A gengiva também é responsável pela beleza e harmonia do sorriso. Um problema comum é quando ela avança sobre os dentes, dando a impressão de que eles são bem menores. Nesse caso, pode ser removido o excesso por meio de uma plástica, remodelando a gengiva. Ou, ao contrário pode acontecer. A retração da gengiva pode deixar a aparência nada agradável, além de causar sensibilidade ao dente. Nesse caso, pode ser indicado enxerto gengival.
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