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This paper aims to present information about the provision of gingival prostheses or gingival veneers. These appliances are most commonly provided for patients with gingival recession and attachment loss. The paper will highlight the indications and advantages for providing prostheses, and inform the reader of the risks or complications that may arise. The clinical and laboratory stages will be explained and advice provided on maintenance. A case series will demonstrate some of the patient-related benefits and difficulties that can be encountered. A final aspect to the paper will present the results of a survey undertaken in the north-east of England, exploring the provision of these appliances in primary care.
CPD/Clinical Relevance: Good aesthetics relating to the gingival margin can be difficult to achieve and the use of gingival veneers may provide a solution.
Article
A gingival veneer is a removable prosthetic appliance that is worn to replace missing hard and soft tissues, most commonly in the aesthetical upper anterior region of the mouth. The missing soft tissue is often the result of destructive periodontal disease, and this can cause a multitude of concerns for a patient.1 The appliance aims to restore the mucogingival contour for the patient, which can significantly improve dental, gingival and facial aesthetics.2,3 The prosthesis can be made from a range of materials that include hard acrylic resins, or flexible silicone materials.2,4 It covers the alveolus, attached and non-attached gingiva and often extends bilaterally on the labial aspect of the maxillary teeth from the central incisors to the canines or first premolars.
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