Treatment of Teeth with Insufficient Clinical Crown. Part 1: One-Year Clinical Outcomes of a Minimally Invasive Crown-Lengthening Approach

Cortellini, Simone; Bonaccini, Daniele; Stalpers, Gabrielle; Mollo, Aniello

doi:10.11607/prd.5660

Cited by 4 publications

(3 citation statements)

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“…However, six other randomized trials reported that patients in the MIST group presented significantly less post-surgical pain and lower wound healing scores ( p < 0.01) [ 7 , 19 , 29 , 30 , 32 , 33 ]. Dissimilarities in postoperative guidelines, type of analgesic prescription, procedures utilized to remove the graft from the palate, and clinician practice can clarify the disparities between the reports [ 44 ]. Furthermore, the inferior postoperative discomfort reported for some trials might be ascribable to the implementation of MIST.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Randomized Clinical Trials Evaluating the Efficacy of Minimally Invasive Surgery for Soft Tissue Management: Aesthetics, Postoperative Morbidity, and Clinical Results

2023

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Background and Objectives: The necessity for less invasive and patient-friendly surgical therapies guided the development of the “minimally invasive surgical technique” (MIST). The aim of this systematic review was to evaluate the efficacy of MIST for soft tissue management considering aesthetic results, postoperative morbidity, and clinical outcomes. Materials and Methods: Several databases were used to conduct a thorough analysis of the scientific evidence. To investigate randomized clinical trials (RCTs), MeSH terms and keywords were provided. Results: Eleven RCTs were chosen. These experiments included 273 patients. The trials that explored MIST for papilla preservation presented greater efficacy in increasing papillary height (p < 0.05). MIST showed stable clinical outcomes for the management of excessive gingival display and with a flapless technique for single implant placement. Considering the treatment of gingival recessions, some RCTs presented greater root coverage with MIST (p < 0.05), while other trials did not show differences between groups. Regarding aesthetic perception, five RCTs indicated high patient satisfaction with MIST (p < 0.05). Similarly, six RCTs reported that patients in the MIST group presented significantly less post-surgical pain and lower wound healing scores (p < 0.01). Conclusions: It was concluded that using MIST resulted in more clinical studies reporting better clinical outcomes. Considering aesthetic appearance, slightly more than half of the clinical trials also showed improved results with MIST. Likewise, regarding postoperative morbidity, 60% of the clinical trials also described better scores with MIST. All of this indicates that MIST is a good alternative for the management of soft tissues.

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Section: Discussionmentioning

confidence: 99%

A Systematic Review of Randomized Clinical Trials Evaluating the Efficacy of Minimally Invasive Surgery for Soft Tissue Management: Aesthetics, Postoperative Morbidity, and Clinical Results

2023

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“…The crownlengthening procedure serves two purposes: aesthetic and functional. In both scenarios, the surgical objective is to restore the biological width apically while exposing additional tooth structure [29]. In regions requiring increased aesthetic precision, where preserving papilla and soft tissue is crucial, employing a microsurgical technique is advised.…”

Section: Esthetic Crown Lengthening Microsurgerymentioning

confidence: 99%

“…Flap refl ection is kept minimal, and suturing allows for precise adaptation of the fl aps, minimizing infl ammation, scarring, and patient discomfort. With procedures being minimally invasive and offering superior wound adaptation, rapid healing, and improved aesthetics can be anticipated [29].…”

Section: Esthetic Crown Lengthening Microsurgerymentioning

confidence: 99%

Navigating the landscape of periodontal and peri-implant microsurgery: A contemporary review

Devadharshini,

Burnice Nalina,

Jaideep

et al. 2024

Open J Pain Med

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Periodontal and per-implant microsurgery have revolutionized the field of dental surgery, enabling precise and minimally invasive procedures with improved outcomes. The advent of microsurgical instruments, enhanced magnification systems, and specialized suturing techniques has allowed clinicians to achieve superior aesthetic and functional results while minimizing patient discomfort and morbidity. Furthermore, emerging technologies such as digital planning and guided surgery have complemented microsurgical techniques, enabling more predictable outcomes and patient-centered treatment approaches. The review aims to discuss the principles of microsurgery, including flap design, tissue handling, and suture placement, and explores their applications in the management of mucogingival defects and periimplantitis. Continued research and clinical advancements in this field are essential to further enhance treatment outcomes and refine surgical protocols for the benefit of patients and practitioners.

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Survival analysis of teeth following clinical crown lengthening and crown insertion procedures up to 14 years: A retrospective cohort study

Oh,

Hu,

Kwak

et al. 2024

Journal of Periodontology

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BackgroundThe purpose of this study was to conduct survival analysis of teeth following clinical crown lengthening procedures (CLPs) and crown insertions via a retrospective cohort study.MethodsPatient‐ and tooth‐related data were collected from 268 participants who received CLPs from 2009 to 2015. The Kaplan–Meier curve and the log‐rank tests were used to estimate the probability of survival and compare the survival probabilities among different variables. A Cox multivariate proportional hazard regression model was used to investigate the collective effects of root canal treatment (RCT) and the types of opposing dentition.ResultsThe rate of tooth loss was 21.6% during the observation period from 1 to 14 years, with 58 teeth extracted. The most attributable reason for tooth extraction was coronal tooth fracture, followed by endodontic failure such as root fracture. The survival probability was 0.87 at 5 years and 0.7 at 10 years. No significant differences in the survival probabilities were found among different providers and locations, the presence of a post, and the types of crowns. The hazard ratio for tooth loss was 6.3, 95% confidence interval (CI) [2.6 to 20.9] in the teeth with RCT (p < 0.001) and 2.4, 95% CI [1.1 to 4.8] in the teeth occluding implant‐retained prostheses (p = 0.016).ConclusionsTooth loss following CLPs and crown insertions appeared least among the teeth without RCT when occluding natural teeth, while tooth loss was most among the teeth with RCT when occluding implants.

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Treatment of Teeth with Insufficient Clinical Crown. Part 1: One-Year Clinical Outcomes of a Minimally Invasive Crown-Lengthening Approach

Cited by 4 publications

References 0 publications

A Systematic Review of Randomized Clinical Trials Evaluating the Efficacy of Minimally Invasive Surgery for Soft Tissue Management: Aesthetics, Postoperative Morbidity, and Clinical Results

A Systematic Review of Randomized Clinical Trials Evaluating the Efficacy of Minimally Invasive Surgery for Soft Tissue Management: Aesthetics, Postoperative Morbidity, and Clinical Results

Navigating the landscape of periodontal and peri-implant microsurgery: A contemporary review

Survival analysis of teeth following clinical crown lengthening and crown insertion procedures up to 14 years: A retrospective cohort study

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