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    Crown Lengthening: (To Overcome Problems With Gummy Smile)

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    Ema Khalil
    Crown lengthening is a surgical procedure done to expose more tooth structure by altering the gingival margin and underlying bone. It is used to overcome problems like a gummy smile by assessing factors like lip size and position. It is also used to expose subgingival caries, fractures, failing restorations, or prepared tooth structure. The techniques include apically positioned flap surgery with or without bone resection and forced eruption of teeth. Forced eruption is preferred when fewer adjacent teeth need alteration and angular bony defects are present.

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    Crown Lengthening: (To Overcome Problems With Gummy Smile)

    Uploaded by

    Ema Khalil
    57 views27 pages
    Crown lengthening is a surgical procedure done to expose more tooth structure by altering the gingival margin and underlying bone. It is used to overcome problems like a gummy smile by assessing factors like lip size and position. It is also used to expose subgingival caries, fractures, failing restorations, or prepared tooth structure. The techniques include apically positioned flap surgery with or without bone resection and forced eruption of teeth. Forced eruption is preferred when fewer adjacent teeth need alteration and angular bony defects are present.

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    periodontics

    Original Title

    Crown lengthening

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    Crown lengthening is a surgical procedure done to expose more tooth structure by altering the gingival margin and underlying bone. It is used to overcome problems like a gummy smile by assessing factors like lip size and position. It is also used to expose subgingival caries, fractures, failing restorations, or prepared tooth structure. The techniques include apically positioned flap surgery with or without bone resection and forced eruption of teeth. Forced eruption is preferred when fewer adjacent teeth need alteration and angular bony defects are present.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    57 views27 pages

    Crown Lengthening: (To Overcome Problems With Gummy Smile)

    Uploaded by

    Ema Khalil
    Crown lengthening is a surgical procedure done to expose more tooth structure by altering the gingival margin and underlying bone. It is used to overcome problems like a gummy smile by assessing factors like lip size and position. It is also used to expose subgingival caries, fractures, failing restorations, or prepared tooth structure. The techniques include apically positioned flap surgery with or without bone resection and forced eruption of teeth. Forced eruption is preferred when fewer adjacent teeth need alteration and angular bony defects are present.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 27

    Crown Lengthening

    (To overcome problems with gummy smile)


    • Factors must be considered
    – Location of gingival margins in relation to the
    CEJ and the bone crest
    – Croon-root-alveolar bone relationships
    – Size and shape of upper lip
    – Location of lip during speech and during a
    broad, relaxed smile
    Crown Lengthening
    (To overcome problems with gummy smile)
    Crown Lengthening
    (To overcome problems with gummy smile)
    Crown Lengthening
    (To expose sound tooth structure)
    • Subgingival location of caries lesions
    • Subgingival location of fracture lines
    • Inaccessibility of subgingival margins of
    failing restorations
    • Inaccessibility of subgingival prepared
    tooth structure for proper impressions
    Crown Lengthening
    (To expose sound tooth structure)
    • Biological width:
    – It is the sum of the supracrestal fibers, the
    junctional epithelium, and the gingival sulcus
    and has a proposed minimal dimension of 3 mm.
    Crown Lengthening
    (To expose sound tooth structure)

    • Techniques:
    – Apically positioned flap (with or without
    bone resection)
    – Force eruption of teeth
    Crown Lengthening
    (To expose sound tooth structure)
    (Apical Positioned Flap)

    • Indication:
    – multiple teeth
    • Contraindication:
    – Single tooth
    Crown Lengthening
    (To expose sound tooth structure)
    (Apical Positioned Flap)
    Crown Lengthening
    (To expose sound tooth structure)
    (Apical Positioned Flap)
    Crown Lengthening
    (To expose sound tooth structure)
    (Force Eruption)
    • Indications:
    – At sites where it is important to maintain the
    location of the gingival margin at adjacent
    teeth unchanged
    – At sites where removal of attachment and
    bone from adjacent teeth must e avoided
    – At sites where with angular bony defects
    • Contraindications:
    – Few teeth remaining
    Crown Lengthening
    (To expose sound tooth structure)
    (Force Eruption)
    Crown Lengthening
    (To expose sound tooth structure)
    (Force Eruption)
    Crown Lengthening
    (To expose sound tooth structure)
    (Force Eruption)

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