Subgingival decay acute periodontal abscess with painful inflammation and gingivectomy

Before and after photos on biologic width and the periodontal or gingival sulcus performed in our Gum Disease Treatment office.

Biological width biologic gums crown lengthening gum surgery periodontal attachment gingival sulcus
Tooth #13 has been left exposed for over a year since the root canal temporary filling fell out. 1. Current x-ray. 2. Buccal photo. 3. Palatal photo of the gums. 4. Occlusal photo. Treatment options: Extraction and then tooth replacement or retreat the root canal, post and core, crown lengthening gum surgery and crown.
Biological width, gums biologic severely decay tooth, gingival sulcus, periodontal attachment
Treatment of a severely decayed upper left first molar. 1) Initial x-ray. 2) X-ray following extraction of tooth #15 and root canal therapy on tooth #14. Note the gingival extent of the decay. 3) Tooth preparation following root canal therapy and the removal of the distal decay. 4) Final tooth preparation of the composite crown build-up. Note how the distal tooth preparation extends gingivally beyond the composite to tooth. Xrays and photos.
Biological width, biologic acute periodontal abscess, fistula, gum boil, gingivectomy, gingivitis
Acute periodontal abscess causing gum pain. 1) This patient presented with this fistula between tooth #’s 7 & 8. Tooth #’s 8 & 9 had acrylic laminates placed about two years ago. Her general dentist had performed a gingivectomy last year to attempt to treat the occasional swelling of the gum in this same area. 2) The radiograph of tooth #9 shows a healed apicoectomy from 12 years ago that is not related to the current problem. 3) A gutta percha point was placed in the fistula and radiographed to see where it leads. It stayed at the coronal gingiva probably around the margin of the laminate. The patient was put on tetracycline for a week. [This is not a recommendation for everybody!] 4) Reevaluation two days later shows improvement in symptoms and gingival – gums – inflammation. An evaluation and treatment of the laminate margin will occur following resolution of the acute condition. X-ray series and pictures.
Biological width, biologic, periodontal abscess, gingivitis, periodontitis, tooth gum pain
Pictures of an acute periodontal gum abscess that was painful. This patient presented with this fistula between tooth #’s 7 & 8 – where it hurt. Tooth #’s 8 & 9 had acrylic laminates placed about two years ago. Her general dentist had performed a gingivectomy last year to attempt to treat the occasional swelling of the gums in this same area. A gutta percha point was placed in the fistula and radiographed to see where it leads. It stayed at the coronal gingiva probably around the margin of the laminate. The patient was put on tetracycline for a week. [This is not a recommendation for everybody!]. Reevaluation two days later shows improvement in symptoms and gingival inflammation. An evaluation and treatment of the laminate margin will occur following resolution of the acute condition.