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I shadowed a periodontist a while back and she performed a procedure but I forgot what it was called. Basically the patient had the roots of their teeth protruding out, or so it looked. So instead of having a flat surface where the gums are there is a bump. She had to cut the gums and saw down the upper jaw bone and then stitch it back up afterwards. The gums were also receding. The procedure was about 2.5 hours long.