CROWN LENGTHENING DAN FRENEKTOMI PADA DAERAH ESTETIK (LAPORAN KASUS)

Winda DA; Martina Amalia; Sally SK; Trimurni Abidin

doi:10.24815/cdj.v13i2.23533

CROWN LENGTHENING DAN FRENEKTOMI PADA DAERAH ESTETIK (LAPORAN KASUS)

Cakradonya Dental Journal ◽

10.24815/cdj.v13i2.23533 ◽

2021 ◽

Vol 13 (2) ◽

pp. 114-119

Author(s):

Winda DA ◽

Martina Amalia ◽

Sally SK ◽

Trimurni Abidin

Keyword(s):

Crown Lengthening

Arsitektur gingiva berperan penting dalam masalah ukuran, bentuk, dan proporsi gigi yang tepat. Crown lengthening adalah prosedur bedah pemanjangan mahkota gigi dengan tujuan untuk restoratif serta pencapaian estetika baik, yang secara aplikatif menempatkan margin gingiva dengan atau tanpa mengurangi tulang pendukung di bawahnya. Frenulum adalah lipatan selaput lendir yang melekatkan bibir dan pipi ke mukosa alveolar, gingiva, dan periosteum yang mendasarinya. Perawatan frenulum dilakukan dengan bedah frenektomi. Pasien wanita usia 22 tahun dirujuk dari departemen konservasi gigi untuk perawatan yang tepat pada gigi anterior atas dengan perlekatan frenulum tinggi. Pada pemeriksaan intraoral ditemukan fraktur pada gigi 21 sudah dengan perubahan warna. Radiografi periapikal menunjukkan obturasi non-hermetis. Perawatan ulang dilakukan oleh dokter gigi konservasi. Setelah itu crown lengthening dan frenektomi dilakukan untuk mendapatkan lebar biologis serta untuk memerbaiki perlekatan frenulum. Bedah periodontal direkomendasikan untuk mendukung kedokteran gigi restoratif serta untuk meningkatkan prognosis jangka panjang. Pendekatan multidisiplin sering diperlukan untuk mendapatkan hasil estetika yang baik. Bedah crown lengthening dan koreksi frenulum dapat menjadi pilihan yang tepat untuk memfasilitasi terapi restoratif dan meningkatkan penampilan estetis.

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Aesthetic Crown Lengthening for Gummy Smile Treatment Related to Altered Passive Eruption: A Case Report

Dentika Dental Journal ◽

10.32734/dentika.v23i2.4278 ◽

2020 ◽

Vol 23 (2) ◽

pp. 28-33

Author(s):

Indira Apriantika ◽

Agung Krismariono

Keyword(s):

Case Report ◽

Treatment Plan ◽

Patient Treatment ◽

Treatment Results ◽

Dental Hospital ◽

Proper Diagnosis ◽

The Aesthetic ◽

Smile Aesthetics ◽

Crown Lengthening ◽

Gummy Smile

A healthy and beautiful smile can affect appearance and confidence. One of the aesthetic problems in dentistry that is often complained of by patients is excessive gingival display (gummy smile). The excessive gingival display can be caused by several factors, one of which is altered passive eruption (APE). One of the treatments to correct gummy smile related to APE is crown lengthening. Crown lengthening can be with bone reduction (gingivectomy with bone reduction) or without bone reduction (gingivectomy). Crown Lengthening with bone reduction is a surgical procedure that aims to maintain the dentogingival complex and to improve smile aesthetics. The purpose of this case report is to determine the crown lengthening with bone reduction (gingivectomy with bone reduction) procedure as a gummy smile treatment related to APE .A23-year-old female patient, came to Dental Hospital of Universitas Airlangga with complaints of her upper gum which not in the same length and the teeth looked short, she considered her smile was less aesthetic. After conducting analyses relating to aesthetics and periodontal tissue, crown lengthening with bone reduction was chosen for this patient treatment. The treatment results are quite good, visible gingival margins that matched the gingival zenith and improved patient's smile profile. APE as the etiology of patient's gummy smile can be corrected. There are no post-surgical complications such as excessive pain and infection. A proper diagnosis, treatment plan, and good techniques can produce a harmonious smile on the patient.

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Aumento de coroa estética sem elevação de retalho – abordagem minimamente invasiva

Full Dentistry in Science ◽

10.24077/2020;1245-cj3439 ◽

2020 ◽

Vol 12 (45) ◽

pp. 34-39

Author(s):

Flavia Sukekava ◽

Julia Helena Luiz ◽

Paloma Palma ◽

Jaques Luiz

Keyword(s):

Minimally Invasive ◽

Correct Diagnosis ◽

Case Series ◽

Minimally Invasive Techniques ◽

Bone Removal ◽

Use Of Technology ◽

Treatment Plans ◽

Invasive Techniques ◽

Crown Lengthening ◽

Gummy Smile

Gummy smile is a characteristic in which the patient exposes more than 2 mm of keratinized gingiva in forced smile. With a multifactorial cause, its correct planning depends directly on the correct diagnosis. Usually, the procedures that involve manipulation and the enlargement of the aesthetical crown lengthening are surgical. The objective of this case series was to show the advantages of surgical crown augmentation surgery in aesthetic areas with minimally invasive techniques. Three cases of gummy smile were presented, with different treatment plans and techniques for execution. In the 3 cases, bone removal was performed with piezoelectric ultrasound, which made the postoperative more comfortable for patients. These cases illustrate the use of technology to reduce morbidity in patients who need to undergo bone removal to treat gingival smile.

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