UPTOWN/GALLERIA: 346-980-4770 | MIDTOWN: 281-397-3832
UPTOWN/GALLERIA: 346-980-4770
MIDTOWN: 281-397-3832

Cosmetic Gum Reshaping

Soft Tissue Lasers: Gingivectomy

Soft Tissue Lasers: Gingivectomy is a procedure used for gingiva removal. It is indicated for someone who wants to achieve esthetics. Gingivectomy may be used if the suprabony pockets have been present and there is access to the osseous structures which is not always important.

Soft Tissue Lasers: Gingivectomy

Soft Tissue Lasers: Gingivectomy is a procedure used for gingiva or gum removal. It is indicated for someone who wants to achieve high esthetics. A gingivectomy may be used if the suprabony pockets have been present and there is access to the osseous structures which is not always important. This procedure helps to decrease gingival tissue if there is enlargement with the altering of the fibrotic gingiva. However, this procedure is not indicated in the person who has an osseous foundation that is in critical health or if gingival attachment is absent or is minimal.

Gingivectomy Houston Texas
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The benefits of laser gingivectomy

Research supports that resecting the gingiva using a dental laser will improve access due to better visualization, which then aids in sealing of the lymphatic and capillaries when laser radiation is used. Laser resections allow lower levels of myofibroblasts which then leads to no wound contraction which means less scarring.

Wound healing highly depends on the device setting and the type of laser wavelength used on the tissue. Therefore, laser knowledge of your dentist is extremely critical in providing you with the best tissue healing and result.

Electrosurgery s also another alternative to dental laser therapy but it is not as detailed in its tissue interaction. Electrosurgery uses heat ablation upon interacting with the tissue. There are two types of electrosurgery units: bipolar and monopolar. Bipolar is the preferred unit because it generates no lateral heat and therefore can be used in a wet environment.

Laser is attracted to the specific chromophores so less power will be required in order to incise the tissue when there is an abundance of chromophores present within the tissue. Therefore, inflamed or hyperemic gingiva require less power since there are larger amounts of hemoglobin present within the swollen tissue. Thus, performing gingivectomy on individuals with a high melanin content within the tissue will require less laser power than for those who have very, healthy light pink gingiva.

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Erbium Laser

Erbium laser may be used to perform gingivectomy; however hemostasis may be problematic because of its wavelength. Some dentists choose to use the erbium laser setting which create the laser bandage. Before, such laser bandage was known as eschar or char layer. The old laser technique was creating the char layer since they had high influences. Now the new layer units cause the tissue to char less often. The dentist takes into consideration the tissue’s absorption spectrum and emission spectrum. Other factors to consider include: the amount of chromophores in the tissue, the wavelength necessary, pulse per second, spot size and power. Simply increasing the power does not lad to faster cutting of the targeted tissue. The laser can generate too much heat which can lead to tissue necrosis. Thus, provider knowledge of laser technology is critical to ensure proper settings and power are used to accomplish the desired results

How laser gingivectomy is performed

The first incisions during a gingivectomy work the same way as when a blade is used to cut the tissue. Where the incision is placed will depend on the depth of pockets within the gingival tissue. The first cut depends on the measurement of the pocket depth. Caution should be taken in the angulation the laser is reflected because interactions between laser and hard tissue can lead to tissue damage. To prevent this from happening the correct setting and power should be used. There are also reflective barriers used within the sulcus to prevent the laser wavelengths to stray so that they do not interact with the rot surface of the tooth. When there is a soft tissue, the mylar and the metal nature of the barrier reflects laser energy far from the tooth. After the gingiva is cut or excised, the power-driven ultrasonic scaler will be used for debriding the root surface with better visualization, thus resulting in a more successful and effective debridement.

The sculpting ability of the lasers and gingivoplasty may be done at the gingival margins to ensure parabolic appearance.  Erbium laser will create the homeostasis if the procedure is done through altering the laser parameters in order to seal off the blood vessels.

Gingivectomy is a type of periodontal surgery and it heals and removes the disease surrounding the gum tissue caused by bacterial build up underneath the gums. For someone who is suffering from chronic gingival inflammation, gingivectomy may be used if other nonsurgical methods have been used in the past and were ineffective in producing healing results. Gingivectomy can be performed in a dental office and is done one quadrant at a time with the use of local anesthetics. The prognosis and success of the procedure is related to the level of attachment to the gums. Anything beyond a gingivectomy that go deeper into the periodontium will involve the regeneration of the attachment structures by the use of bone grafts and tissue.

Periodontal surgery may be performed in order to eliminate or to alter microbial factors that cause periodontitis. Periodontal disease involves the host’s condition and microorganisms like the immune system which may affect the gums and the supporting structures of the teeth. If the gingiva had been affected by the plaque-making bacteria due to immune suppression or lack of oral hygiene, the bacterial conditions for periodontitis is heightened. If the cause of periodontitis is not removed or addressed, then it will progress and worsen. In some severe cases, a gingival graft surgery may be needed in order to restore the tissue ligaments with bone tissue which has been destroyed because of pathogens.

Michelle Campbell
Michelle Campbell
19:53 20 Jun 18
Excellent service. Great first impression! Best cleaning I've had in several years, my mouth feels amazing. They even took the time to show me how to brush more effectively. My teeth are back to being pearly white. They were very knowledgeable in regards to my insurance and I've had no issues. The service there is impeccable!
Nonna Beetge
Nonna Beetge
14:21 24 Apr 18
The staff is wonderful, very friendly and informative. I love how they not only take X-rays, but also photos of all your teeth and put them on the big screen. They spent as much time as I needed to go over each area and explain specifics of each tooth. I definitely have a greater understanding of what is going on in there and what I need to do. I also love their space, it has a calming vibe with all kinds of artwork on display. You almost feel like you’re not at the dentist! Thank you all so much, I look forward to seeing you all again! (Said no one to their dentist 😉 )
Allie Hackett
Allie Hackett
18:47 19 Jun 18
I am not the biggest fan of the dentist, however this was the BEST dentist experience I have ever had! Everyone was so kind and I got everything I needed done in one visit! They provided super helpful insight about what was going on with my teeth and took care of everything I needed quickly. I will absolutely be returning! 🙂
Andrew Nguyen
Andrew Nguyen
14:17 10 May 18
Beautiful location and office. Very friendly and welcoming staff! I had a great time conversing with them about movies and music. Dr. Nguyen and his staff were very knowledgeable and stressed the importance of making sure the patient knew what their game plan was. The office is very high tech as well so it was super cool to know that I was getting the latest tech being use on me.
Andrea Andrea
Andrea Andrea
17:15 20 May 18
Love the location, the dentist AND the staff. Everyone there is awesome. It's rare that I leave a dentist office feeling just as good as when I arrive. I was sad I didn't get to see Snickers, but all in all I had a great experience my first time here. Glad to finally have a new "home" dentist since moving to Texas.
Joshua Parra
Joshua Parra
02:17 14 Sep 18
From start to finish great experience. Impeccably clean office, high tech tools, & friendly staff. Went to get my top teeth contoured/shaped. They did a Hollywood star job! I now, have a flawless smile. I even went back the next day for a touch-up on one tooth & they took care of it, graciously. If you want quality cosmetic dentistry inside the loop; look no further. These folks are the best in class.
Bianca Anderson
Bianca Anderson
17:05 05 Sep 18
Very friendly staff. The hygienist's were so knowledgeable and really took the time to teach you about your teeth, they gave my husband and I "homework" to improve our oral health. Love it! Angela was great, great sense of humor (made me laugh a lot) and very professional. Awesome job Nicole, very friendly and took the time to answer all the questions we had (love she was recommending eateries for hubby to take me :). Julia was great at the front counter very lively and knowledgeable as well. They all really took the time and customized everything for us. Able to get free electric toothbrushes but didn't have any in stock.
Ji H Oh
Ji H Oh
15:19 22 Sep 18
I am usually scared of going to the dentist for my annual cleaning but I was completely blown away by the amazing customer service from the staff. Julia was extremely helpful and explained my dental coverage and out of pocket costs. Angela did an exceptional job explaining to me about the importance of dental hygiene and actually taught me how to floss properly. The office was extremely clean and upscale. Dr. Bridget was very sweet and great bedside manners. She explained everything about the treatment plan in a very thorough and concise manner. I was extremely impressed by everyone on the office and I cant wait to come back for my next appointment.
Death Morgulis
Death Morgulis
16:23 12 Sep 18
Great place for all your dental needs. Very inviting and friendly staff. They are very knowledgeable and passionate about the work they do. I've been looking for a good dentist for awhile while neglecting my oral health, but now I think I've found my place. 10/10 would come back for a follow-up appointment.
Trisha Hinojosa
Trisha Hinojosa
18:30 07 Oct 18
Very friendly staff who put up with my inane sense of humor. The entire team team spoke with me 1:1, including:Dental assistants, hygienist, dentist, and insurance admin (explained everything to me in detail including how my insurance works).They explained my x-rays to me, the effects of flossing correctly / incorrectly. I feel like they gave me the education I didn't get as a child on how to care for my mouth, and why it's important. I was doing good stuff for my oral health-- just not correctly or with a positive attitude.GREAT aftercare package.
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PATIENT TESTIMONIALS

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Very knowledgeable and informative, explaining all your x-ray and imagery and in creating a course of treatment. The staff is friendly and definitely concerned with their patients. Comfortable environment.

I am not the biggest fan of the dentist, however this was the BEST dentist experience I have ever had! Everyone was so kind and I got everything I needed done in one visit!

Excellent service. Great first impression! Best cleaning I've had in several years, my mouth feels amazing. They even took the time to show me how to brush more effectively. My teeth are back to being pearly white.

They were very prompt and professional. I felt very comfortable in the visit. They have good exam specials without any hidden fees. I have found me a permanent dentist office. Thanks URBN staff.

URBN Dental provided great service and they were all so nice. They did a great job communicating with me and i would recommend to all.

I had a root canal and a crown done here, the entire process took about an hour. Will be back in 2 weeks for my final crown! Great doctor, great staff.