Background: In order to restore severely attrited teeth properly, surgical intervention in the form of a crown-lengthening procedure may be required. And also, proper diagnosis and treatment sequencing is critical to obtain a successful results. Adequate diagnostic wax-up ensures good esthetics and healthy periodontal tissue.
Case Description: This clinical case report describes a diagnostically based protocol for restoration on mandibular anterior teeth with crown lengthening procedure and the treatment of partially edentulous mandible combined with an edentulous maxilla. In addition, the effort to prevent the combination syndrome was described.
Clinical Implication: An interdisciplinary diagnosis and examination through visualization of the desired results ensure conservative and more predictable outcome.
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http://dx.doi.org/10.4047/jap.2010.2.2.50 | DOI Listing |
Dent J (Basel)
December 2024
Faculty of Medicine and Health Sciences, University of Barcelona, 08907 Barcelona, Spain.
Introduction: In recent years, erbium-doped yttrium aluminum garnet (Er:YAG) and erbium, chromium/yttrium-scandium-gallium-garnet (Er,Cr:YSGG) lasers have been introduced as another possibility to perform less-invasive flapless (FL) crown-lengthening (CL) procedures.
Objectives: The aim of this review is to describe the outcomes and complications of this approach.
Materials And Methods: A literature review was conducted to retrieve clinical studies and case reports that analyze different variables related to laser-assisted flapless crown lengthening and report their outcomes in terms of gingival margin level stability (GMLS), and postoperative complications.
Stomatologiia (Mosk)
December 2024
Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.
The main principles of management of children with root fractures of permanent teeth in the coronal third are presented using two clinical cases as an example. In the treatment of root fractures in the coronal third, an important condition for success is timely flexible or semi-flexible splinting of the tooth for a sufficiently long period (up to 4 months). In the absence of splinting or significant mobility of the coronal fragment after removal of the splint the probability of pulp necrosis is very high, and the method of choice is treatment with calcium silicate cements with their introduction by orthograde or surgical access.
View Article and Find Full Text PDFBMC Oral Health
December 2024
Department of Pediatric Dentistry, Dental Research Institute, Pusan National University Dental Hospital, 20 Geumo-Ro, Mulgeum-Eup, Yangsan-Si, Gyeongsangnam-Do, 50612, Republic of Korea.
Background: Preservation of a healthy periodontium is critical for the long-term success of restored teeth. In cases of extensive caries, tooth fracture, inadequate crown length, and increased esthetic demands, the restorative margins need to be placed apical to the gingival margin. Violation of the biological width due to dental trauma frequently appears in clinical practice.
View Article and Find Full Text PDFCureus
November 2024
Department of Dentistry, Ministry of Health, Kuwait, KWT.
Clinical crown lengthening is a surgical procedure that involves the manipulation of gingival tissue, designed to expose sound tooth structure for restorative purposes by apically repositioning the gingival tissue, with or without the removal of alveolar bone. Crown lengthening may be subdivided as functional or esthetic, according to the purpose of treatment. Functional crown lengthening pertains to the exposure of subgingival caries, fractures, or to avoid invading the biologic width.
View Article and Find Full Text PDFColomb Med (Cali)
December 2024
Escuela de Odontología, Universidad del Valle, Cali, Colombia Universidad del Valle Escuela de Odontología Universidad del Valle Cali Colombia.
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