Simultaneous gingival depigmentation and crown lengthening in esthetic periodontal prosthodontic rehabilitation

Abstract

Evolution in esthetic dentistry have reshaped the demand for having a perfect smile into a need. Enormous advancements in armamentarium, surgical techniques and material sciences have raised the aspiration of patients for having the desired esthetic outcomes in minimum dental visits. Ample cases are reported in the literature having excessive gingival display and hyper pigmentation treated with simultaneous gingivectomy and depigmentation. However, evidence for simultaneous depigmentation and crown lengthening with osseous resection are scarce. The patient in this paper had gingival hyper pigmentation and excessive gingival display with high osseous crest levels. Simultaneous depigmentation and crown lengthening with osseous recontouring was performed in a single visit. Prosthetic rehabilitation proceeded following healing to replace functionally and esthetically unpleasing anterior crowns, restore hard tissue wasting disease, as well as replace missing posterior teeth.