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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.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.

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

One month post-operative view; after healing of gingivectomy area.
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Figure 3: One month post-operative view; after healing of gingivectomy area.

Mentions: The case was reviewed after 1 month; though the gingival visibility became normal, and gingival margin was healthy, the inversely inclined position of teeth was more visible (Figure 3). A treatment plan of prosthetic crowns on four incisor teeth with a straightened profile was suggested to correct the inclined profile of teeth, and she was ready for the procedure. Since the crown preparation was planned in an esthetic zone and subgingival restorations were to be placed, patient was recalled after 6 months for prosthetic treatment.12


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)

One month post-operative view; after healing of gingivectomy area.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: One month post-operative view; after healing of gingivectomy area.
Mentions: The case was reviewed after 1 month; though the gingival visibility became normal, and gingival margin was healthy, the inversely inclined position of teeth was more visible (Figure 3). A treatment plan of prosthetic crowns on four incisor teeth with a straightened profile was suggested to correct the inclined profile of teeth, and she was ready for the procedure. Since the crown preparation was planned in an esthetic zone and subgingival restorations were to be placed, patient was recalled after 6 months for prosthetic treatment.12

Bottom Line: 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.

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