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A combined periodontal - prosthetic treatment approach to manage unusual gingival visibility in resting lip position and inversely inclined upper anterior teeth: a case report with discussion.

Biniraj KR, Janardhanan M, Sunil MM, Sagir M, Hariprasad A, Paul TP, Emmatty R - J Int Oral Health (2015)

Bottom Line: A relatively simple treatment approach combining periodontal and restorative therapy is used here to achieve the desirable aesthetic results.After complete healing of gingivectomy surgery, appropriately designed crowns were given to rectify the inversely inclined appearance.A complete rehabilitation of patient's smile could be achieved, the case was followed up for 3 years and the condition was found satisfactory.

View Article: PubMed Central - PubMed

Affiliation: Professor & Head, Department of Clinical Periodontology and Oral Implantology, Royal Dental College, Palakkad, Chalissery, Kerala, India.

ABSTRACT
Excessive gingival visibility during smile is a common esthetic complaint in dentistry, but excessive gingival visibility in resting lip position is relatively uncommon condition. Several exclusive radical to conservative surgical treatment or its combination with orthodontic therapy to treat this condition are within the reach of every patient nowadays. A case report of an excessive gingival visibility because of altered passive eruption along with inversely inclined maxillary anterior teeth is presented here. A relatively simple treatment approach combining periodontal and restorative therapy is used here to achieve the desirable aesthetic results. The gingival exposure resulting from altered passive eruption was completely managed by a gingivectomy, but the inclined appearance of teeth was still an aesthetic complaint. After complete healing of gingivectomy surgery, appropriately designed crowns were given to rectify the inversely inclined appearance. A complete rehabilitation of patient's smile could be achieved, the case was followed up for 3 years and the condition was found satisfactory.

No MeSH data available.


Related in: MedlinePlus

After trans gingival probing the level of alveolar crest is marked with a sharp explorer.
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Figure 2: After trans gingival probing the level of alveolar crest is marked with a sharp explorer.

Mentions: On examination of gingiva, pockets ranging from 3 to 5 mm were found on all aspects of teeth without attachment loss indicating the unusual anatomical crown length of anterior teeth. Trans gingival probing indicated the presence of alveolar bone at very higher level than the present gingival margin (Figure 2). Gingivectomy, to expose anterior teeth till the cementoenamel junction (CEJ) and to obtain more physiologic gingival contour was proposed to eliminate the gingival pocket.


A combined periodontal - prosthetic treatment approach to manage unusual gingival visibility in resting lip position and inversely inclined upper anterior teeth: a case report with discussion.

Biniraj KR, Janardhanan M, Sunil MM, Sagir M, Hariprasad A, Paul TP, Emmatty R - J Int Oral Health (2015)

After trans gingival probing the level of alveolar crest is marked with a sharp explorer.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4385730&req=5

Figure 2: After trans gingival probing the level of alveolar crest is marked with a sharp explorer.
Mentions: On examination of gingiva, pockets ranging from 3 to 5 mm were found on all aspects of teeth without attachment loss indicating the unusual anatomical crown length of anterior teeth. Trans gingival probing indicated the presence of alveolar bone at very higher level than the present gingival margin (Figure 2). Gingivectomy, to expose anterior teeth till the cementoenamel junction (CEJ) and to obtain more physiologic gingival contour was proposed to eliminate the gingival pocket.

Bottom Line: A relatively simple treatment approach combining periodontal and restorative therapy is used here to achieve the desirable aesthetic results.After complete healing of gingivectomy surgery, appropriately designed crowns were given to rectify the inversely inclined appearance.A complete rehabilitation of patient's smile could be achieved, the case was followed up for 3 years and the condition was found satisfactory.

View Article: PubMed Central - PubMed

Affiliation: Professor & Head, Department of Clinical Periodontology and Oral Implantology, Royal Dental College, Palakkad, Chalissery, Kerala, India.

ABSTRACT
Excessive gingival visibility during smile is a common esthetic complaint in dentistry, but excessive gingival visibility in resting lip position is relatively uncommon condition. Several exclusive radical to conservative surgical treatment or its combination with orthodontic therapy to treat this condition are within the reach of every patient nowadays. A case report of an excessive gingival visibility because of altered passive eruption along with inversely inclined maxillary anterior teeth is presented here. A relatively simple treatment approach combining periodontal and restorative therapy is used here to achieve the desirable aesthetic results. The gingival exposure resulting from altered passive eruption was completely managed by a gingivectomy, but the inclined appearance of teeth was still an aesthetic complaint. After complete healing of gingivectomy surgery, appropriately designed crowns were given to rectify the inversely inclined appearance. A complete rehabilitation of patient's smile could be achieved, the case was followed up for 3 years and the condition was found satisfactory.

No MeSH data available.


Related in: MedlinePlus