Multifunctional anatomical prototypes (<scp>MAPs</scp>): Treatment of excessive gingival display due to altered passive eruption

Pedrinaci, Ignacio; Calatrava, Javier; Flores, Juan; Hamilton, Adam; Gallucci, German O.; Sanz, Mariano

doi:10.1111/jerd.13041

Cited by 7 publications

(6 citation statements)

References 26 publications

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“…A similar approach was outlined by Pedrinaci et al. [ 11–13 ], where the bone grinding guide rested on the gingiva, creating a specific gap with the bone after a full-thickness flap was raised. This gap could compromise the clinician’s perspective and drill angle, leading to imprecise bone grinding results [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Digitally planned surgical crown lengthening: a novel bone reduction strategy to correct a gummy smile

Cong,

Nam,

Viet

et al. 2024

Journal of Surgical Case Reports

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This report describes the bone reduction guide which was digitally obtained to improve diagnosis, treatment outcome and follow-up. Treatment of gingival smiles due to altered passive eruption should include interdisciplinary planning and smile design to facilitate the prediction of treatment outcome. Crown lengthening surgery can be supported by digital tools to improve surgical planning and follow-up. A 30-year-old female patient was referred to a private dental clinic seeking solutions for her gingival smile. Based on the anatomical crown length, a smile design was created, and the patient was presented with a simulated smile before treatment. In the surgical phase, a full-thickness flap was raised in the upper jaw to achieve the desired outcome. Using cone-beam computed tomography to determine cementoenamel junction for smile design and treatment planning brings many benefits. Patients and clinicians can foresee treatment results. From there, appropriate changes can be made. The bone reduction guide is designed to rest on the bone to help the clinician cut the bone accurately and thoroughly follow the established plan.

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Section: Discussionmentioning

confidence: 99%

Digitally planned surgical crown lengthening: a novel bone reduction strategy to correct a gummy smile

Cong,

Nam,

Viet

et al. 2024

Journal of Surgical Case Reports

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“…Key facial elements directly associated with smile esthetics treatment include evaluating the facial thirds and aligning the bipupillary line with the line passing through the commissures and the occlusal plane. 9 14 17 Apart from facial elements, other important factors to consider during the planning process include the length and curvature of the lips, upper lip contraction, symmetry of the mouth corner, gingival contour, and zenith position. 14 18 These elements collectively contribute to a comprehensive analysis and planning for achieving optimal results.…”

Section: Discussionmentioning

confidence: 99%

“… 9 14 17 Apart from facial elements, other important factors to consider during the planning process include the length and curvature of the lips, upper lip contraction, symmetry of the mouth corner, gingival contour, and zenith position. 14 18 These elements collectively contribute to a comprehensive analysis and planning for achieving optimal results.…”

Section: Discussionmentioning

confidence: 99%

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Digital Planning to Enhance Diagnosis and Precision in Correcting Excessive Gingival Display in the Presence of Asymmetrical Maxillary Position: A Case Report

Reis,

Damin,

Pereira

et al. 2024

Eur J Dent

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This case report addresses the treatment of excessive gingival display (EGD) in the context of maxillary asymmetry, zenith irregularities, and occlusal plane inclination. Digital planning was pivotal in formulating a precise treatment strategy by incorporating facial photographs, digital models, and cone-beam computed tomography data. Parameters, including occlusal plane inclination, teeth position, and lip-to-gingival margin relationships, were considered to ensure treatment alignment with the patient's facial characteristics. Notably, during the planning phase, it was evident that the conventional approach using the cementoenamel junction as the apical limit for incisions would result in asymmetry. Consequently, the gingival margin position was defined in accordance with facial and lip features. The chosen treatment, flapless crown lengthening, was tailored to the patient's thin phenotype and guided by measurements derived from digital planning. Postsurgery, the patient experienced a swift and painless recovery. A harmonious smile with a stable gingival margin position was achieved at the 1-year follow-up, seamlessly complementing the patient's facial attributes. This case underscores the importance of personalized EGD treatment and the value of digital planning in enhancing diagnostic accuracy and precise treatment planning, ultimately facilitating optimal treatment strategies.

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“…This can result in less pain, inflammation and recovery time for the patient. 2,15 The purpose of these case reports was to explore the potential of a protocol for the treatment of excessive gingival display using digital guides in combination with low-and high-power lasers.…”

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confidence: 99%

Use of both the diode and Er: YAG lasers in esthetic crown lengthening with the aid of digitally guided dual technique: 3 years follow‐up

Benítez,

Azevedo,

da Silva

et al. 2023

J Esthet Restor Dent

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ObjectiveTo explore the feasibility of the usage of digital guides in combination with low‐ and high‐power lasers for the treatment of excessive gingival display, also known as “gummy smile”.Clinical ConsiderationsExcessive gingival display due to altered passive eruption can affect patient's perception of their own esthetics and consequently have an impact on self‐confidence. Therefore, the management of this condition should offer a predictable and stable long‐lasting solution. To attain these objectives, digital planning emerges as a tool in optimizing the outcomes of crown lengthening surgery for this condition by enhancing precision through the use of surgical guides. Additionally, the usage of high‐ and low‐powered lasers can provide a safe approach because of their tissue selective removal properties.ConclusionsThe technique described showed satisfactory clinical results in the short‐ and long‐term follow‐up, leading to an improvement in patients' self‐esteem. This approach integrates digital and laser technologies to deliver a surgical treatment characterized by precision, efficiency, and safety.Clinical SignificanceDigital dentistry has contributed to innovative dental procedures, as personalizing surgical guides for patients, assisting and guiding incisions of the gingival margins, as well as the extension of the osteotomy, during the procedures for increasing the clinical crown. Furthermore, smile esthetics are directly related to an individual's improved emotional and social quality of life.

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Multifunctional anatomical prototypes (MAPs): Treatment of excessive gingival display due to altered passive eruption

Cited by 7 publications

References 26 publications

Digitally planned surgical crown lengthening: a novel bone reduction strategy to correct a gummy smile

Digitally planned surgical crown lengthening: a novel bone reduction strategy to correct a gummy smile

Digital Planning to Enhance Diagnosis and Precision in Correcting Excessive Gingival Display in the Presence of Asymmetrical Maxillary Position: A Case Report

Use of both the diode and Er: YAG lasers in esthetic crown lengthening with the aid of digitally guided dual technique: 3 years follow‐up

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