scholarly journals Minimally Invasive Surgery for Clinical Crown Lengthening Using Piezoelectric Ultrasound

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Ana Carolina Monachini Marcantonio ◽  
Guilherme José Pimentel Lopes de Oliveira ◽  
Cássio Rocha Scardueli ◽  
Camila Chiérici Marcantonio ◽  
Rosemary Adriana Chiérici Marcantonio ◽  
...  
Keyword(s):  
Case Report ◽  
Postoperative Complications ◽  
Minimally Invasive ◽  
Gingival Tissue ◽  
Aesthetic Outcome ◽  
Gingival Margin ◽  
Periodontal Tissues ◽  
Rapid Healing ◽  
Virtual Analysis ◽  
Crown Lengthening

This case report is aimed at describing a flapless, minimally invasive clinical crown lengthening with an osteotomy performed using a piezoelectric ultrasound. A female patient complained about the amount of gum that was exposed when she smiled, which caused aesthetic discomfort. After a clinical examination, it was confirmed that the patient had excessive gum exposure in the upper arch of the dental region for teeth 14 to 24 when she smiled. The tomographic exam showed that bone tissue was at the level of the enamel-cementum junction, and gingival tissue covered a part of the anatomic crown. Virtual analysis using digital smile design (DSD) demonstrated that enlarging the clinical crowns would provide better aesthetics. The excess gingival tissue was removed from the gingival margin region with the aid of a mockup without interference to the interdental papillae. Then, osteotomy was performed using piezoelectric ultrasound until there was a 2.5 mm distance from the top of the bone crest to the new gingival margin. In the postoperative period, good repositioning of the gingival margin, absence of postoperative complications, and rapid healing of the gingival tissue were verified. After 6 months, a good aesthetic outcome was observed with stability in the level of the periodontal tissues obtained via the crown-lengthening technique. It can be concluded that the minimally invasive clinical crown-lengthening technique was effective in repositioning the gingival margin with no postoperative complications.

scholarly journals Crown Lengthening as Treatment for Altered Passive Eruption: Review and Case Report

2015 ◽  
Vol 6 (3) ◽  
pp. 178-183
Author(s):  
Mateus Rodrigues Tonetto ◽  
Shelon Cristina Souza Pinto ◽  
Matheus Coelho Bandeca ◽  
Suellen Nogueira Linares Lima ◽  
Cristian Higashi ◽  
...  
Keyword(s):  
Case Report ◽  
Correct Diagnosis ◽  
Strong Association ◽  
Invasive Technique ◽  
Adequate Treatment ◽  
Periodontal Tissues ◽  
Choice Of Treatment ◽  
Smile Esthetics ◽  
Crown Lengthening ◽  
Gummy Smile

ABSTRACT This case report relates a patient with altered passive eruption (APE) treated with surgical crown lengthening. There is a strong association between smile esthetics and periodontal tissues. ‘Gummy smile’ constitutes a relatively frequent esthetic disadvantage characterized by excessive display of the gums during upper lip smiling. One situation that can lead to gummy smile is APE. There are many important diagnostic factors connected with APE. These include making a correct diagnosis; considering facial and oral features before considering the most appropriate periodontal treatment. A 21-year-old female patient presented to the dental clinic expressing to be discontent with her smile, due to the display of gingiva when she smiles. Before choosing the adequate treatment, esthetics and periodontal factors were analyzed. In the present case report, surgical crown lengthening was the treatment chosen. Through a correct diagnosis and technique, it was possible to obtain harmony in the smile. Crown-lengthening surgery is an important choice of treatment, because it is a less invasive technique and it permits the establishment of an esthetical smile. How to cite this article Pinto SCS, Higashi C, Bonafé E, Pilatti GL, Santos FA, Tonetto MR, Lima SNL, Bandéca MC. Crown Lengthening as Treatment for Altered Passive Eruption: Review and Case Report. World J Dent 2015;6(3):178-183.

scholarly journals Replacement of Anterior Composite Resin Restorations Using Conservative Ceramics for Occlusal and Periodontal Rehabilitation: An 18-Month Clinical Follow-Up

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Leonardo Fernandes da Cunha ◽  
Rayane Alexandra Prochnow ◽  
Adriana Osten Costacurta ◽  
Carla Castiglia Gonzaga ◽  
Gisele Maria Correr
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Composite Resin ◽  
Resin Cement ◽  
Periodontal Tissues ◽  
Anterior Teeth ◽  
Composite Resin Restorations ◽  
Ceramic Restorations ◽  
Resin Restorations

This case report describes a patient with discolored and fractured composite resin restorations on the anterior teeth in whom substitution was indicated. After wax-up and mock-up, the composite was removed and replaced with minimally invasive ceramic laminates. An established and predictable protocol was performed using resin cement. Minimally invasive ceramic restorations are increasingly being used to replace composite restorations. This treatment improves the occlusal and periodontal aspects during the planning and restorative phases, such as anterior guides, and laterality can be restored easily with ceramic laminates. In addition, the surface smoothness and contour of ceramic restorations do not affect the health of the surrounding periodontal tissues. Here we present the outcome after 18 months of clinical follow-up in a patient in whom composite resin restorations in the anterior teeth were replaced with minimally invasive ceramic laminates.

scholarly journals Minimum intervention management of diastema closure using cordless displacement system and laminate veneers: A 2-year follow-up

2018 ◽  
Vol 12 (03) ◽  
pp. 446-449 ◽  
Author(s):  
Ana Teresa Maluly-Proni ◽  
Bruna Oliveira-Reis ◽  
Wirley Gonçalves Assunção ◽  
Paulo Henrique Dos Santos
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Female Patient ◽  
Junctional Epithelium ◽  
Excessive Pressure ◽  
Periodontal Tissues ◽  
Invasive Method ◽  
Displacement System ◽  
Laminate Veneers

ABSTRACTThis case report presents a minimally invasive diastema treatment using cordless gingival displacement system allowing a very conservative intervention. A 32-year-old female patient who presented with diastema in her upper front teeth opted for a treatment using laminate veneers to ensure achieving adequate tooth proportion and gingival levels. Having a displacement material that exerts excessive pressure during the displacement process can lead to disruption of the junctional epithelium and damage to periodontal tissues. This case report focuses on the effectiveness of the use of a minimally invasive method of gingival management. Two-year follow-up no infiltration, sensitivities, or fractures were detected on teeth, and indirect restorations, the purposed treatment allowed a quick, effective, and durable resolution for diastema.

Closed Flap Osseous Crown Lengthening Procedure

2020 ◽  
Author(s):  
Aditi Chaudhary
Keyword(s):  
Postoperative Complications ◽  
Healing Process ◽  
Aesthetic Outcome ◽  
Flap Surgery ◽  
Erbium Laser ◽  
Tooth Structure ◽  
Present Technique ◽  
The Aesthetic ◽  
Biologic Width ◽  
Crown Lengthening

Osseous crown-lengthening is often needed to enhance the appearance of a patient’s smile, prevent the violation of biologic width, and/or provide sufficient tooth structure for the placement of final restorations. The present technique for osseous crown lengthening typically involves flap surgery, a procedure that frequently is associated with postoperative complications that can interfere with the aesthetic outcome, such as infection, bleeding, and change in tissue position during the healing process. The erbium laser enables the clinician to offer the patient a minimally invasive alternative to osseous crown lengthening negating the adverse effects associated with conventional treatment. Other advantages of using the laser for osseous crown lengthening includes: hemostasis, improved visualization, fewer postoperative complications and recession.

VISTA TECHNIQUE TO AUGMENT GINGIVA IN LOWER ANTERIOR TOOTH : A CASE REPORT

2021 ◽  
pp. 62-63
Author(s):  
P. Veerendranath Reddy ◽  
K. Rekha Rani ◽  
K. Phani Yasaswini ◽  
C. Srilatha
Keyword(s):  
Case Report ◽  
Tooth Loss ◽  
Donor Site ◽  
Gingival Recession ◽  
Root Surface ◽  
Treatment Modalities ◽  
Gingival Tissue ◽  
New Techniques ◽  
Periodontal Tissues ◽  
Minimal Trauma

One of the most common esthetic concerns associated with the periodontal tissues is gingival recession. Gingival recession is the exposure of root surface due to apical migration of the gingival tissue margin from the cementoenamel junction (CEJ). Although it rarely results in tooth loss, marginal tissue recession is associated with thermal and tactile sensitivity, esthetic complaints, and a tendency toward root caries. Recently, new techniques have been suggested for the surgical treatment of single or multiple adjacent recession type defects. This case report describes the use of the vestibular incision subperiosteal tunnel access (VISTA) technique in combination with a guided tissue regeneration (GTR) based root coverage procedure over mandibular central incisors presented with class II gingival recession. Demonstrating favorable healing without the need for a donor site and minimal trauma at the surgical site, this procedure may be advantageous in treatment of recession as compared to other treatment modalities

Rinograma protocolo seguro na rinomodelação com ácido hialurônico

2021 ◽  
Vol 2 (7) ◽  
pp. 38-47
Author(s):  
Ana Paula de Freitas Farias Silva ◽  
Sidmarcio Ziroldo
Keyword(s):  
Hyaluronic Acid ◽  
Case Report ◽  
Side Effects ◽  
Postoperative Complications ◽  
Minimally Invasive ◽  
Clinical Case ◽  
Invasive Procedure ◽  
Minimally Invasive Procedure ◽  
Correct Form ◽  
Nasal Defects

The rhinoplasty is also an aesthetic process, where it depends the correct form to be made. Small nasal defects can be corrected with fillers. Hyaluronic acid is one of the most commonly used fillers lately due to efficacy, predictability, reversibility, local anesthesia, rapid patient recovery, and few postoperative complications. The objective of this study was to present a case report based on rhinomograms as a safe application protocol and its advantages to the surgeon. It was concluded that rhinoplasty with hyaluronic acid is a minimally invasive procedure and few side effects when respecting the limits of each region. Regarding the clinical case, there was an evident improvement in the eformities and nasal contour in the photographic evaluation performed immediately after the reported procedure. The patient informed that she’s pleased with the result.

scholarly journals Forceful Orthodontic Extrusion of Maxillary Canine in an Adult Patient: A Case Report

2018 ◽  
Vol 06 (01) ◽  
pp. 037-039
Author(s):  
Suruchi Jatol-Tekade ◽  
Satyajit Tekade ◽  
Kush Pathak ◽  
Vishal Patni
Keyword(s):  
Case Report ◽  
Adult Patient ◽  
Treatment Modalities ◽  
Case Discussion ◽  
Maxillary Canine ◽  
Tooth Structure ◽  
Gingival Margin ◽  
Orthodontic Extrusion ◽  
Crown Lengthening

AbstractLoss of tooth structure in the esthetic region is a big challenge for restorative dentist as it not only involves the establishment of tooth structure but also complies microesthetics. If the tooth structure is lost near the gingival margin, then the periodontal aspect cannot be overlooked. Surgical crown lengthening and orthodontic extrusion of the remaining tooth structure are two possible treatment modalities for such cases. Which one is best suited depends on the indications for each procedure. This study reports an orthodontic extrusion for the restoration of fractured upper canine. Preference of crown lengthening by orthodontic extrusion over surgical crown lengthening is clarified along the case discussion.

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