medigraphic.com
ISSN 1870-199X (Print)
Órgano oficial de la Facultad de Odontología, UNAM

2013, Number 4

<< Back Next >>

Rev Odont Mex 2013; 17 (4)

Periodontal plastic surgery performed in clinically short crowns for prosthetic rehabilitation

Martínez HR, Marín GMG

Language: Spanish
References: 25
Page: 240-246
PDF size: 427.16 Kb.


ABSTRACT

In recent years, esthetics has become paramount in dental treatments, raising high expectations in patients. Esthetic harmony is determined by the smile, which in turn is influenced by the position and dimension of teeth, gums and lips. Conditions affecting dental clinical crowns require intervention of several dental disciplines to restore function and esthetics. Lengthening of the surgical crown allows for the increase of supra-crest crown length as well as the re-establishment of biological thickness to balance restorative esthetic requirements with periodontal health. Case presentation: A female patient afflicted with delayed passive eruption was referred from the Prosthetics Department to undergo lengthening of crown to achieve prosthetic rehabilitation. Conclusions: Crown lengthening allows tissue preparation and achieves esthetic and physiological stability, achieving access to prosthetic margins preserving thus suitable prosthetic-periodontal unity.


REFERENCES

  1. Studer S, Zellweger U, Schärer P. The aesthetic guidelines of the mucogingival complex for fixed prosthodontics. Pract Periodontics Aesthet Dent. 1996; 8 (4): 333-41 quiz 342.

  2. Jorgensen MG, Nowzari H. Aesthetic crown lengthening. Periodontology 2000. 2001; 27: 45-58.

  3. Reedy MS. Achieving gingival esthetics. A Am Dent Assoc. 2003; 134 (3): 295-304.

  4. Davis NC. Smile design. Dent Clin North Am. 2007; 51 (2): 299-318.

  5. Levine RA, Mc Wire M. The diagnosis and treatment of the gummy smile. Compendium 1997; 18 (8): 757-766.

  6. Konikoff BM, Jhonson DC, Schenkein HA. Clinical crown length of the maxillary anterior teeth preorthodontics and postorthodontics. J Periodontol. 2007; 78: 645-653.

  7. Lee EA. Aesthetic crown lengthenig: classification, biologic rationale, and treatment planning considerations. Pract Proced Aesthet Dent. 2004; 16 (10): 769-778.

  8. Pontoriero R, Carnevale G. Surgical crown lenghtening: a 12-month clinical wound healing study. J Periodontol. 2001; 72: 841-848.

  9. Claman L, Alfaro MA, Mercado A. An interdisciplinaty approach for improved esthetic results in the anterior maxilla. J Prosthet Dent. 2003; 89: 1-5.

  10. Padbury Jr A, Eber R, Wang H-L. Interactions between the gingival and the margin of restorations. J Clin Periodontol. 2003; 30: 379-385.

  11. Lanning SK, Waldrop TC, Gunsolley JC, Maynard JG. Surgical crown lengthening: evaluation of the biological width. J Periodontol. 2003; 74: 468-474.

  12. Yamamoto T, Kinoshita Y, Tsuneishi H, Umemura O, Watanabe T. Estimation of the remaining periodontal ligament from attachment-level measurements. J Clin Periodontol. 2006; 33 (3): 221-225.

  13. Broadbent JM, Williams KB, Thompson WM, Williams SM. Dental restorations: a risk factor for periodontal attachment loss? J Clin Periodontol. 2006; 33: 803-810.

  14. Sanavi F, Weisgold AS, Rose LF. Biologic width and its relation to periodontal biotypes. J Esthetic Dent. 1998; 10 (3): 157-163.

  15. Olson M, Lindhe J. Periodontal characteristics in individuals with varying form of the upper central incisors. J Clin Periodontol. 1991; 18: 78-82.

  16. Davarpanah M, Jansen CE, Vidjak FM, Etienne D, Kevir M, Martínez H. Restorative and periodontal considerations of short clinical crowns. Int J Periodont Rest Dent. 1998; 18: 425-433.

  17. De Paoli S, Nevins M, Cappetta EG. The biologic width: crown lengthening. Carranza clinical periodontology. Cap. 21 pp 319-328, 10a. ed. Newman, Takei, Klokkewuld, Carranza. Ed. Elsevier Sounds, 2006.

  18. Smukler H, Chaibi M. Periodontal and dental considerations in clinical crown extension: a rational basis of treatment. Int J Periodont Rest Dent. 1997; 17: 465-477.

  19. Towensed ChL. Resective surgery: an esthetic application. Quintessence Int. 1993; 24: 535-542.

  20. Towensed Cerryl Prerestorative Periodontal Plastic Surgery. Creating the Gingival Framework for the Ideal Smile. Dentistry Today. 2004; 130-133.

  21. Herrero JB, Scott PS, Maropis RA, Yukna. Clinical comparison of desired versus actual amount of surgical crown lengthening. J Periodontol. 1995; 66: 568-571.

  22. Takei, Bevilacqua, Cooney. Surgical crown lengthening of the maxillary anterior dentition: aesthetic considerations. Pract Periodont Aesthet Dent. 1999; 11 (5): 639-644.

  23. Kokich VG, Nappen DL, Shapiro PA. Gingival contour and clinical crown length: their effect on the esthetic appearance of maxillary anterior teeth. American J Orthodontics. 1984; 86 (2): 89-94.

  24. Deas DE, Moritz AJ, McDonnell HT, Powell ChA, Mealey BL. Osseous surgery for crown lengthening: a 6-month clinical study. J Periodontol. 2004; 75 (9): 1288-1294.

  25. Brägger U, Lauchenauer D, Lang NP. Surgical lengthening of the clinical crown. J Clin Periodotol. 1992; 19: 58-63.




2020     |     www.medigraphic.com