IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 17, Issue 3 Ver.9 March. (2018), PP 71-75 www.iosrjournals.org DOI: 10.9790/0853-1703097175 www.iosrjournals.org 71 | Page Soft Tissue Aesthetic: A Review Article 1 Dr.Aaysha Tabinda Nabi, 2 Dr.Irfanul Huda, 3 Dr.Abhishek Verma, 4 Dr.Toshi, 5 Dr.Vaibhava Raaj 1 (Senior lecturer, Department of Periodontics, Buddha dental college and Hospital Patna) 2 (Reader, Department of Prosthodontics, Patna Dental College, Patna) 3 (Reader, Department of Periodontics, Buddha dental college and Hospital, Patna) 4 (Post graduate student, Department of Periodontics, Buddha dental college and Hospital, Patna) 5 (Private practitioner, Janki Dental Super Speciality Clinic & Research Centre, Patna) Corresponding Author: Dr. Aaysha Tabinda Nabi Abstract: Aesthetics is an inseparable part of today’s dental treatment and has influenced the management of dental maladies in varying degrees for many years. In recent year clinicians and dentist’s aesthetic demand in dentistry have increased rapidly, driven by an enhanced awareness of beuty and esthetics.The ultimate goal in modern restorative dentistry is to achive” white and pink “esthetics in esthetically important zone. White esthetic is the natural restoration of dental hard tissue with suitable materials.Were as pink esthetics refers to the surrounding soft tissue which includes gingiva and lips that can enhanced or diminish the esthetic results. Keyword: Periodontal Asthetics, Depigmentation, Gingivectomy, Crown lengthening, Root coverage, Gingival veneers --------------------------------------------------------------------------------------------------------------------------------------- Date of Submission: 03-03-2018 Date of acceptance: 19-03-2018 --------------------------------------------------------------------------------------------------------------------------------------- I. Introduction The word „Aesthetics‟ is derived from „Asthetisch‟ (German) or „Esthetique‟ (French). It means “the science which treats the conditions of sensuous perception”. Today cosmetic concerns as well as increased intra - oral awareness have created a demand for esthetics in periodontal practice. Esthetic improvements are the primary indication for performing periodontal plastic and soft tissue reconstruction surgery. It is the responsibility of the dental team mainly periodontists to understand optimal esthetics, the indications for treatment, and to be able to effectively communicate with the patient. Modern dentistry not only provides us with better material and technology but ensures that today‟s procedures are performed with minimal discomfort and maximal safety. “Mucogingival surgery” is a term that was initially introduced by Friedman; The Glossary of Periodontal terms defined Mucogingival surgery as – Periodontal surgical procedure designed to correct defects in the morphology, position and/or the amount of gingiva. This literature review focuses on Periodontal Plastic Surgery- its scope, limitations and esthetic implications in periodontal practice. This comprehensive review focuses the basic guidelines and need for the esthetic management taking into consideration the periodontal health.(1)Over all esthetic outcome for patients using various treatment modalities such as 1 gingival depigmentation 2 gingivoplasty 3 gingivectomy 4 crown lengthening 5 root coverage procedure 6 gum veneer 7 reconstruction of lost interdental papilla 8 lip repositioning 1. Gingival depigmentation: (Excision of gingival epithelium) Gingival pigmentation is a major concern for a large number of patients visiting the dentist. The patients with excessive gingival display and pigmentation are more concerned esthetically. Most pigmentation is caused by five primary pigments out of which melanin shows the maximum incidence rate. Melanin hyper pigmentation usually does not present as a medical problem, but patients may complain about their unesthetic black gums. The gingiva is the most frequently pigmented intraoral tissue, with the highest rate observed in the area of the incisors Esthetic periodontal plastic surgery is a boon in patients having “dark gums” and “gummy smile.”(2)Most pigmentation is caused by five primary pigments. These include: Melanin, melanoid, oxyhemoglobin,reduced hemoglobin, carotene, bilirubin, and iron.(3-4)