e. 2009;21(4):229-240. 7 The soft tissue diode laser helps to establish a state of hemostasis and facilitate gingival recontouring. Four to six weeks after placing the provisional restoration, the gum reformed with harmony between the peri-implant gingiva and adjacent dentition. Laser Contouring. What is Laser Gum Recontouring? Besides your teeth, your gum line is equally important for a healthy,. The type of anesthesia used in the operation. When gum recontouring is done as a cosmetic procedure, it helps to. Gingivectomy surgery removes and reshapes a part of the seriously diseased gum and is mostly recommended before the gum disease affects the tooth's supporting bone. The patient was dissatisfied with the size, color, and shape of the teeth. This study presents an innovative and effective therapeutic option to obtain a natural and harmonious smile in patients with gummy smile. A gum recontouring procedure from Dr. Unfortunately gum problems usually affect more or all teeth so it is more common for dentists to charge by quadrant or for full mouth treatments. 972-213-0063 Schedule Now. – Esthetic rehabilitation of anterior teeth through gingival recontouring and ceramic veneers: a case report Figure 1 – Initial aspect of the smile. EGD more common in women than men. It’s important to us that our patients feel like they can truly relax during appointments. Sometimes gum recontouring procedures can be done in order to provide adequate room for the dentist to place. Just 1mm of removed gum is a simple operation and you will heal in a week or so and the procedure is less invasive and rarely problematic at all. Added benefits include ease of use, patient acceptance, and recontouring of interdental tissues. Dr. While no “hard numbers’ exist on what does and does not constitute a gummy smile, experts agree that anywhere from three to four millimeters of exposed gum line is the magic number. 2. The tissue subsequently healed at the correct position and remained stable. CharlottePerio offers cosmetic procedures to reclaim your smile and restore your confidence, including Soft Tissue (Gum) Graft and Gingival (Gum) Recontouring. Gum lifts may also be performed to reconstruct the gums (aka gum reconstruction) which builds back gum to cover more of. GET A QUOTE . In addition, if your gum line is irregular, cosmetic gingival recontouring might help you achieve a more balanced, symmetric smile. Our skilled team utilizes advanced techniques to reshape and sculpt the gumline for a more balanced and aesthetic appearance. Keywords: Gingival recontouring, Immediate restoration, One-piece mini-implant Ⅰ. The closure of diastemas in anterior teeth using direct adhesive restorations and gingival recontouring is a viable option for the clinician because it restores esthetic harmony between soft and hard tissues. This is a relevant and maybe the main factor in decision making. or call to schedule 480-428-0040. DOI: 10. or the gums have receded, there is an easy solution thanks to aesthetic gum recontouring. 23. Laser Gum Surgery Offers More Comfort and Convenience for You. 03 9500 2091. Live in Northern Columbus? Visit PolarisOrthodonticCenter. This article describes the alternative treatments available for lip repositioning and improving smile aesthetics, and presents the clinical course of a gingival smile patient after undergoing the surgical technique of gingival recontouring (GR. 2016 Oct-Dec;13(4):275-9 Ferrari Jr. Also known as tissue sculpting or gum reshaping, laser gingival recontouring is a simple procedure that can correct excessively low, high or uneven gums. Factors affecting GHOC: 1. Our Miami gum recontouring specialists can help you feel more confident!The closure of diastemas in anterior teeth using direct adhesive restorations and gingival recontouring is a viable option for the clinician because it restores esthetic harmony between soft and. If your gums have receded, and your teeth appear overly long or elongated, then soft tissue grafts can extend the gum. The entire gum recontouring process is virtually painless - great for reshaping a gummy smile. An uneven gum line can also be distracting. Teeth 23 and 43 were similar in width to an incisor which aided in a small amount of tooth reshaping. Treatment of gummy smile: Gingival recontouring with the containment of the elevator muscle of the upper lip and wing of nose. Here’s why. International Journal of Science and Research (IJSR) ISSN: 2319-7064 SJIF (2022): 7. INTRODUCTION Gum recontouring, also known as gum reshaping or gum contouring, is a cosmetic dental procedure aimed at improving the appearance of the gums. Gum Contouring: What to Expect. 2016 Oct-Dec;13(4):275-9 Ferrari Jr. Testimonials "I had several operations combined into one procedure which is really very difficult to achieve. After the area is numbed, Dr. Before re-contouring you can see the teeth appear small due to the gums growing down over top of the teeth. The importance of the mucogingival complex in any restorative procedure has long been recognized, and various surgical and nonsurgical procedures have been developed to restore the compromised gingiva to its original health. When gum recession is a problem gum reconstruction using grafting techniques is an option. Even with the whitest and straightest teeth. Although it is often caused by an. These include: 1. The focus will be on the potential for regrowth following treatment, the best practices for post-treatment gum care, and alternative solutions. Also known as tissue sculpting or gum reshaping, laser gingival recontouring is a simple procedure that can correct excessively low, high or uneven gums. 2. Because most of the time gum surgery is a cosmetic procedure and therefore not covered by insurance, you'll have to pay for it out of pocket. Stephen Walker, DDS, MS, and Dr. Conclusions Gingival recontouring with a provisional implant restoration is a non-surgical and non-procedure-sensitive method. (310)216-9600. 1. Surgical lengthening of the clinical crown. "Gingival (gum) contouring" is the process of recontouring the gum only. 0 watts | Mode: Continuous | Tip: Initiated. If you are not sure that you will be doing the braces, I would do it now. A dental crown lengthening procedure helps correct excess gum tissue covering the teeth. Lach is proud to be a top 1% provider for Invisalign®, and the number one provider in Orlando for Invisalign®. A 19 year old female patient was referred from depigmentation of Maxillary anterior Gingiva was performed. This device uses a narrow beam to light to gently removed and reshapes the gum tissue as needed. Miller, the godfather of periodontal plastic surgery, likely would have a differing opinion. A surgery innovation technique. Unveil the secrets of gingival recontouring, a smile transformation procedure that boosts confidence. OPEN EVENINGS AND WEEKENDS. It is considered as a cosmetic dental procedure which can reinvent your smile and enhance your oral health. We Cater to Cowards! Book Appointment Online. About Trinity Dental Loft; Convenient Hours;How gum laser recontouring and surgery works. 3. Procedure: Your periodontist first uses a local anesthetic and then gently recontours excess gum and bone tissue to expose more of your natural teeth. periojang@chosun. Patient Reviews; Services. A technique we use to remove and reshape excess gum tissue in small sections that will reveal more of your teeth. ”. 00 Call Us ( Free Consultancy ): +44 20 8133 0220. The mucosa which is present on the cheeks and on the floor of the mouth is freely moveable and more fragile. This. Thus, gingival contouring methods were modified in our case. The term is interchangeable with crown lengthening because the actual procedure involves exposing more of the natural tooth structure (the crown). 22, 23, 24 Only once the etiologic factor was successfully managed in the initial periodontal and prosthodontic treatment phase, the. There are various alternatives for correcting a gingival smile, ranging from techniques such as gingivectomy to more complex and invasive procedures such as orthognathic surgery. Margeas RC. Crown lengthening helps give your dentist enough tooth structure to work with during restorative procedures, like fillings or fitting a dental crown or bridge. Cut a path towards a brighter, more balanced smile by recontouring your gums!Gum Recontouring Procedure. This paper reports on two cases of gingival recontouring by the fabrication of a provisional implant restoration to produce an optimal emergence profile of a definitive implant restoration. Explore expert gum disease treatment and cosmetic dentistry options for a confident, healthy grin. Phone. Set up a consultation View more detailed photos. 1, 2. The main objective of this investigation was to analyze whether a thin gingival phenotype represents a potential risk indicator affecting interdental papilla fill, height. e. A gum recontouring procedure from Dr. What you show when you smile is important, the edge line of where the teeth end at the incisal is also important. However, this procedure is more designed to achieve ideal cosmetic results instead of specific functional ones. The. The gummy smile is a facial alteration, especially focused on the smile, which is defined by the excessive exposure o. After. 1, 2 This condition is associated with the loss of periodontal tissues, including gingiva, periodontal ligament, root cementum, and bone at. For both applications, 11% air and 11% water was used. Periodontal surgery involves elevation of a surgical flap often extending over a quarter of the mouth or more, osseous reshaping, and implantation of materials to replace bone lost to the disease process and can last 2 to 3 hours. 75 W/30 Hz with a MT-4 tip for soft tissue removal; then at 2. She has been working behind the scenes with Dr. Find out more here. Call 877-642-1466 to schedule an appointment. This technique resulted in shortened vestibule and restricted the muscle pull of the elevator muscles of the lip, thereby reducing gingival display when. Laser dentistry has revolutionized gum surgery. The health of a patient’s gums is critical. The association of periodontal disease and occlusal trauma was the main etiologic factor for the occurrence of the gingival recessions. It was amazing! I practically (literally) don't have veins, but Dr. It may be that the tissues are interfering with restorative procedures or causing aesthetic concerns. Advanced search Because both soft- and hard-tissue modification were needed, an Er,Cr:YSGG (erbium, chromium, yttrium-scandium-gallium-garnet) laser was used under local anesthesia in H mode, at 1. DR MUZAMMIL. 279 – RSBO. They surround the teeth and provide a seal around them. CharlottePerio offers cosmetic procedures to reclaim your smile and restore your confidence, including Soft Tissue (Gum) Graft and Gingival (Gum) Recontouring. In spite of successful osseointegration of dental implants, many patients often are displeased with the outcome of the implant treatment due to the poor esthetics of the. Return to Figure. , Virginia Beach, VA 23464. Allison Lesko at The Fort Collins Dentist for. ”. Gold, DMD, MD;The gingival texture, shape, tooth to tooth progression and its relation to the extra oral tissues is interdependent on many factors. elimination and gingival recontouring in the presence of supra-bony pockets with normal bony configuration. Individuals with GS are often embarrassed to smile. Achieving appropriate gingival contouring in the smile zone is important in creating an esthetically pleasing smile. e. After the second surgery, a preliminary impression was taken to make a soft tissue working cast. Osseous Surgery. Almasri will remove excess gum tissue to reveal more of your tooth structure, creating a more even ratio of gums to. 103San Ramon, CA 94582(925) 735-1881. Also called tissue sculpting or gum reshaping, this. The best part is that the procedure of gum contouring with a laser is fast. After the procedure the teeth are much more balanced and naturally reveal more of the tooth. Home; About Us. Correct the gum line with Columbus laser gingival recontouring and frenum removal using the diode laser at Columbus Orthodontic Center. 00 to 3000. Gingival contouring, also known as gum reshaping or sculpting, is a cosmetic dental procedure that involves shaping the gum tissue to improve the appearance of the smile. Menu (858) 535-8300; Home; Our Doctors. It can also recontour the gum tissue or bone. J Periodontol. 1. Establishing aesthetic outcomes in peri-implant soft tissues of anterior implants is challenging for many. Vishnusdas et al. It involves removing excess gum tissue or reshaping the gum line to create a more balanced and aesthetically pleasing smile. August 2009. This type basically consists of staging of crown lengthening procedure in two stages i. It is usually done by a periodontist or cosmetic dentist, in their office. They include: Tooth whitening. Gingival (gum) contouring, also known as gingival sculpting, is the process of reshaping the gum tissue around your teeth. A gummy smile, also called ‘excessive gingival display', is when you smile and too much of your gumline is visible. Accomplished in the past using scalpels, cosmetic gum surgery with Dr. Additionally, having the perfect smile is not always about perfect teeth, but the harmony between the teeth and gums. Nemeth; About Dr. When both the bone and gum will be addressed, crown lengthening is also included. A painless procedure that takes only about a half hour, the enamel of the sides, inner, or outer surfaces are filed or sanded away. You might be curious about gum recontouring, so let us explain it clearly. Gingival Recontouring Your gums may have receded for a variety of reasons, including aggressive tooth brushing or periodontal disease. McOmie and our team. "Crown lengthening" refers to recontouring of both gum and supporting bone. Harris Dental is known throughout the Phoenix metropolitan area for quality and compassionate dental care. Clicking or popping noises when you attempt to move your jaw. There are various types and levels of sedation, with nitrous oxide being the mildest and (often) the least expensive. About. The excess gum tissue will be removed and recontoured for a. Currently, orthodontists commonly receive patients with absence of maxillary lateral incisors at a very young age, with esthetic complaint (Fig 1). Depending on the periodontal health, the gum healing will begin with. Dr. In this case you should expect the cost of gingivectomy and gingivoplasty around $500 - $850 per quadrant, or $2,000. Advanced searchBecause both soft- and hard-tissue modification were needed, an Er,Cr:YSGG (erbium, chromium, yttrium-scandium-gallium-garnet) laser was used under local anesthesia in H mode, at 1. Gum contouring cost. 214-415-2125 . Gingival (gum) contouring is the process of recontouring the gum only. Gingival (gum) contouring is the process of recontouring the gum only. Now accepting new patients and emergencies at our 3 convenient locations across Kanata and. Gingival massage was performed on the gingiva on the mesial aspect of the maxillary left first molar twice a week for 4 weeks, for a total of eight sessions. Home. There are various factors that can cause a gummy smile, including overactive upper lip muscles, jaw development problems, or bite problems. More recently, a lip repositioning surgery technique aimed to treat the excessive gingival display, removing a strip of outlined mucosa by a superficial split thickness dissection, leaving the connective tissue exposed. Most Kois dentists incorporate gentle, soft-tissue laser technology which allows for minimally invasive treatments, including gingival contouring. Restricted jaw movement. 00 - 18. If you feel that you have a “gummy” smile, uneven gum line, or “long” teeth, talk to your Dental Health Associates dentist to find the right solution for you. NEW PATIENT HOTLINE: (404) 351-8790 3280 Howell Mill Rd NW #335 Atlanta, GA 30327; Book My Appointment. After battling with bulimia that caused this patient’s teeth to decay, Dr. In most cases,. Concerning adult patients ( Fig 3 ), decision-making should be based mainly on the anteroposterior relationship of teeth, smile line height and patient profile. gingivoplasty), along with gingival recontouring to correct any discrepancy, may be necessary after rapid extrusion. Weston, DDS, FAACD; Nicholas C. St John's Wood. Unfortunately, the majority of cases will involve bone recontouring as well as gingival resection to accommodate aesthetics and function. Ultimately, you should consult your dentist about whether gum reshaping is right for you. Introduction The gingival architecture plays a crucial role in maintaining pink aesthetics governed byWhen performed alone, gingival recontouring, also known as gingivoplasty, addresses only the gumline. A cosmetic dental treatment that can help reinvent your smile and improve your oral health, gingival sculpting involves a minimally invasive laser procedure to remove and re-sculpt. If dentists need to counter decay,. 18). Citing Literature. Home. 6 Choice of Technique to Manage Gingival Recession and Aesthetics. The implant restoration with the optimal emergence profile. Before; After. Below are 5 gum recontouring myths and misconceptions that need to stop. Skip to content 704-365-0123 gingival recontouring using direct adhesive restorations: a case report. Licensed Under Creative Commons Attribution CC BY The purpose of this paper is to determine the effect of abutment contour modifications at these zones on the peri-implant soft tissues, including the gingival margin level, papillae height,Gingival architecture, labial alveolar profile, and gingiva color. Dental history revealed severe periodontal disease associated with anterior occlusal trauma due to loss of posterior teeth. Joy Cobb is the office Girl Friday in charge of special projects like upgrading the computers and procuring a new phone system. As a matter of fact, the cost of gum recontouring is different for different people. Thanks to laser gingival recontouring, you can make the most out of your smile. Gum recontouring is performed to treat a “gummy” smile. Anesthesia and sedation usually cost extra. She is holding a picture of herself when she was younger. “Gingival (gum) contouring” is the process of recontouring the gum only. Laser dentistry has revolutionized gum surgery. DOI: 10. Are You a Candidate for Tooth or Gum Recontouring?. Ltd. McOmie was able to perform a full-mouth restoration to strengthen the integrity of her smile. Live in Northern Columbus? Visit. Similarly, it is not unusual for people to be unhappy with the length or shape of their teeth. The upper lip length on average is 20 to 24 mm. English. Gingival recontouring. They offer. This can be performed in conjunction with gingival recontouring if necessary. Answer: A Question: 146The gingival thickness affects the treatment outcome possibly because of the difference in the amount of blood supply to the underlying bone and susceptibility to resorption. D7971 is used when inflammatory or hypertrophied tissue is being removed on a partially erupted or impacted tooth (i. Figure 8 demonstrates the sequence of the esthetic crown-lengthening procedure. Dr Deborah Solomon likes to enhance the patient's smiles at the end of orthodontic treatment. A gum recontouring procedure is one in which the gums are reshaped to create more even gingival margins. There continues to be a tremendous amount of. Once the patient has undergone a mild local anaesthetic to numb the gum area, a dental laser (known as a soft tissue laser) is used to quickly and carefully remove the excess tissue. Meet Dr. The surgery will normally only take 25-45 minutes, depending on how impeded the tooth is. Grade 3: Overgrowth covers three quarters or more of the crown. Couple your laser gingival recontour procedure with this form of orthodontic correction and you are sure to be smiling brighter for years to come. Thanks to laser gingival recontouring, you can make the most out of your smile. When recession of the gingiva occurs, the body loses a natural defense against both bacterial penetration and trauma. Dental Crowns. ( a, b) Disto-gingival demarcation on anterior brackets to assist with identification. Skip to main content. Also, due to the precision. We’ve used Solea successfully on lips, such as for blue nevus resurfacing, and canker sore treatment, too. Active and Passive Eruption: During tooth eruption, the tooth actively erupts through the bone so that the CEJ is 2mm above the level of crestal bone. et al. We offer aesthetic recontouring of gums and teeth to help you achieve the perfect look. Gummy smile treatment is technically called “gingival recontouring. Others have an uneven gum line that’s too high in some places and too low in others. If the gum line is uneven, aesthetic gingival recontouring can also sculpt the gum line to produce a more symmetrical, balanced smile. In the present study. The patient was unhappy with her gummy smile and short teeth. Bend Location. Led by Dr. 61. Gum contouring, medically known as gingivoplasty, is the surgical reshaping of gums around the teeth. Clinical Procedure: The smile's esthetics were improved through gingival recontouring, dental home bleaching, and a restorative procedure with thin porcelain laminate veneers using lithium. et al. Cobb for 42 years. Home; About;Laser Gum Recontouring “All on 4” Dental Implant Dentures; Sleep Apnea and Snore Guards; TMJ Disorders/Pain Treatments; Orthodontics; Urgent Care. Dr. The majority of people who seek gum reshaping or recontouring do so in order to have a cleaner, more even smile. The interdental papilla is an important component in an aesthetic smile 1,2,3,4 and its loss may result in a gingival black triangle (GBT). This process is often paired with Cosmetic Dentistry treatment bonding. Book Now. , Irmo, SC 29063;Tooth reshaping (contouring) is a cosmetic dentistry procedure to sculpt and change the shape of a tooth to make it fit in better with the surrounding teeth. Tooth-Colored Dental Fillings. Dentofacial risk would be decreased by changing the gingival contours and levels on the lower anterior teeth orthodontically and by performing crown lengthening on the. Skip to content. For both applications, 11% air and 11% water was used. Purpose The emergence profile concept of an implant restoration is one of the most important factors for the esthetics and health of peri-implant soft tissue. 3. Home; Our Services. Background Preservation of the interdental papilla is an essential part of the functional and esthetic rehabilitation of dental treatment. Esthetic gum recontouring cannot even be planned until all existing inflammation in the gingival tissue is resolved. Most Kois dentists incorporate gentle, soft-tissue laser technology which allows for minimally invasive treatments, including gingival contouring. Marshall can bring your gums into proper proportion with your teeth, improving the appearance of your smile and enhancing the natural beauty of your entire face. Esthetic gingival recontouring — a plea for honesty. 15. between. However, gum problems are more common than you might imagine. Abstract. 11. Gingival recontouring is a procedure in which the gingival margins are fitted to the tooth. Before; After; Patient 2* Procedure(s): Gingival Recontouring. Laser-assisted gingival tissue procedures in esthetic dentistry. Jumeirah Beach Road Umm Suqeim 1 – Villa 611, Dubai, UAE +971 4 394 5422 +971 4 394 5422;Predictably restoring sub-gingival cavities with composite is difficult and an area where UK. Preparation: After your mouth has been numbed, the oral surgeon will thoroughly clean the targeted gum tissue. Gingival (Gum) Recontouring. Gum contouring, medically known as gingivoplasty, is the surgical reshaping of gums around the teeth. This paper reports on two cases of gingival recontouring by the fabrication of a provisional implant restoration to produce an optimal emergence profile of a definitive implant restoration. – Esthetic rehabilitation of anterior teeth through gingival recontouring and ceramic veneers: a case report Introduction Different techniques can be used to correct esthetic disharmonies of anterior teeth, such as orthodontic treatment, restorative treatment with resin compositeGum recontouring can help correct an otherwise uneven gum line so it creates a more harmonious appearance, enabling the gums to beautifully frame the teeth. The tissue subsequently healed at the correct position and remained stable. Our Doctors; John F. Dental Implants; Dental Crowns; Dental Bridges; Tooth Colored FillingsDentist Inglewood. Anything above that is considered a. The emergence profile concept of an implant restoration is one of the most important factors for the esthetics and health of peri-implant soft tissue. Gingival recontouring. Aesthetic gingival recontouring is a procedure that will reshape your gum line to make your smile look better by. Home; Dental Services. Recommended distance between margins restoration and alveolar bone crest is 3 mm to. Case. The procedure, called gingival recontouring or gum recontouring, is performed by Dr. 2. In some cases, your dentist may even suggest it, especially if you. She has always. Oral conscious sedation and IV Sedation are more powerful and typically cost more. Figure 2. This prompts a detailed look at gum recontouring. Methods: After the second surgery, a preliminary impression was taken to make a soft tissue working cast. If the gum line is uneven, aesthetic gingival recontouring can also sculpt the gum line to produce a more symmetrical, balanced smile. Minimal recontouring on 8 and ( will give significant improvement. Couple your laser gingival recontour procedure with this form of orthodontic correction and you are sure to be smiling brighter for years to come. It can be performed using. Gummy smile / uneven gum line. 3. In some cases of minor corrections laser gum contouring can be done even without local anesthetics. Some issues that esthetic gingival recontouring can address include: Excess gum tissue that makes the teeth appear short and stubby. This can create a more even gum line or make the teeth appear longer. We do this through the modern technology we offer. Crown lengthening was carried out initially from 14–24 by gingivectomy technique (without osseous recontouring as probing depth was 4–5 mm) with a 15C Bard-Parker blade (Kehr Surgical Pvt. esthetic features of proportional gingival contours, cer-tainly Dr. If you feel that you have a “gummy” smile, uneven gum line, or “long” teeth, talk to your Dental Health Associates dentist to find the right solution for you. This is a more delicate procedure that requires exposing root surface, positioning gingival margins at the desired height, and apically reestablishing the biological width. Remodeling or contouring of the gums and surrounding bone is carried out to reveal the. 4103/0972-124X. It is a definitive surgical procedure indicated for pocket elimination in the presence of supra-bony pockets. Then the dentist or periodontist will use a surgical scalpel or a dental laser to remove the unwanted tissue. By using diagnostic bone sounding, the practitioner can determine the. The treatment modalities range from orthognathic surgery to periodontal plastic procedures. Crown lengthening is a simple surgical procedure to remove excessive gum tissue and expose more of the tooth structure. Ref #:1013 . D7971 excision of per coronal gingival. Your gums may have receded for a variety of reasons, including aggressive tooth brushing or periodontal disease. Ear congestion or pain but no sign of infection. D7971 is used when inflammatory or hypertrophied tissue is being removed on a partially erupted or impacted tooth (i. Periodontal surgery can still be considered a keystone in the treatment of periodontitis. Tissue graft for upper recession; Tissue graft for lower recession I; Tissue graft for lower recession II; Tissue graft for lower recession III; Full tissue graft for upper front teeth; Esthetic Crown Lengthening (Gummy Smile) Iteeth 13, 12, and 11 to mimic the gingival heights with teeth 21, 22, and 23 (Figures 2 and 3). Fortunately, that’s no longer the case. 3 and 2. D4921 gingival irrigation- per quadrant. In our research we used the Diode laser, Diode laser is highly absorbable by hemoglobin and melanin that allows easy manipulation of soft-tissue during gingival recontouring, and improved epithelization and healing of the wound. ac. Request An Appointment. Call 210-341-4409 Now! Gummy Smile bothering you? Stone Oak Aesthetic Dentistry got you covered. 1 Depigmentation. The tissue involved will first be numbed with a local anesthetic. 1608 Centinela Ave, Ste 7, Inglewood, CA 90302. During the process, we’re manually reshaping the edges of your gumline to help them look more even and healthy. 1. What is Gum Recontouring?. Ultimately, the ideal proportions in crown length should be achieved in combination with a normal physiologic. Summary In summary, the most important takeaways for the predictable management of palatally impacted canines are the following: 1. Bone sounding before gingival recontouring.