The last thing you thought your child would need when they got braces was gum treatment. However, there are a few common procedures that your orthodontist might recommend before, in progress, or at completion of orthodontic therapy.
Unerupted Tooth Uncovery
Sometimes teeth do not erupt into the mouth as they should. This can be caused by growth patterns of the jaws, or by retained primary teeth. If the tooth doesn’t erupt on its own, it usually requires orthodontic therapy to move it into normal position. Before orthodontic therapy can begin, the tooth must be unexposed from underneath the gum tissue. Once the tooth is uncovered, orthodontic appliances can be attached and activated. If a retained primary tooth is present, it usually needs to be extracted at the time of uncovery.
Some patients may show too much gum tissue when they smile making their teeth look short, or the gum tissue heights are uneven making the teeth look as if they are different lengths. Your teeth may actually be the proper lengths, but they're covered with too much gum tissue. To correct this, your periodontist performs a gingivectomy.
During this procedure, excess gum tissue is reshaped to expose more of the natural tooth. This can be done to one tooth, to even your gum line, or to several teeth to expose a natural, broad smile.