Crown Lengthening Surgery – Indications and Techniques

Abstract

Today's restorative dentist faces an apparent increase in patients exhibiting toothwear that may result in shortened teeth, making crowning these teeth problematic. In addition, it is evident that patients are becoming more aware of the importance of a pleasing smile. This article discusses crown lengthening as one way in which the restorative dentist can address both clinical demands.

Surgical Crown Lengthening: A Case Report

“…His decision regarding the procedure should be based on the indications and contraindication of the case, following comprehensive examination and planning. 4,6,9 The surgical technique used in this case was crown lengthening via apically displaced flap with removal of osseous tissue. The aim was to reduce the extent of gingival display and maximize the clinical crown height of the upper anterior teeth.…”

“…3 Indications for crown lengthening include excessive gingival display, short clinical crown, restorative procedure, and management of uneven gingival margins. 4,5 Contraindications for crown lengthening include smoking, thin periodontal biotype, inadequate band of the keratinized gingiva, periodontal disease with the loss of bone support, and presence and extent of caries. 6 During treatment planning, multiple factors such as the smile line, crown-to-root ratio, position of the cementoenamel junction, width and thickness of the keratinized tissue, and health of the periodontium must be considered.…”

Restoring the Endodontically Treated Tooth: Treatment Planning Considerations

“…1 ) has to be considered. If it is violated, it may induce chronic infl ammation (Gunay et al 2000 ) and even lead to periodontal breakdown (Cunliffe and Grey 2008 ). Gargiulo et al ( 1961 ) published one of the fi rst studies on the issue of the dimensions of the biologic width.…”

Integrating Laser Dentistry into Esthetic Dentistry

“…Intraoral radiographs and orthopantogram (OPG) were advised. Smile analysis was done and a stent 12 was prepared as a guide during surgery for crown lengthening. Treatment was carried out in two phases.…”