Periodontal Plastic Surgery & Cosmetic Treatments

Just as cosmetic surgery can help people improve their looks, several periodontal plastic surgery procedures are available to help enhance the aesthetics of your smile. The following are some common treatments.

Dental Implants

A dental implant is an artificial tooth root that is placed into your jaw to hold a replacement tooth or bridge. Dental implants are the answer for many people with missing or damaged teeth, and they are a long-term solution that look, feel, and function just like natural teeth.

Root Coverage

Root coverage procedures are often used to treat gums that have receded to the point that the roots of a tooth are exposed. During a root coverage procedure, your periodontist will take gum tissue from the roof of your mouth (known as the palate) to cover roots, develop gum tissue where needed, or make dental implants look more natural. In some cases, this procedure can cover exposed roots to protect them from decay or to prepare your teeth for orthodontic treatment.

Ridge Augmentation

Ridge augmentation procedures are often performed to correct irregularities in the gums and jaw after a tooth extraction. A periodontist may also perform a ridge augmentation to prevent the jawbone from collapsing after a tooth extraction. A ridge augmentation may be needed to allow the placement of a properly sized dental implant.

Pocket-Depth Reduction

Bone and gum tissue should fit snugly around the teeth. In cases of advanced periodontal disease, deep pockets can form in the spaces between the gum and tooth, providing a space for additional bacteria to fester and possibly cause further damage to gum tissue and bone. During a pocket depth reduction, a periodontist clears the pockets of any bacteria and infection and retightens the gum tissue around the tooth.

Crown Lengthening

Crown lengthening is a procedure where excess gum tissue is removed to expose more of the “crown,” the white enamel-covered part of the tooth. This procedure is performed on patients who have a “gummy smile” in which the teeth appear too short or the gum line seems uneven. The procedure, which can be administered to one tooth or to enhance your entire smile, reshapes excess gum and bone tissues to expose more of the natural tooth.

Combination Procedures

Sometimes, you may need a few of these procedures to build the framework for your perfect smile. Often, periodontal plastic surgery is used to lay the foundation for further cosmetic enhancements, such as orthodontic devices and veneers. A combination of periodontal procedures can result in a beautiful new smile and improved periodontal health. 

Dental Anxiety

Your periodontist may recommend conscious sedation to ensure that you are comfortable and relaxed during your procedure. Conscious sedation uses medications that leave you conscious and pleasantly relaxed, yet free of fear, anxiety, and apprehension about undergoing dental treatment. It is different than general anesthesia (a controlled and reversible unconscious state in which you are unable to sense any pain), and it does not carry inherent risks. Ask your periodontist for more information about conscious sedation. Reducing Dental Anxiety


The American Academy of Periodontology provides this information as a public service, and it should not be used as a substitute for the care and advice of your personal periodontist. There may be variations in treatment that your periodontist will recommend based on individual facts and circumstances. Visit perio.org for more information on periodontal disease.

Alysha KT

Salt Lake City, UT, USA

Specializing in rapid Squarespace setup and custom design. Squarespace Specialist & Circle member.