Gingival Plastic Surgery

To enhance lost gingiva,

or to remove the excess of visible gum.

Gingival grafts can be used in teeth and in implants.

Improves esthetics and reduces cold sensitivity.

A thicker gum is more stable in the long term.

Grafts to cover exposed roots

– Gingival grafts

– To cover areas where the gum was lost

– Improves esthetic and reduces cold sensitivity

Clinical Work – Jorge André Cardoso

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Graft to cover visible root and Ceramic veneers to correct teeth shape and position

– Planning and esthetic simulation

– Repetition of the root canal treatment of the right central incisor

– External bleaching of all teeth and internal bleaching of the right central incisor

– Minimal tooth reduction 

– Ceramic veneers adhesion and crown cementation of the right central incisor

– Gingival graft to cover the visible root of the left central incisor 

Clinical Work – Root canal treatment – Luis Reis; Rehabilitation and Periodontal surgery – Jorge André Cardoso

Laboratory Work – Oleg Blashkiv

Excess of visible gum in smile

– Study and simulation

– Surgical removal  of the gum excess according to a safety marginal level.

Clinical Work – Jorge André Cardoso

Initial - excess of visible gum during smile
Initial - excess of gum covering teeth
Study and simulation
After gingival removal surgery
Before and After
Dark gum on top of old crowns

– Gum grafts to improve the discolored appearance.

– New crowns

Clinical work – Jorge André Cardoso

Laboratory work – Alex Fisher & Liliana Simões

Old crowns
Dark margin and gingival recession
Crowns removal
Provisional crowns
Graft to enhance gingival thickness and prevent future recessions
Gingival thickness before and after the graft
New ceramic crowns
Crowns cementation
Final view
Stability after 7 years
Grafts in old implants

– Gum grafts in implants area to improve the discolored appearance.

– Whitening/ Bleaching

– New crowns and veneers

Clinical Work – Jorge André Cardoso

– Laboratory work – Paulo Pacheco

Initial situation with unnatural restorations
Fractured veneers and gingival discoloration in the implant areas
Grafts to enhance gingival thickness in implants areas
Final situation with grafts, new crowns and new ceramic veneers
Before and After
Final smile
Final smile
Before and After

ORA – Dental Esthetics and Oral Rehabilitation

Rua 23, nº 344. 3º andar, sala C,
4500-142 Espinho, Portugal

Phone  (+351) 227 310 100 | (+351) 919 233 470

Monday to Friday – 9-13h, 15-19h | Saturday 9-13h

Train station, car parking and beach area within 5 min walk.

Oporto 30 min by train. Lisbon 2h30m by train.

Oporto Airport 30 min by car / 1h by metro-train.

ORA - Dental Esthetics and Oral Rehabilitation

ORA Clinic