Aesthetic rehabilitation through crown lengthening laser surgery and zirconium CAD/CAM veneers: a multidisciplinary case report

Abstract

Aesthetics is of paramount importance for the modern dental medicine. Today not only the white but also the pink aesthetic is a desirable outcome of the dental treatment, so the it is more appropriate to perceive teeth and gingival tissues as two parts of one and the same aesthetic complex. Therefore, this article describes a multidisciplinary management of patient with short clinical crowns and "gummy" smile. Due to altered passive eruption crown lengthening procedure with soft and hard tissue removal is performed with Er:YAG laser (2,940 nm) with the following settings: gingivectomy in soft tissue mode with tip 0.6 mm and energy settings-150 mJ/15 Hz; bone removal in hard tissue mode with tip 1.3 mm and energy settings-150 mJ/20 Hz . Following 1 month for healing period CAD/CAM veneers made from ultra-translucent multilayered zirconium veneers are placed to the patient. The case is followed-up for 1 year. The combination of aesthetic plastic periodontology, performed with laser, and use of CAD/CAM technology is efficient, predictable and highly precise multidisciplinary approach towards disharmonious smile. The combination of aesthetic laser-supported plastic periodontology and use of CAD/CAM technology is contemporary, efficient, predictable and highly precise multidisciplinary approach in retrieve for aesthetics.