Great Conference!
By John Paul Gallardo, DDS
At the resident doctor’s request, I recently had the pleasure to lecture to the 2010 University of Florida general residency program on Advanced Surgical techniques in Periodontics and Implant Dentistry. We held our course in our continuing education conference room following a tour of the clinical facility. Preparing for these courses is always exhausting but worth all the effort! With all of the new information we included, it feels like new technology and modern concepts make what we were doing only a few years back almost obsolete. It is exciting to share as well as listen to some of the very thought provoking questions these doctors were asking. Our basic message was very simple…always continue to elevate your gold standard!
Again, a great time and great to see everyone! Congratulations on completing the program!
Actually, bonding may play an important role in the treatment of a receding gum line but only after evaluating for the possibility of gingival grafting has been evaluated for. Bonding alone will NOT stop the continued process of recession and will NOT correct the “elongated” tooth appearance that characteristically results from the gingiva receding away. By first providing a sound, biological barrier for root coverage as can be provided through the more advanced grafting procedures, the condition is actually reversed. Some of these techniques can actually be performed without taking tissue from the roof of your mouth.
Because more tissue thickness can result than what was originally present over the root, the likelihood of a complete reoccurrence is significantly reduced. Because gingival grafts are intended to adhere to the root surface of the tooth, notches in the enamel known as abfraction lesions may have to be corrected with a tooth colored bonding procedure in addition to grafting for the best overall result. The best initial step is usually for the patient to visit us for an examination to discuss options as well as realistic expectations as treatment recommendations can vary from case to case.
Dr. Gallardo