Esthetic Rehabilitation through Crown Lengthening Surgery and Conservative CAD/CAM Veneers: A Multidisciplinary Case Report

Passos, Leandro; Soares, Fernando Peixoto; Gallo, Mauricio

doi:10.1155/2016/5720851

Cited by 5 publications

(5 citation statements)

References 21 publications

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“…The expectation of an aesthetically harmonious smile increases the level of difficulty when treating patients. Laminate veneers stand out as a treatment option for cosmetic rehabilitation in clinical practice, as they are a more conservative procedure and mimic dental structures (11). Very often aesthetically harmonious smile requires surgical interventions like crown lengthening procedures with or without osseous resection to reduce the amount of the exposed gingiva and to increase the clinical crowns.…”

Section: Discussionmentioning

confidence: 99%

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

Pecheva¹,

Yaneva²

2021

Health Technol

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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.

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Section: Discussionmentioning

confidence: 99%

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

Pecheva¹,

Yaneva²

2021

Health Technol

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“…The expectation of an esthetically harmonious smile increases the level of difficulty when treating patients. Laminate veneers stand out as a treatment option for cosmetic rehabilitation in clinical practice, as they are a more conservative procedure and mimic dental structures [5].…”

Section: Discussionmentioning

confidence: 99%

“…With the CEREC® system, it was possible to combine beauty, comfort, precision and speed in dental prostheses. In addition to adding value to users and safety to results, since the system eliminates many steps in the traditional process of prosthetic preparation, such as molding, measurements and use of temporary in some specific situations [5].…”

Section: Introductionmentioning

confidence: 99%

Aesthetic Rehabilitation with Ceramic Laminates By the System CAD/CAM- A Case Report

Montenegro

2018

ADOH

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The demand for cosmetic treatments has increased considerably in dental offices.Current laboratory techniques associated with a strict clinical protocol satisfy patients restorative and esthetic needs.Thin ceramic laminates are a suitable option to correct shape, symmetry, contour, and size of anterior teeth. Lithium disilicate (LD) ceramic laminates are excellent treatment options for performing aesthetic rehabilitation due to the material's strength and tensile properties. In this case report, ceramic laminates were fabricated using an all-digital workflow. The case describes the steps involved in the clinical protocol to perform a high-performance treatment with the CEREC © CAD /CAM system computeraided design and computer-aided manufacturing, with ceramic laminates.

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“…Excessive gingival display may be caused by lots of factors such as, altered passive eruption, anterior dento alveolar extrusion, vertical maxillary excess, short upper lip and hyperactive elevator muscles. Many treatment modalities have been advocated for treatment of excessive gum exposure, these of which includes aesthetic crown lengthening 5 , intrusion of the maxillary teeth 7 , Jaw adjustment surgery 8 , neurotoxin injections and lip repositioning surgery 9,10 . (Table1) Rubinstein and Kostianovsky introduced the lip repositioning surgery as a part of medical plastic surgery in 1973 11 ; later on the original technique was modified by Rosenblatt and Simon in 2006 12 and was introduced in the field of oro facial surgery.…”

Section: Introductionmentioning

confidence: 99%

Gummy smile treatment using lip repositioning surgery

Adel

2023

Egyptian Dental Journal

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Aim: The present study was performed to evaluate the longevity and efficacy of the lip repositioning surgery by assessment of the gingival display changes that occur after the surgery through clinical & digital methods.Methods: This prospective study included ten female patients who suffered from excessive gingival display due to upper lip hypermobility or short upper lip. Pre-operative measurement of the amount of gingival display were recorded both clinically using an endodontic ruler & digitally using Adobe Photoshop cs6 through a well standardized photographs. The surgery was performed under local anesthesia for all patients by removing part of the labial mucosa (labial vestibule) followed by suturing of the wound by interrupted 0-5 resorbable suture. All patients were followed up at 14 days, 4 months, 8 months and 12 months, postoperative assessment was done by measuring the changes in the gingival display using the same clinical & digital techniques.Results: Post-operative measurements at 14 days follow up, showed obvious reduction in the amount of gum exposure. However complete relapse was observed at 4 months. Conclusion:The longevity of the procedure is questionable with almost complete relapse.

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Esthetic Rehabilitation through Crown Lengthening Surgery and Conservative CAD/CAM Veneers: A Multidisciplinary Case Report

Cited by 5 publications

References 21 publications

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

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

Aesthetic Rehabilitation with Ceramic Laminates By the System CAD/CAM- A Case Report

Gummy smile treatment using lip repositioning surgery

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