1624: 1600: 1594: 1593: 1565: 1559: 1558: 1530: 1524: 1523: 1495: 1489: 1488: 1460: 1454: 1453: 1417: 1411: 1410: 1400: 1390: 1366: 1360: 1359: 1350:(9): 1292–1293. 1339: 1333: 1332: 1296: 1290: 1289: 1279: 1255: 1249: 1248: 1220: 1214: 1213: 1203: 1193: 1169: 1156: 1155: 1145: 1121: 1115: 1114: 1088: 1082: 1081: 1037: 1031: 1030: 994: 988: 987: 951: 942: 941: 905: 896: 895: 867: 854: 853: 843: 833: 809: 800: 799: 771: 762: 761: 751: 741: 717: 706: 705: 677: 671: 670: 655:Fogorvosi Szemle 650: 644: 643: 615: 609: 608: 598: 588: 564: 553: 552: 526: 520: 519: 517: 516: 502: 496: 495: 475: 466: 465: 457: 58:dental procedure 44:edit on Wikidata 36: 19: 2544: 2543: 2539: 2538: 2537: 2535: 2534: 2533: 2519: 2518: 2517: 2512: 2486: 2417:Gary Greenstein 2381: 2260: 2218: 2147: 2118:Occlusal trauma 2093:Gingival pocket 2051: 1967: 1907: 1878:Gingival sulcus 1873:Gingival fibers 1831: 1824: 1794: 1793: 1763: 1762: 1758: 1712: 1711: 1707: 1676: 1675: 1671: 1633: 1632: 1628: 1602: 1601: 1597: 1567: 1566: 1562: 1532: 1531: 1527: 1497: 1496: 1492: 1462: 1461: 1457: 1419: 1418: 1414: 1368: 1367: 1363: 1341: 1340: 1336: 1298: 1297: 1293: 1257: 1256: 1252: 1222: 1221: 1217: 1171: 1170: 1159: 1123: 1122: 1118: 1103: 1090: 1089: 1085: 1048:(12): 995–996. 1039: 1038: 1034: 996: 995: 991: 953: 952: 945: 907: 906: 899: 869: 868: 857: 811: 810: 803: 773: 772: 765: 719: 718: 709: 679: 678: 674: 652: 651: 647: 617: 616: 612: 566: 565: 556: 541: 528: 527: 523: 514: 512: 504: 503: 499: 477: 476: 469: 459: 458: 451: 446: 434: 423:the laser also 417:operating field 342: 326: 320: 267: 224: 216: 208:black triangles 175: 162: 154:carious lesions 146: 141: 128: 115: 110: 47: 32: 17: 12: 11: 5: 2542: 2540: 2532: 2531: 2521: 2520: 2514: 2513: 2511: 2510: 2505: 2503:Orthodontology 2500: 2494: 2492: 2488: 2487: 2485: 2484: 2479: 2474: 2469: 2464: 2459: 2454: 2449: 2444: 2439: 2434: 2429: 2424: 2419: 2414: 2409: 2404: 2399: 2393: 2391: 2387: 2386: 2383: 2382: 2380: 2379: 2378: 2377: 2372: 2367: 2362: 2354: 2349: 2344: 2339: 2334: 2329: 2324: 2319: 2314: 2309: 2304: 2299: 2294: 2289: 2284: 2279: 2274: 2268: 2266: 2262: 2261: 2259: 2258: 2253: 2248: 2243: 2237: 2235: 2228: 2224: 2223: 2220: 2219: 2217: 2216: 2211: 2206: 2201: 2196: 2191: 2186: 2181: 2176: 2171: 2166: 2161: 2155: 2153: 2149: 2148: 2146: 2145: 2140: 2135: 2130: 2125: 2120: 2115: 2110: 2105: 2100: 2095: 2090: 2085: 2080: 2075: 2070: 2065: 2059: 2057: 2053: 2052: 2050: 2049: 2042: 2034: 2027: 2020: 2013: 2006: 1999: 1992: 1985: 1977: 1975: 1969: 1968: 1966: 1965: 1960: 1955: 1950: 1945: 1940: 1935: 1930: 1924: 1922: 1913: 1909: 1908: 1906: 1905: 1900: 1895: 1890: 1885: 1880: 1875: 1870: 1865: 1860: 1855: 1853:Biologic width 1850: 1845: 1839: 1837: 1833: 1832: 1828:Periodontology 1825: 1823: 1822: 1815: 1808: 1800: 1792: 1791: 1756: 1705: 1669: 1626: 1595: 1560: 1525: 1490: 1455: 1412: 1361: 1334: 1291: 1250: 1215: 1157: 1116: 1101: 1083: 1032: 989: 943: 916:(5): 502–504. 897: 878:(3): 188–207. 855: 801: 763: 707: 672: 661:(12): 363–72. 645: 610: 579:(5): 419–426. 554: 539: 521: 497: 467: 448: 447: 445: 442: 441: 440: 433: 430: 394: 393: 390: 387: 384: 351: 350: 345: 340: 336: 319: 316: 270:Electrosurgery 266: 263: 258:tooth brushing 223: 220: 215: 212: 196: 195: 188: 187: 180: 179: 174: 171: 169:architecture. 161: 158: 145: 142: 140: 137: 127: 124: 114: 111: 109: 106: 49: 48: 41: 38: 37: 30: 24: 23: 15: 13: 10: 9: 6: 4: 3: 2: 2541: 2530: 2527: 2526: 2524: 2509: 2506: 2504: 2501: 2499: 2498:Endodontology 2496: 2495: 2493: 2489: 2483: 2482:W. J. Younger 2480: 2478: 2475: 2473: 2470: 2468: 2465: 2463: 2460: 2458: 2455: 2453: 2450: 2448: 2445: 2443: 2442:Carl E. Misch 2440: 2438: 2435: 2433: 2430: 2428: 2425: 2423: 2420: 2418: 2415: 2413: 2410: 2408: 2405: 2403: 2400: 2398: 2395: 2394: 2392: 2388: 2376: 2373: 2371: 2368: 2366: 2363: 2361: 2358: 2357: 2355: 2353: 2350: 2348: 2345: 2343: 2340: 2338: 2335: 2333: 2330: 2328: 2325: 2323: 2320: 2318: 2315: 2313: 2310: 2308: 2305: 2303: 2300: 2298: 2295: 2293: 2290: 2288: 2285: 2283: 2280: 2278: 2275: 2273: 2270: 2269: 2267: 2263: 2257: 2254: 2252: 2249: 2247: 2244: 2242: 2239: 2238: 2236: 2232: 2229: 2225: 2215: 2212: 2210: 2207: 2205: 2202: 2200: 2197: 2195: 2192: 2190: 2187: 2185: 2182: 2180: 2177: 2175: 2172: 2170: 2167: 2165: 2162: 2160: 2157: 2156: 2154: 2150: 2144: 2141: 2139: 2136: 2134: 2133:Periodontitis 2131: 2129: 2126: 2124: 2121: 2119: 2116: 2114: 2111: 2109: 2106: 2104: 2101: 2099: 2096: 2094: 2091: 2089: 2086: 2084: 2081: 2079: 2076: 2074: 2071: 2069: 2066: 2064: 2061: 2060: 2058: 2054: 2048: 2047: 2043: 2040: 2039: 2035: 2033: 2032: 2028: 2026: 2025: 2021: 2019: 2018: 2014: 2012: 2011: 2010:P. intermedia 2007: 2005: 2004: 2003:P. gingivalis 2000: 1998: 1997: 1993: 1991: 1990: 1986: 1984: 1983: 1979: 1978: 1976: 1974: 1970: 1964: 1961: 1959: 1956: 1954: 1951: 1949: 1948:Periodontosis 1946: 1944: 1941: 1939: 1936: 1934: 1931: 1929: 1926: 1925: 1923: 1921: 1917: 1914: 1910: 1904: 1901: 1899: 1896: 1894: 1891: 1889: 1886: 1884: 1881: 1879: 1876: 1874: 1871: 1869: 1866: 1864: 1861: 1859: 1856: 1854: 1851: 1849: 1848:Alveolar bone 1846: 1844: 1841: 1840: 1838: 1834: 1829: 1821: 1816: 1814: 1809: 1807: 1802: 1801: 1798: 1787: 1783: 1779: 1775: 1772:(9): 677–82. 1771: 1767: 1760: 1757: 1752: 1748: 1743: 1738: 1733: 1728: 1724: 1720: 1716: 1709: 1706: 1701: 1697: 1693: 1689: 1685: 1681: 1673: 1670: 1665: 1661: 1657: 1653: 1649: 1645: 1642:(4): 368–79. 1641: 1637: 1630: 1627: 1622: 1618: 1614: 1610: 1606: 1599: 1596: 1591: 1587: 1583: 1579: 1575: 1571: 1564: 1561: 1556: 1552: 1548: 1544: 1540: 1536: 1529: 1526: 1521: 1517: 1513: 1509: 1505: 1501: 1494: 1491: 1486: 1482: 1478: 1474: 1470: 1466: 1459: 1456: 1451: 1447: 1443: 1439: 1435: 1431: 1428:(5): 302–11. 1427: 1423: 1416: 1413: 1408: 1404: 1399: 1394: 1389: 1384: 1380: 1376: 1372: 1365: 1362: 1357: 1353: 1349: 1345: 1338: 1335: 1330: 1326: 1322: 1318: 1314: 1310: 1306: 1302: 1295: 1292: 1287: 1283: 1278: 1273: 1269: 1265: 1261: 1254: 1251: 1246: 1242: 1238: 1234: 1230: 1226: 1219: 1216: 1211: 1207: 1202: 1197: 1192: 1187: 1184:(4): 139–44. 1183: 1179: 1175: 1168: 1166: 1164: 1162: 1158: 1153: 1149: 1144: 1139: 1135: 1131: 1127: 1120: 1117: 1112: 1108: 1104: 1098: 1094: 1087: 1084: 1079: 1075: 1071: 1067: 1063: 1059: 1055: 1051: 1047: 1043: 1036: 1033: 1028: 1024: 1020: 1016: 1012: 1008: 1004: 1000: 993: 990: 985: 981: 977: 973: 969: 965: 961: 957: 950: 948: 944: 939: 935: 931: 927: 923: 919: 915: 911: 904: 902: 898: 893: 889: 885: 881: 877: 873: 866: 864: 862: 860: 856: 851: 847: 842: 837: 832: 827: 823: 819: 815: 808: 806: 802: 797: 793: 789: 785: 782:(5): 379–85. 781: 777: 770: 768: 764: 759: 755: 750: 745: 740: 735: 731: 727: 723: 716: 714: 712: 708: 703: 699: 695: 691: 687: 683: 676: 673: 668: 664: 660: 656: 649: 646: 641: 637: 633: 629: 626:(3): 173–85. 625: 621: 614: 611: 606: 602: 597: 592: 587: 582: 578: 574: 570: 563: 561: 559: 555: 550: 546: 542: 536: 532: 525: 522: 511: 507: 501: 498: 493: 489: 486:(7): 571–81. 485: 481: 474: 472: 468: 463: 456: 454: 450: 443: 439: 436: 435: 431: 429: 426: 422: 418: 413: 411: 405: 403: 399: 391: 388: 385: 382: 381: 380: 378: 374: 369: 366: 362: 361: 356: 349: 346: 344: 337: 334: 331: 330: 329: 325: 317: 315: 313: 307: 304: 299: 296: 294: 290: 285: 281: 279: 275: 271: 264: 262: 259: 255: 250: 246: 242: 238: 233: 229: 221: 219: 213: 211: 209: 203: 199: 194: 190: 189: 186: 182: 181: 177: 176: 172: 170: 167: 159: 157: 155: 151: 143: 138: 136: 132: 125: 123: 120: 119:periodontitis 112: 107: 105: 103: 99: 95: 91: 86: 84: 79: 77: 76: 71: 67: 63: 59: 55: 45: 35: 31: 29: 25: 20: 2472:Hom-Lay Wang 2457:Jørgen Slots 2427:Brian Mealey 2302:Gingivectomy 2301: 2204:Tetracycline 2199:Oral hygiene 2044: 2036: 2029: 2024:T. denticola 2022: 2017:T. forsythia 2015: 2008: 2001: 1996:F. nucleatum 1994: 1987: 1980: 1843:Periodontium 1769: 1765: 1759: 1722: 1718: 1708: 1683: 1679: 1672: 1639: 1635: 1629: 1612: 1608: 1598: 1576:(7): 421–8. 1573: 1569: 1563: 1541:(2): 69–75. 1538: 1534: 1528: 1506:(6): 391–6. 1503: 1499: 1493: 1468: 1464: 1458: 1425: 1421: 1415: 1378: 1374: 1364: 1347: 1343: 1337: 1307:(1): 76–79. 1304: 1300: 1294: 1267: 1263: 1253: 1231:(4): 241–9. 1228: 1224: 1218: 1181: 1177: 1136:(8): 473–7. 1133: 1129: 1119: 1092: 1086: 1045: 1041: 1035: 1005:(1): 24–28. 1002: 998: 992: 962:(1): 87–93. 959: 955: 913: 909: 875: 871: 824:(4): 421–4. 821: 817: 779: 775: 732:(4): 263–5. 729: 725: 688:(6): 434–9. 685: 681: 675: 658: 654: 648: 623: 619: 613: 576: 572: 530: 524: 513:. Retrieved 509: 500: 483: 479: 461: 414: 406: 395: 370: 365:inflammation 358: 352: 327: 308: 300: 297: 286: 282: 268: 249:oral hygiene 245:periodontium 225: 217: 204: 200: 197: 166:Gummy smiles 163: 160:Gummy smiles 147: 133: 129: 116: 87: 80: 73: 66:oral surgeon 54:Gingivectomy 53: 52: 22:Gingivectomy 2452:Jay Seibert 2402:Frank Beube 2241:Debridement 2031:Red complex 1686:(1): 11–6. 1615:(1): 9–10. 1471:(1): 33–7. 421:coagulating 348:Diode laser 293:coagulation 108:Indications 102:gummy smile 83:periodontal 60:in which a 2422:Jan Lindhe 2347:Sinus lift 2277:Bone graft 2164:Ante's law 2103:Gingivitis 2073:Edentulism 549:1043758752 515:2018-11-06 444:References 425:sterilizes 322:See also: 232:atraumatic 150:prosthetic 2227:Treatment 2209:Triclosan 2194:Mouthwash 2041:(amoebic) 1973:Infection 1920:Diagnoses 1903:Stippling 1329:145610140 1321:0021-9436 1270:(1): 20. 1111:901104508 1062:0022-3492 1019:0022-3913 976:0889-5406 930:0022-3913 892:1073-8746 412:healing. 303:electrode 241:infection 2523:Category 2365:Membrane 2184:Flossing 2169:Brushing 2078:Fremitus 2063:Calculus 1858:Cementum 1786:16856895 1751:23066266 1700:10150568 1664:40735645 1621:22309921 1407:23956596 1286:72435121 1210:20543922 1152:17965691 984:22196189 850:22368373 796:12716328 758:21731254 702:16677333 667:10641419 605:30210191 432:See also 402:bleeding 398:swelling 377:calculus 357:such as 355:bacteria 278:currents 90:calculus 2360:Curette 2265:Surgery 1912:Disease 1868:Gingiva 1836:Anatomy 1742:3467892 1656:7651058 1590:1920008 1555:3514839 1520:8089240 1485:9467340 1450:5655059 1442:9671997 1398:3740665 1245:1061722 1201:2879725 1078:8637161 1070:1474471 1027:6583388 841:3283946 749:3118079 596:6128133 492:1756220 373:scaling 289:circuit 254:sutures 237:surgery 193:maxilla 94:healing 75:gingiva 62:dentist 34:D005890 2375:Scaler 2356:Tools 2138:Plaque 1784:  1749:  1739:  1698:  1662:  1654:  1619:  1588:  1553:  1518:  1483:  1448:  1440:  1405:  1395:  1327:  1319:  1284:  1243:  1208:  1198:  1150:  1109:  1099:  1076:  1068:  1060:  1025:  1017:  982:  974:  938:349139 936:  928:  890:  848:  838:  794:  756:  746:  700:  665:  640:787013 638:  603:  593:  547:  537:  490:  333:Nd:YAG 98:caries 2370:Probe 2056:Other 1660:S2CID 1446:S2CID 1325:S2CID 1282:S2CID 1074:S2CID 410:wound 343:laser 72:(the 70:mouth 56:is a 42:[ 1782:PMID 1747:PMID 1696:PMID 1652:PMID 1617:PMID 1586:PMID 1551:PMID 1516:PMID 1481:PMID 1438:PMID 1403:PMID 1317:ISSN 1241:PMID 1206:PMID 1148:PMID 1107:OCLC 1097:ISBN 1066:PMID 1058:ISSN 1023:PMID 1015:ISSN 980:PMID 972:ISSN 934:PMID 926:ISSN 888:ISSN 846:PMID 792:PMID 754:PMID 698:PMID 663:PMID 636:PMID 601:PMID 545:OCLC 535:ISBN 488:PMID 228:pain 28:MeSH 1774:doi 1737:PMC 1727:doi 1688:doi 1644:doi 1578:doi 1543:doi 1508:doi 1473:doi 1430:doi 1393:PMC 1383:doi 1352:doi 1309:doi 1272:doi 1233:doi 1196:PMC 1186:doi 1138:doi 1134:203 1050:doi 1007:doi 964:doi 960:141 918:doi 880:doi 836:PMC 826:doi 784:doi 744:PMC 734:doi 690:doi 628:doi 591:PMC 581:doi 276:or 78:). 64:or 2525:: 1780:. 1770:33 1768:. 1745:. 1735:. 1721:. 1717:. 1694:. 1684:13 1682:. 1658:. 1650:. 1640:16 1638:. 1613:86 1611:. 1607:. 1584:. 1574:62 1572:. 1549:. 1539:57 1537:. 1514:. 1504:21 1502:. 1479:. 1469:15 1467:. 1444:. 1436:. 1426:22 1424:. 1401:. 1391:. 1377:. 1373:. 1348:82 1346:. 1323:. 1315:. 1305:23 1303:. 1280:. 1266:. 1262:. 1239:. 1227:. 1204:. 1194:. 1182:12 1180:. 1176:. 1160:^ 1146:. 1132:. 1128:. 1105:. 1095:. 1072:. 1064:. 1056:. 1046:63 1044:. 1021:. 1013:. 1003:51 1001:. 978:. 970:. 958:. 946:^ 932:. 924:. 914:39 912:. 900:^ 886:. 876:20 874:. 858:^ 844:. 834:. 822:15 820:. 816:. 804:^ 790:. 780:30 778:. 766:^ 752:. 742:. 730:14 728:. 724:. 710:^ 696:. 686:33 684:. 659:92 657:. 634:. 622:. 599:. 589:. 577:22 575:. 571:. 557:^ 543:. 508:. 484:79 482:. 470:^ 452:^ 400:, 339:CO 1830:) 1819:e 1812:t 1805:v 1788:. 1776:: 1753:. 1729:: 1723:4 1702:. 1690:: 1666:. 1646:: 1623:. 1592:. 1580:: 1557:. 1545:: 1522:. 1510:: 1487:. 1475:: 1452:. 1432:: 1409:. 1385:: 1379:5 1358:. 1354:: 1331:. 1311:: 1288:. 1274:: 1268:2 1247:. 1235:: 1229:2 1212:. 1188:: 1154:. 1140:: 1113:. 1080:. 1052:: 1029:. 1009:: 986:. 966:: 940:. 920:: 894:. 882:: 852:. 828:: 798:. 786:: 760:. 736:: 704:. 692:: 669:. 642:. 630:: 624:3 607:. 583:: 551:. 518:. 494:. 341:2 46:]

Index

MeSH
D005890
edit on Wikidata
dental procedure
dentist
oral surgeon
mouth
gingiva
periodontal
calculus
healing
caries
gummy smile
periodontitis
prosthetic
carious lesions
Gummy smiles
mucogingival junction
maxilla
black triangles
pain
atraumatic
surgery
infection
periodontium
oral hygiene
sutures
tooth brushing
Electrosurgery
high-frequency waveforms

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