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Full mouth rehabilitation of partially and fully edentulous patient with crown lengthening procedure: a case report.

Seol HW, Koak JY, Kim SK, Heo SJ - J Adv Prosthodont (2010)

Bottom Line: And also, proper diagnosis and treatment sequencing is critical to obtain a successful results.Adequate diagnostic wax-up ensures good esthetics and healthy periodontal tissue.An interdisciplinary diagnosis and examination through visualization of the desired results ensure conservative and more predictable outcome.

View Article: PubMed Central - PubMed

Affiliation: Department of Prosthodontics, and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.

ABSTRACT

Background: In order to restore severely attrited teeth properly, surgical intervention in the form of a crown-lengthening procedure may be required. And also, proper diagnosis and treatment sequencing is critical to obtain a successful results. Adequate diagnostic wax-up ensures good esthetics and healthy periodontal tissue.

Case description: This clinical case report describes a diagnostically based protocol for restoration on mandibular anterior teeth with crown lengthening procedure and the treatment of partially edentulous mandible combined with an edentulous maxilla. In addition, the effort to prevent the combination syndrome was described.

Clinical implication: An interdisciplinary diagnosis and examination through visualization of the desired results ensure conservative and more predictable outcome.

No MeSH data available.


Related in: MedlinePlus

Analysis of diagnostic cast. Determination of the length of surgical crown lengthening.
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Figure 3: Analysis of diagnostic cast. Determination of the length of surgical crown lengthening.

Mentions: She had undergone a heart valve surgery twice in 1968 and 1998 and was under warfarin medication. Following problem lists were detected. The mandibular anterior teeth showed extremely short clinical crown length. The reverse compensating curve of the old prostheses, overgrowth of mandibular symphysis area, and bone resorption of mandibular posterior region were observed. The possibility of combination syndrome was anticipated due to the recent extraction of maxillary anterior teeth (Fig. 1 and 2). As Davarpanah et al.1 suggested, a thorough examination was performed. In radiographic examination, any periapical radiolucency was not detected even though the dentin was exposed to oral cavity. The periodontal ligament was within normal limit. The crown-to-root ratio was about 1:3. In clinical examination, attached gingival band was 4 to 5 mm width, and periodontal pocket depth was 3 mm or less. Neither periodontal problem nor tooth mobility was detected. On the properly mounted diagnostic cast examination, the imaginary line from retromolar pad 2/3 point to mandibular premolar tip was drawn. The distance between the imaginary line and the mandibular incisor's tip was 4 to 5 mm. The clinical crown was 2 mm height. According to Ash and Nelson7, the diagnostic wax up was undertaken to allow the crown to be 9 mm length. Supposing the height of coping, porcelain and the amount of subgingival margin position were 1.5 mm, 2.5 mm and 1 mm respectively, the required additional crown length was calculated as 2 mm (Fig. 3 and 4).


Full mouth rehabilitation of partially and fully edentulous patient with crown lengthening procedure: a case report.

Seol HW, Koak JY, Kim SK, Heo SJ - J Adv Prosthodont (2010)

Analysis of diagnostic cast. Determination of the length of surgical crown lengthening.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2984518&req=5

Figure 3: Analysis of diagnostic cast. Determination of the length of surgical crown lengthening.
Mentions: She had undergone a heart valve surgery twice in 1968 and 1998 and was under warfarin medication. Following problem lists were detected. The mandibular anterior teeth showed extremely short clinical crown length. The reverse compensating curve of the old prostheses, overgrowth of mandibular symphysis area, and bone resorption of mandibular posterior region were observed. The possibility of combination syndrome was anticipated due to the recent extraction of maxillary anterior teeth (Fig. 1 and 2). As Davarpanah et al.1 suggested, a thorough examination was performed. In radiographic examination, any periapical radiolucency was not detected even though the dentin was exposed to oral cavity. The periodontal ligament was within normal limit. The crown-to-root ratio was about 1:3. In clinical examination, attached gingival band was 4 to 5 mm width, and periodontal pocket depth was 3 mm or less. Neither periodontal problem nor tooth mobility was detected. On the properly mounted diagnostic cast examination, the imaginary line from retromolar pad 2/3 point to mandibular premolar tip was drawn. The distance between the imaginary line and the mandibular incisor's tip was 4 to 5 mm. The clinical crown was 2 mm height. According to Ash and Nelson7, the diagnostic wax up was undertaken to allow the crown to be 9 mm length. Supposing the height of coping, porcelain and the amount of subgingival margin position were 1.5 mm, 2.5 mm and 1 mm respectively, the required additional crown length was calculated as 2 mm (Fig. 3 and 4).

Bottom Line: And also, proper diagnosis and treatment sequencing is critical to obtain a successful results.Adequate diagnostic wax-up ensures good esthetics and healthy periodontal tissue.An interdisciplinary diagnosis and examination through visualization of the desired results ensure conservative and more predictable outcome.

View Article: PubMed Central - PubMed

Affiliation: Department of Prosthodontics, and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.

ABSTRACT

Background: In order to restore severely attrited teeth properly, surgical intervention in the form of a crown-lengthening procedure may be required. And also, proper diagnosis and treatment sequencing is critical to obtain a successful results. Adequate diagnostic wax-up ensures good esthetics and healthy periodontal tissue.

Case description: This clinical case report describes a diagnostically based protocol for restoration on mandibular anterior teeth with crown lengthening procedure and the treatment of partially edentulous mandible combined with an edentulous maxilla. In addition, the effort to prevent the combination syndrome was described.

Clinical implication: An interdisciplinary diagnosis and examination through visualization of the desired results ensure conservative and more predictable outcome.

No MeSH data available.


Related in: MedlinePlus