Crown Lengthening Revisited

Ong, Marianne Meng Ann; Tseng, Shih-Chang; Wang, Hom‐Lay

doi:10.1902/cap.2011.110048

Cited by 17 publications

(17 citation statements)

References 19 publications

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“…According to some researchers, using a surgical guide during implant placement is more accurate than using alternative techniques [ 17 ]. Others have stated that despite dental implants’ excellent precision when performed with a surgical guide, accuracy from free-hand implant surgery has been adequate and acceptable for the majority of clinical situations.…”

Section: Discussionmentioning

confidence: 99%

Treatment of excessive gingival display using conventional esthetic crown lengthening versus computer guided esthetic crown lengthening: (a randomized clinical trial)

Borham,

Abuel-Ela,

Mohamed

et al. 2024

BMC Oral Health

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Background Surgical guides have been proposed in an attempt to reach more predictable outcomes for esthetic crown lengthening. The objective of the present study was to evaluate the effectiveness of esthetic crown lengthening using 3D-printed surgical guides in the management of excessive gingival display due to altered passive eruption type 1B. Materials and methods Sixteen patients diagnosed with altered passive eruption type 1B, were divided into two groups. In the control group, the procedure was carried out conventionally, and in the study group, a dual surgical guide was used. The parameters of wound healing (swelling, color, probing depth, bleeding index, and plaque index), pain scores, gingival margin stability, and operating time were assessed at 1 week, 2 weeks, 3 months, and 6 months postoperatively. Results There was no statistically significant difference in terms of wound healing, pain scores, and gingival margin stability between both groups at different time intervals (P = 1), however, there was a statistical difference between both groups in terms of operating time with the study group being significantly lower (P < 0.001). Conclusion Digitally assisted esthetic crown lengthening helps shorten the operating time and reduces the possibility of human errors during the measurements. This will be useful in helping practitioners achieve better results. Practical implications The conventional method remains to be the gold standard. However, shorter operating time and lower margins for errors will help reduce costs as the chair side time is reduced as well as the possibility for a second surgery is lower. This will improve patient satisfaction as well.

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Section: Discussionmentioning

confidence: 99%

Treatment of excessive gingival display using conventional esthetic crown lengthening versus computer guided esthetic crown lengthening: (a randomized clinical trial)

Borham,

Abuel-Ela,

Mohamed

et al. 2024

BMC Oral Health

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“…Quanto às possibilidades de tratamento, a utilização de acréscimo por resina composta mostrou-se como a melhor opção, levando em consideração a exclusiva necessidade de fechamento dos diastemas entre incisivos laterais e caninos e a ausência da necessidade de aumento incisal, sendo, a altura vertical do dente, controlada pelo procedimento periodontal [11][12][13][14][15] .…”

Section: Discussionunclassified

“…Levando em consideração o tamanho das raízes anteriores, o procedimento de gengivoplastia definiu-se como limitado mediante à abordagem conservadora, sendo mais ampla na região posterior do sorriso. Concomitante à osteotomia posterior, houve uma melhor adequação da gengiva no novo tecido ósseo de suporte 3, 11,12 .…”

Section: Discussionunclassified

Harmonização do sorriso por meio de cirurgia periodontal e restaurações diretas em resina composta

Gontijo¹,

Neto²,

Santos

et al. 2020

Rev Odontol Bras Central

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Procedimentos estéticos odontológicos estão cada vez mais integrados com outras áreas, trabalhando em prol da otimização de resultados psicossociais e funcionais, e aumentando as possibilidades inclusas no plano de tratamento. A estética apresenta grande relevância na odontologia moderna, a demanda por sorrisos brancos e harmoniosos aumenta proporcionalmente às novas técnicas existentes. O presente trabalho objetiva relatar um caso de reabilitação estética a partir do planejamento digital do sorriso que dará informações benéficas para avaliar as diversas possibilidades frente ao segmento restaurador e periodontal cirúrgico. Paciente R. C. C., 22 anos, sexo masculino, compareceu a clínica integrada com queixa estética nos dentes anteriores. A partir do exame clínico inicial, foram solicitados exames de rotina concomitantemente à moldagem para modelo de estudo. Após o estudo de caso, esclarecimento do planejamento ao paciente e frente as expectativas estéticas, foi solicitado o exame de Planejamento Digital do Sorriso (Digital Smile Design – DSD). Foi realizada a cirurgia de gengivoplastia e osteoplastia dos pré-molares nos dentes 12, 14, 15, 24 e 25, fundamentada nos parâmetros fornecidos pelo exame digital e restaurações diretas em resina composta após o período de cicatrização adequado. Cada vez mais, é exigido do cirurgião-dentista, uma visão ampla que permita explorar as diversas perspectivas vigentes atendendo aos interesses e necessidades do paciente. Conclui-se, independentemente da área da atuação, a realização e otimização de resultados caminha lado a lado com a multidisciplinariedade que, a cada dia que se passa, ganha importância na formação acadêmica profissional.

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“…• Root canal therapy of the tooth. • Surgical crown lengthening for an optimal adhesion (5,6). • Permanent restoration using a composite material with the insertion of an endodontic fiber post (7,8,9).…”

Section: Case Reportmentioning

confidence: 99%

Single Tooth Prosthetic Restoration Through Surgical Crown Lengthening, Conservative Therapies and CAD-CAM Milled Restoration in Lithium-Disilicate: A Case Report

Maria¹,

Vitelli²,

Dian³

et al. 2019

Acta Stomatol Croat

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Protetička restauracija pojedinačnog zuba kirurškim produljenjem krune, konzervativnom terapijom i litijevim disilikatnim nadomjestkom proizvedenim CAD-CAM tehnologijom: prikaz slučaja UvodRestauracija znatno oštećenog zuba često zahtijeva interdisciplinarni pristup. Na primjer, od kliničara se može zahtijevati rekonstrukcija estetike i funkcije gornjeg pretkutnjaka, no pritom estetski zahtjevi i žvačno opterećenje često utječu na izbor postupaka i materijala, pa čak i na opću prognozu zuba.U ovom slučaju nekoliko je čimbenika o kojima treba voditi računa -to su položaj i veličina kaviteta, potreba za en-Abstract Objective. The restorative treatment of a decayed, non-vital upper premolar often requires an interdisciplinary approach. Esthetics and the entity of the masticatory loads are usually affecting the choice of procedures and materials. A conservative treatment in a case with esthetic needs and functional requirements is investigated in this case report. Materials and methods. A case of a 45-yearold woman with a severely decayed upper premolar is presented. The tooth has been previously treated in an emergency department with a provisional endodontic medication, but a further treatment has been then performed. The tooth was painful at the moment of the visit and the carious lesion appeared to invade the subgingival level. A surgical-conservative approach has been selected involving crown lengthening, endodontic treatment and a prosthetic crown with a monolithic Lithium-Silicate. Results. The rehabilitative process required 3 months, including maturation times after surgery and the placement of the provisional crown. The patient claimed to be both esthetically and functionally satisfied with the restoration. Conclusion. A conservative treatment of a severely involved tooth requires a critical evaluation of the remaining structures and a precise selection of the restorative materials. A monolithic crown could represent an ideal solution for restoring an upper premolar requiring esthetics and solid function, but the choice of a high translucent, easily polishable and possibly even chair-side prosthetic material might be an appreciable added value for clinicians.

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Crown Lengthening Revisited

Cited by 17 publications

References 19 publications

Treatment of excessive gingival display using conventional esthetic crown lengthening versus computer guided esthetic crown lengthening: (a randomized clinical trial)

Treatment of excessive gingival display using conventional esthetic crown lengthening versus computer guided esthetic crown lengthening: (a randomized clinical trial)

Harmonização do sorriso por meio de cirurgia periodontal e restaurações diretas em resina composta

Single Tooth Prosthetic Restoration Through Surgical Crown Lengthening, Conservative Therapies and CAD-CAM Milled Restoration in Lithium-Disilicate: A Case Report

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