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Aesthetic Surgical Crown Lengthening Procedure.

de Oliveira PS, Chiarelli F, Rodrigues JA, Shibli JA, Zizzari VL, Piattelli A, Iezzi G, Perrotti V - Case Rep Dent (2015)

Bottom Line: Many different causes can be responsible for short clinical crown.In these cases, the correct execution of a restorative or prosthetic rehabilitation requires an increasing of the crown length.According to the 2003 American Academy of Periodontology (Practice Profile Survey), crown lengthening is the most habitual surgical periodontal treatment.

View Article: PubMed Central - PubMed

Affiliation: Dental Research Division, Department of Periodontology, Guarulhos University, Guarulhos, SP, Brazil.

ABSTRACT
The aim of this case report was to describe the surgical sequence of crown lengthening to apically reposition the dentogingival complex, in addition to an esthetic restorative procedure. Many different causes can be responsible for short clinical crown. In these cases, the correct execution of a restorative or prosthetic rehabilitation requires an increasing of the crown length. According to the 2003 American Academy of Periodontology (Practice Profile Survey), crown lengthening is the most habitual surgical periodontal treatment.

No MeSH data available.


Related in: MedlinePlus

Clinical photograph representing the preoperative facial view with presence of diastemas.
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fig1: Clinical photograph representing the preoperative facial view with presence of diastemas.

Mentions: A 41-year-old woman was referred to the Department of Periodontology of a Private Clinic in Vila Velha, ES, Brazil. The patient presented a good general health and maxillary anterior teeth with short clinical crowns and diastemas (Figures 1 and 2). No periapical radiolucency at radiographic examination was detected, the periodontal ligament was within normal limit, and the crown-to-root ratio was about 1 : 3. At clinical examination, attached gingiva band was 6 to 7 mm in width, and periodontal pocket depth was 3 mm or less. Neither periodontal problems nor teeth mobility was detected. The primary concerns of this patient included anterior diastemas and dissatisfaction with the size and shape of teeth. The primary treatment plan proposed to the patient was an orthodontic option; however, the patient disagreed with this modality due to the wide duration time and financial burden. Therefore, the treatment plan realized was the crown lengthening of elements 13, 12, 11, 21, 22, and 23 and the installation of tooth veneers. The patient was informed about the treatment and a written consensus was obtained according to local legislation.


Aesthetic Surgical Crown Lengthening Procedure.

de Oliveira PS, Chiarelli F, Rodrigues JA, Shibli JA, Zizzari VL, Piattelli A, Iezzi G, Perrotti V - Case Rep Dent (2015)

Clinical photograph representing the preoperative facial view with presence of diastemas.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4644817&req=5

fig1: Clinical photograph representing the preoperative facial view with presence of diastemas.
Mentions: A 41-year-old woman was referred to the Department of Periodontology of a Private Clinic in Vila Velha, ES, Brazil. The patient presented a good general health and maxillary anterior teeth with short clinical crowns and diastemas (Figures 1 and 2). No periapical radiolucency at radiographic examination was detected, the periodontal ligament was within normal limit, and the crown-to-root ratio was about 1 : 3. At clinical examination, attached gingiva band was 6 to 7 mm in width, and periodontal pocket depth was 3 mm or less. Neither periodontal problems nor teeth mobility was detected. The primary concerns of this patient included anterior diastemas and dissatisfaction with the size and shape of teeth. The primary treatment plan proposed to the patient was an orthodontic option; however, the patient disagreed with this modality due to the wide duration time and financial burden. Therefore, the treatment plan realized was the crown lengthening of elements 13, 12, 11, 21, 22, and 23 and the installation of tooth veneers. The patient was informed about the treatment and a written consensus was obtained according to local legislation.

Bottom Line: Many different causes can be responsible for short clinical crown.In these cases, the correct execution of a restorative or prosthetic rehabilitation requires an increasing of the crown length.According to the 2003 American Academy of Periodontology (Practice Profile Survey), crown lengthening is the most habitual surgical periodontal treatment.

View Article: PubMed Central - PubMed

Affiliation: Dental Research Division, Department of Periodontology, Guarulhos University, Guarulhos, SP, Brazil.

ABSTRACT
The aim of this case report was to describe the surgical sequence of crown lengthening to apically reposition the dentogingival complex, in addition to an esthetic restorative procedure. Many different causes can be responsible for short clinical crown. In these cases, the correct execution of a restorative or prosthetic rehabilitation requires an increasing of the crown length. According to the 2003 American Academy of Periodontology (Practice Profile Survey), crown lengthening is the most habitual surgical periodontal treatment.

No MeSH data available.


Related in: MedlinePlus