Sometimes when a cavity progresses or a tooth is fractured past the gum tissue and a filling or crown needs to be placed, revealing more of the tooth structure is necessary. This is done by reflecting the gingival tissue around a tooth and, after temporarily displacing the soft tissue, predictably removing a given height of bone from around the tooth or teeth being treated.
Biomechanical considerations: Biologic Width, Crown-to-root Ratio and Treatment Planning. Biologic width is the distance established by “the junctional epithelium and connective tissue attachment to the root surface” of a tooth. This distance is important to consider when fabricating dental restorations, because they must respect the natural architecture of the gingival attachment if harmful consequences are to be avoided.
This distance is 2.04 mm (on average), of which 1.07 mm is occupied by the connective tissue attachment and another approximate 0.97 mm being occupied by the junctional epithelium. Because it is impossible to perfectly restore a tooth to the precise coronal edge of the junctional epithelium, the roughly 1 mm depth of the sulcus is often included together with the biologic width when leaving a certain amount of tooth structure remaining, thus establishing a margin of safety. When restorations do not take these considerations into account and violate biologic width, three things tend to occur:
If you have ever been told you have a “gummy smile” or that your teeth look too “short”? Our Periodontists can evaluate your smile to determine if cosmetic periodontal surgery can improve the appearance of your smile. Although your teeth appear short, they may actually be longer than what they appear due to being covered with too much gum tissue. We can correct this by performing the periodontal plastic surgery procedure also know as esthetic crown lengthening.
During this procedure, excess gum tissue and bone are reshaped to expose more of the natural tooth. This can be done to more than one tooth to even your gum line, and create a beautiful smile. Our Periodontists have been awarded with the “Excellence in Cosmetic Dentistry” by the American Academy of Cosmetic Dentistry for esthetic crown lengthening.
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Dr. Daniel Thomas earned his Doctor of Dental Surgery degree from the University of Missouri-Kansas City, School of Dentistry in 1990. He then entered UMKC’s Advanced Education Program in Periodontics, graduating in 1992 and earning a Master of Science degree in Oral Biology and Certificates in Periodontics, Implant Dentistry and Intravenous Conscious Sedation. He has been practicing Periodontics and Implant Dentistry in Leawood, KS, since 1994 and in Kansas City, MO, since 2007. Read more...
Dr. Melissa Combs is a graduate of the University of Missouri-Kansas City School of Dentistry, where she attended the advanced BA/DDS program, completing both the Bachelor of Arts and the Doctor of Dental Surgery degrees in six years. Dr. Combs went on to continue her education with advanced training at the UMKC Department of Periodontics. Dr. Combs is a Diplomate of the American Board of Periodontology and has completed the highest level of recognition by the specialty. Read more...
Dr. Jonathan Thomas is a graduate of the University of Missouri-Kansas City School of Dentistry, where he attended the advanced BA/DDS program, completing both the Bachelor of Arts and the Doctor of Dental Surgery degrees in six years. Dr. Thomas went on to continue his education with advanced training at the UMKC’s Department of Periodontics. Upon completion of his residency, Dr. Thomas earned certificates in periodontology and implant dentistry. Read more...
We are blessed to have patients who have complemented our signature services and care on Google. Here are a few reviews:
We had a fantastic experience here. The staff were knowledgeable and friendly, the facility was modern and clean, and most important of all, kid-friendly.
"Before I had my surgery my jaw seemed misaligned and my top teeth would bite down on my tongue that was sticking out of the side of my mouth. The surgery has corrected the problem and I am so grateful for Dr. Thomas delivering a beautiful smile. He can correct any problem, don’t hesitate call immediately."
Our board certified periodontists and implant surgeons combine the latest in cutting-edge technology along with time-tested techniques in order to ensure that you’ll always get the safest and most effective treatment possible.
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