Positional stability of the periodontal tissues following crown lengthening surgery

Altayeb, Walid; Rossi, Roberto; Arnabat-Domínguez, Josep

doi:10.1016/j.dentre.2022.100059

Cited by 8 publications

(10 citation statements)

References 34 publications

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“…Current study results were also in accordance with a recent systematic review done by Altayab W et al, 30 where they concluded that adequate healing time of 3 months should be given in order to periodontal tissues in order to achieve stable and predictable results for restoring the surgical area with permanent restorations. They also concluded that rebound of coronal margin can occur with crown lengthening surgery (CLS) and phenotype of periodontium with surgery alters the procedural morbidity, healing time and GM.…”

Section: Discussionsupporting

confidence: 90%

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: 90%

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 is because when compared to thin phenotypes, thick phenotypes appeared to be associated with a greater GM rebound following an ECL procedure [ 5 ]. Visual inspection should not be considered a credible method for assessing the periodontal phenotype; instead, CBCT should be employed [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Treatment of excessive gingival display using conventional esthetic crown lengthening versus computer guided esthetic crown lengthening: (a randomized clinical trial)

Borham,

Abuel-Ela,

Mohamed

et al. 2024

BMC Oral Health

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Background Surgical guides have been proposed in an attempt to reach more predictable outcomes for esthetic crown lengthening. The objective of the present study was to evaluate the effectiveness of esthetic crown lengthening using 3D-printed surgical guides in the management of excessive gingival display due to altered passive eruption type 1B. Materials and methods Sixteen patients diagnosed with altered passive eruption type 1B, were divided into two groups. In the control group, the procedure was carried out conventionally, and in the study group, a dual surgical guide was used. The parameters of wound healing (swelling, color, probing depth, bleeding index, and plaque index), pain scores, gingival margin stability, and operating time were assessed at 1 week, 2 weeks, 3 months, and 6 months postoperatively. Results There was no statistically significant difference in terms of wound healing, pain scores, and gingival margin stability between both groups at different time intervals (P = 1), however, there was a statistical difference between both groups in terms of operating time with the study group being significantly lower (P < 0.001). Conclusion Digitally assisted esthetic crown lengthening helps shorten the operating time and reduces the possibility of human errors during the measurements. This will be useful in helping practitioners achieve better results. Practical implications The conventional method remains to be the gold standard. However, shorter operating time and lower margins for errors will help reduce costs as the chair side time is reduced as well as the possibility for a second surgery is lower. This will improve patient satisfaction as well.

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“…4 Selain itu, waktu penyembuhan jaringan periodontal yang adekuat sebelum pemasangan restorasi permanen juga perlu dipertimbangkan (≥ 3 bulan) untuk menghindari gingival margin rebound. 6…”

Section: Kata Kunciunclassified

Functional Crown Lengthening as a Pre-Restorative Procedure in the Aesthetic Zone

Vidya,

Hafiyyah

2024

interdental

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Introduction: Crown lengthening is a surgical procedure to increase the height of the clinical crown for aesthetic and restorative purposes, or combination. The indications include treatment of subgingival caries and altered passive eruption. Functional crown lengthening for restorative purposes in the esthetic zone should consider the concept of biologic width and the ideal proportion of the dentogingival complex. Case: A 39-year-old male patient was referred from the Department of Conservative Dentistry, RSGM UGM Prof. Soedomo to expose the maxillary anterior teeth crowns for full crown and veneer restorations. Clinical examination showed 11, 12, and 12 post root canal treatment with 3-4 mm remaining crowns. Teeth 13, 21, 22, and 23 appear short, excessive gingival display of 3 mm, with a diagnosis of altered passive eruption type 1B. Treatment: Functional crown lengthening was performed by gingivectomy followed by flap elevation, ostectomy, and osteoplasty. A fenestration was found at the apical of 22 and treated with regenerative procedure. Full crowns and veneers insertion was done 3 months after surgery. Crown lengthening as a pre-restorative procedure is a multidisciplinary treatment that considers the need for restoration by re-establishing the biologic width, to prevent inflammation and bone loss. In addition, adequate post- surgical tissue healing time prior to restoration is necessary to avoid gingival margin rebound and to assure long-term success of the restoration. Conclusionn : Functional crown lengthening as a pre-restorative procedure in the esthetic zone can gives satisfactory and stable results, with careful examination and correct surgical procedure.

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Positional stability of the periodontal tissues following crown lengthening surgery

Cited by 8 publications

References 34 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

Treatment of excessive gingival display using conventional esthetic crown lengthening versus computer guided esthetic crown lengthening: (a randomized clinical trial)

Functional Crown Lengthening as a Pre-Restorative Procedure in the Aesthetic Zone

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