Does Surgical Crown Lengthening Procedure Produce Stable Clinical Outcomes for Restorative Treatment? A Meta‐Analysis

Al-Sowygh, Zeyad H.

doi:10.1111/jopr.12909

Cited by 12 publications

(9 citation statements)

References 25 publications

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“…In SCL, the cavity margins will be relocated supragingivally by displacing the periodontal attachment apically [ 8 ]. It is debatable whether SCL re-creates biological width or produces gingival rebound [ 79 ]. Multiple approaches for SCL are available, including gingivectomy and apically positioned flap (APF) with or without bone resection [ 58 ].…”

Section: Resultsmentioning

confidence: 99%

Deep Margin Elevation: Current Concepts and Clinical Considerations: A Review

et al. 2022

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Dietschi and Spreafico first proposed deep margin elevation (DME) in 1998 to address the multiple clinical problems associated with sub-gingival margins, where sub-gingival margins will be repositioned coronally using composite resin restorations. Given that dentistry is directing towards conservatism, its use is currently trending. Materials and Methods: a search was performed through PubMed, Scopus, and Google Scholar search engines to obtain relevant articles with no time restriction. Results: With biological width taken into consideration, well-defined and polished sub-gingival restorations are compatible with periodontal health. Marginal integrity in the DME technique seems to be affected by the type of adhesive, restoration, and incremental layering of the restoration. Regarding fracture resistance, DME has no significant effects. Conclusion: The DME technique seems to be a minimally invasive alternative to surgical crown lengthening (SCL) and orthodontic extrusion (OE) with respect to biological width. Well-controlled clinical trials are limited in this field; further long-term follow-up studies emphasizing the periodontal outcomes and prevention of complications are needed.

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Section: Resultsmentioning

confidence: 99%

Deep Margin Elevation: Current Concepts and Clinical Considerations: A Review

et al. 2022

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“…Los parámetros anatómicos que son fundamentales para realizar la técnica quirúrgica son la posición del margen gingival (MG), el tejido de adherencia supracrestal (espacio biológico), la profundidad al sondaje (PAS), el nivel de inserción o adherencia clínica. (NIC/NAC) y la cantidad de tejido queratinizado de la pieza a tratar (13).…”

Section: Técnica Tradicionalunclassified

Tratamiento estético de la sonrisa gingival

Padilla-Avalos

Marroquín-Soto

2023

Rev Estomatol Herediana.

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La exposición gingival excesiva es una condición conocida como sonrisa gingival. Esta alteración genera en muchos casos insatisfacción y solicitud de tratamiento por parte de los pacientes. Este exceso de exposición gingival podría obedecer a diferentes etiologías como un exceso maxilar en sentido vertical, un labio superior corto e hipermóvil, la erupción pasiva alterada, la extrusión dentoalveolar en el sector anterior o la combinación de estas causas. El enfoque de tratamiento va a depender del diagnóstico, de la complejidad del caso y de las expectativas de cada paciente. Por lo tanto, las rutas terapéuticas principales son el alargamiento de corona clínica, el reposicionamiento labial, la cirugía ortognática o la aplicación de toxina botulínica. Para ello, se debe considerar las ventajas y limitaciones de cada tratamiento estético, para garantizar predictibilidad y éxito.

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“…This is a common procedure in the aesthetic zone (Marzadori et al, 2018 ). However, a recent systematic review reports complications of gingival rebound and whether biological width is re‐established (Al‐Sowygh, 2019 ).…”

Section: Periodontal Considerations – Root Colour Tooth Shape and Formmentioning

confidence: 99%

Present status and future directions – Managing discoloured teeth

Kahler

2022

Int Endodontic J

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Managing tooth discolouration involves a range of different protocols for clinicians and patients in order to achieve an aesthetic result. There is an increasing public awareness in the appearance of their teeth and management of tooth discolouration may be inter‐disciplinary and involve both vital and nonvital teeth. Vital teeth can be easily treated with low concentration hydrogen peroxide products safely and effectively using an external approach and trays. For endodontically treated teeth, the walking bleach technique with hydrogen releasing peroxide products is popular. However, there is an association with external cervical root resorption with higher concentrations of hydrogen peroxide of 30%–35%. There are also regulatory considerations for the use of hydrogen peroxide in certain jurisdictions internationally. Prosthodontic treatments are more invasive and involve loss of tooth structure as well as a life cycle of further treatment in the future. This narrative review is based on searches on PubMed and the Cochrane library. Bleaching endodontically treated teeth can be considered a safe and effective protocol in the management of discoloured teeth. However, the association between bleaching and resorption remains unclear although there is likely to be a relation to prior trauma. It is prudent to avoid thermocatalytic approaches and to use a base/sealer to cover the root filling. An awareness expectations of patients and multidisciplinary treatment considerations is important in achieving the aesthetic result for the patient. It is likely that there will be an increasing demand for aesthetic whitening treatments. Bleaching of teeth has also become increasingly regulated although there are international differences in the use and concentration of bleaching agents.

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Does Surgical Crown Lengthening Procedure Produce Stable Clinical Outcomes for Restorative Treatment? A Meta‐Analysis

Abstract: It remains debatable whether SCL produces gingival rebound, or re-establishes BW and changes in clinical attachment level; however, further studies with low risk of bias randomized CCTs and long-term follow-up are recommended to reliably assess the restorative outcomes of SCL.

Cited by 12 publications

References 25 publications

Deep Margin Elevation: Current Concepts and Clinical Considerations: A Review

Deep Margin Elevation: Current Concepts and Clinical Considerations: A Review

Tratamiento estético de la sonrisa gingival

Present status and future directions – Managing discoloured teeth

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