Laser-Assisted Esthetic Crown Lengthening: Open-Flap Versus Flapless

Altayeb, Walid; Arnabat-Domínguez, Josep; Low, Samuel B.; Abdullah, Ahmed; Romanos, Georgios E.

doi:10.11607/prd.5335

Cited by 12 publications

(11 citation statements)

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“…Present study results were also in accordance with study done by Altayab W et al, 31 where they performed laser assisted (Er,Cr:YSGG) aesthetic crown lengthening open flap and flapless approaches and concluded that laser assisted aesthetic CL provided a predictable out come and aesthetic restorative opportunity for clinicians. They also reported the stable gingival margin with no significance and 3 and 9 months.…”

Section: Discussionsupporting

confidence: 91%

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Evaluation of biologic width re-establishment using CHU aesthetic gauges in crown lengthening cases- a clinical study

Rani

Bhattacharya

Gummaluri³

et al. 2023

Journal of Oral Biology and Craniofacial Research

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Section: Discussionsupporting

confidence: 91%

“…Thus, we can restore the surgical site with final prosthesis 3 months post-surgically due to a stable GM. Major difference between the studies was that present study used a Chu aesthetic gauge while Altayab W et al, 31 used Laser which is a very expensive instrument whereas gauges are relatively cheaper and regular ease of use.…”

Section: Discussionmentioning

confidence: 87%

Evaluation of biologic width re-establishment using CHU aesthetic gauges in crown lengthening cases- a clinical study

Rani

Bhattacharya

Gummaluri³

et al. 2023

Journal of Oral Biology and Craniofacial Research

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“…This procedure requires surgical access, which precludes the use of a flapless approach. Failure to thin the vertically reduced alveolar crest introduce phenotypical changes that may lead to soft tissue rebound, which several studies have reported to occur more frequently in thick periodontal biotypes, regardless of open flap or flapless techniques 4,7,40 …”

Section: Technical Considerationsmentioning

confidence: 99%

Staged esthetic crown lengthening: Classification and guidelines for periodontal‐restorative therapy

Lee,

Cambra,

Bergler

2024

J Esthet Restor Dent

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ObjectiveThis article presents technical guidelines for perio‐restorative esthetic crown lengthening, along with a discussion of the biologic rationale. A classification system is proposed to assist in treatment planning and sequencing the surgical and restorative phases.Clinical ConsiderationsWhen esthetic crown lengthening is performed as an adjunct to restorative therapy, the surgical approach must be determined by the anticipated position of the restorative margins. The removal of sufficient bone to achieve the desired clinical crown length and preserve the supracrestal gingival tissue dimensions is facilitated by the use of a surgical guide fabricated according to the design of the restorations. A staged approach allows sequencing the provisional restoration to minimize unesthetic sequelae during the healing period. Inadequate bone resection and/or alteration of the soft tissue dimensions results in delayed healing, leading to coronal gingival rebound and biologic width impingement.ConclusionThe identification and preservation of appropriate restorative and biologic landmarks is essential for success in pre‐prosthetic esthetic crown lengthening treatment. A staged approach improves the esthetic management during the postsurgical healing and maturation period.Clinical SignificanceA restorative driven classification system for sequencing and staging adjunctive esthetic crown lengthening procedures is presented. Technical guidelines to enhance gingival margin predictability are suggested, accompanied by relevant evidence. In addition, wound healing timelines following gingival and osseous resection are provided.

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“…The FL group was treated with a FL technique that included gingivectomy and osseous recontouring. These procedures were conducted as described in the previous publication [12].…”

Section: Esthetic Crown Lengthening Surgerymentioning

confidence: 99%

Patient perceptions of laser-assisted esthetic crown lengthening: open-flap vs. flapless techniques

Altayeb,

Arnabat-Dominguez,

Low

et al. 2024

Preprint

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Objectives: Patient perception of and satisfaction with dentistry are important because they influence treatment adherence and overall outcomes. This study investigated patients’ perceptions of laser-assisted esthetic crown lengthening (ECL) for treating “gummy smiles” using either an open-flap or flapless technique. Materials and Methods: This study included 36 healthy patients with altered passive eruption who underwent esthetic crown-lengthening surgery and were randomly divided into two equal groups: open-flap and flapless. Gingivectomy and ostectomy were performed using an Er,Cr:YSGG laser in both groups. Patients’ perceptions of postsurgical morbidity were assessed using a 5-point self-administered Likert scale. The participants provided ratings on their levels of anxiety immediately after surgery, as well as their experiences with pain, swelling, bleeding, discomfort, tooth sensitivity, and use of pain medication after 7 days. Nine months after surgery, another survey was conducted to assess the overall satisfaction. Results: Patients reported higher anxiety after open-flap surgery than after the flapless procedure. Flapless surgery was also associated with less postoperative pain, swelling, bleeding, discomfort, sensitivity, and need for pain medication. Both groups reported high satisfaction with the final cosmetic outcome after 9 months, although patients who underwent flapless surgery tended to report even greater satisfaction. The flapless procedure was also significantly faster, taking approximately 15 min less than open-flap surgery. Conclusions: Flapless laser-assisted ECL offers several advantages over the open-flap method, including reduced patient anxiety, pain, discomfort, and shorter treatment time. Clinical Relevance: This study suggests that laser-assisted flapless ECL may be a more patient-friendly and efficient procedure compared to traditional open-flap surgery with similar esthetic results. This could be important for dentists looking to offer their patients a less invasive and potentially more comfortable option.

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Laser-Assisted Esthetic Crown Lengthening: Open-Flap Versus Flapless

Cited by 12 publications

References 0 publications

Evaluation of biologic width re-establishment using CHU aesthetic gauges in crown lengthening cases- a clinical study

Evaluation of biologic width re-establishment using CHU aesthetic gauges in crown lengthening cases- a clinical study

Staged esthetic crown lengthening: Classification and guidelines for periodontal‐restorative therapy

Patient perceptions of laser-assisted esthetic crown lengthening: open-flap vs. flapless techniques

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