Plastic Surgery and Cosmetic Dentistry at the Forefront

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Initially, an "extreme makeover" meant plastic surgery alone. Today, extreme makeover often includes cosmetic dentistry. In fact, many plastic surgeons and dentists who have collaborated on treatment to improve image believe that dentistry can be complimentary to the results of plastic surgery. In fact, new terms such as "dental plastic surgery" and "oral plastic surgery" have surfaced recently to describe the transformation that may result from aesthetic and functional dentistry treatment.

As James Wells, FACS, a past president of the American Society of Plastic Surgeons: "Having been ASPS president during the beginning of 'extreme makeover,' the addition of dental makeovers added to the facial cosmetic plastic surgery was remarkable. While the soft tissue work and bony work combined makes significant differences in many patients, the correction of dental deformity and malocclusion added immensely to the excellent results presented in so many of the patients. Good dental health and appearance clearly help to make the smile a thing of beauty."

The cosmetic dentistry treatment plan may include one or more of the following procedures:

  • teeth whitening
  • bonding
  • veneers
  • dental implants
  • dental crowns
  • orthodontics
  • oral maxillofacial surgery
  • gummy smile enhancement.
  • reconstruction of old restorations
  • bad bite
  • functional deformity
  • periodontal disease restoration

Cosmetic dental procedures may create an increasingly feminine or masculine appearance, as well as create balance and harmony to the face and suggest youthfulness. According to Gary Hirsh, DDS, MS, a San Diego-based, board-certified orthodontist: "I have witnessed stunning transformations in patients through interdisciplinary dental care. Often, these are life-changing experiences for patients, and the results lend a 10- to 15-year-younger appearance."

Aged lips. Soft-tissue removal brings greater mobility to the lips. Veneers, a shell-like porcelain or ceramic material that adheres to the individual tooth, may help create fuller lips by bringing the teeth out. Oral surgery may shift the distance between the nose and chin, positively impacting the appearance of the lips and mouth. Oral surgery may be performed a part of cosmetic dental procedures to enhance a person's overall image.  Corner wrinkles in the mouth or asymmetry between the lips may be improved through removal of soft tissue in the mouth, veneers, or oral surgery.  

The gummy smile. Crown lengthening and soft-tissue removal can help reposition the lips, providing better balance between the upper lip, chin, and the refined gummy smile. Lasers may be used to improve a gummy smile. Gummy smiles can also make teeth appear smaller than they really are. Improvements to a gummy smile create length in the appearance of teeth.

Gum Deformities: Tissue regeneration brings out the illusion of more enhanced gums for those with periodontal disease. If the bone surrounding the gum has been destroyed, tissue regeneration involves bone grafting to help promote bone re-growth. A part of advanced periodontics includes guided tissue regeneration, in which a membrane is inserted to help in the bone-regeneration process. Soft-tissue grafts may be used to enhance the appearance of gums. 

Finally, as with any integration of procedures, precaution in every way must be considered, as Larry Addleson, DDS, FAACD, a past president of the American Academy of Cosmetic Dentistry, explains: "The goal of the collaboration between dentists and plastic surgeons must be optimal patient care. Many patients who come to my practice are interested in plastic surgery and approach their smile makeover either.’”

For more information on plastic surgery precautions, please contact us to consult with a plastic surgeon near you.


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