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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

Crown preparation to favour the required labial inclination of crowns.
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Figure 4: Crown preparation to favour the required labial inclination of crowns.

Mentions: The four upper incisors were prepared with labial angulations to receive crowns following the principles of subgingival crown preparation to favour gingival health (Figure 4).13 Porcelain fused to metal crowns was fabricated with required lip fullness and the labial inclination towards incisor tip. The crowns were tried for its marginal fit, aesthetics and patient judgment, and upon finding completely satisfied, they were permanently cemented (Figure 5).


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)

Crown preparation to favour the required labial inclination of crowns.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: Crown preparation to favour the required labial inclination of crowns.
Mentions: The four upper incisors were prepared with labial angulations to receive crowns following the principles of subgingival crown preparation to favour gingival health (Figure 4).13 Porcelain fused to metal crowns was fabricated with required lip fullness and the labial inclination towards incisor tip. The crowns were tried for its marginal fit, aesthetics and patient judgment, and upon finding completely satisfied, they were permanently cemented (Figure 5).

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