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Winnipeg North Dental
A cosmetic dentist photographing and measuring a patient’s gumline
Had this done once. It didn’t stay.

Gum Contouring for Brooklands Residents

Gum that creeps back after reshaping can be disappointing and confusing. If you live in Brooklands and have already had gum work that no longer looks the way it did, this page explains what an assessment can look into.

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Coming back to it

Brooklands Patients With Earlier Gum Reshaping

Tissue can move back toward its earlier position if the anatomy beneath it does not support the new outline. That does not explain every case, and only a current examination can show what is happening around your teeth today.

A return to the question starts with fresh measurements. At Winnipeg North Dental, on McPhillips Street in Winnipeg, the present margin, the enamel edge, the tissue and the bone can be looked at, with what you remember of your earlier treatment serving as background.

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Start from today

A new assessment looks at how things stand now, not just at how they looked before your treatment.

Bone comes into it

Margin-to-bone distance helps to explain why a gum edge does or does not stay where it was placed.

Further work is optional

Understanding the reason does not commit you to another round of treatment.

If further work is considered

A second look at the two approaches.

You may already have had one of these. Knowing which can help your dentist make sense of the result, though today’s findings carry the most weight.

Soft-tissue reshaping again

If bone sits a proper distance from the proposed edge, a limited amount of gum could be reshaped with a laser or other exact instrument.

  • Fits only if the current anatomy allows it.
  • Earlier work may influence the available tissue.
  • Stability is weighed before anything else.

Crown lengthening instead

Should bone sit too close to the line you would like, tissue is reached surgically so bone can be adjusted, and the gum is then fixed at the planned height.

  • Addresses the space beneath the margin.
  • Aims for a tissue relationship you can maintain.
  • A different commitment from a simple trim.

Whether further treatment makes sense is an open question until current measurements exist.

Making sense of the past

How a repeat concern is reviewed.

The steps resemble a first assessment, but with one addition: your earlier treatment becomes part of the information.

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  1. 01

    Share what happened

    Describe what was done as well as you recall, about when, and how the gum looked afterward compared with today.

  2. 02

    Measure afresh

    Photos and measurements document your present margins and enamel boundary, and tissue thickness is noted. If your bone level is unclear, sounding or imaging may be considered.

  3. 03

    Look for the reason

    Your dentist considers all the possible contributors, including factors outside the gum such as lip movement, tooth wear or jaw relationship.

  4. 04

    Weigh what to do

    You discuss whether to treat again, change approach or leave things alone. If you proceed, a follow-up reviews closure and plaque, and sutures come out if placed.

Gather your history

Dig out any old records or photos.

It is fine if you have only partial information. Any record of the earlier procedure, or photos from before and just after it, can add to the conversation about what your gums have done since.

Costs are specific to whatever is decided, so ask the clinic for estimates after you have discussed your options.

If you can find them

  • The approximate date of your earlier treatment.
  • Whether a laser, instrument or surgery was described.
  • Pictures from before and after that work.
  • The medicines you rely on these days.
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Winnipeg North Dental waiting area with a low blue bench under two paintings

A treatment room with glass-fronted cupboards, and a bench in our waiting area.

When you have done this before

You remember how it felt, so say so.

If the last experience left you wary, mention what you found difficult. Local anaesthetic is used so that the area stays comfortable during treatment, and tenderness later on varies with the extent of the work.

Describe last time

Tell your dentist what bothered you most, so you can talk over how it might be approached.

Note healing issues

Mention anything unexpected from your earlier recovery, even if it seemed minor at the time.

Adjust expectations

Ask how this plan might feel different, if at all, from the treatment you already had.

If you go through it again

Do not let old worries read the early stage.

After a disappointing result, any unevenness may feel like history repeating. Red, swollen or irregular tissue may simply be part of early healing, so try not to reach a conclusion in those first days.

01

Follow the new directions

Instructions may not match the ones you were given last time, so go by your current set.

02

Keep your photos

A record taken over the maturing period may help if you later want to discuss any change.

03

Raise changes early

At your review, mention anything you think looks like movement of the margin.

If you are concerned about how the area is healing, telephone the clinic at (204) 338-3003.

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Winnipeg North Dental

Unit-5 2358 Mcphillips Street, Winnipeg, MB R2V 4J6
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Taking another look

Have the Gumline Reassessed on McPhillips Street

Brooklands is in Winnipeg. A fresh assessment for residents would be at Winnipeg North Dental, Unit 5, 2358 McPhillips Street, Winnipeg.

Say in your request that you have had gum reshaping before. Your visit is not set until the clinic has confirmed it with you.

Questions about coverage?

Talk with our team before your visit or learn about CDCP.

A little clarity before your visit

Your questions, answered.

Helpful details about gum contouring in Brooklands.

Ask our team
Why would my gums have moved back?

One possibility is that the anatomy did not support the new position, since gum may rebound when the bone-to-margin relationship was not suitable. An examination is needed to tell whether that applies to you.

Can gum be reshaped a second time?

Perhaps, depending on your current tissue, tooth and bone. Your dentist can explain what the measurements show and whether soft-tissue work, surgery or neither looks appropriate.

Did something go wrong the first time?

It would be hard to say from today’s appearance alone. The focus of your assessment is on the present state of your gums and what might work from here.

Do I need the records from my earlier treatment?

They can help but are not something to worry over. Share what you have, and ask the clinic whether records would be useful to request.

What if the real cause was never my gums?

That can happen. A mobile lip, short teeth or jaw position can keep gum display high even after tissue is removed, and those factors call for a different discussion.

How would a Brooklands resident arrange a reassessment?

Mention your earlier treatment when you call (204) 338-3003 or fill in this page’s form. The clinic on McPhillips Street will respond about timing.

Disappointed the first time?

Get a current picture of what your gums are doing.

Ask for a reassessment at our Winnipeg clinic. Include whatever you remember about your earlier care, and the clinic will contact you to set a time.

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