scholarly journals Gummy Smile Treatment by Aesthetic Crown Lengthening on Altered Passive Eruption Case

2021 ◽  
Vol 55 (8) ◽  
Author(s):  
Noer Ulfah ◽  
I Komang Evan Wijaksana
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Primary Treatment ◽  
Chief Complaint ◽  
Central Incisor ◽  
Height Ratio ◽  
Aesthetic Results ◽  
Subtype A ◽  
Crown Lengthening ◽  
Gummy Smile

An attractive smile enhances the appearance and acceptance of an individual in society. Gum exposure more than 3 mm is generally considered unattractive and known as a gummy smile, which is usually considered an aesthetic problem. At present, patients have a greater desire for more aesthetic results that may influence the planning of dental treatments. This case report aimed to describe the surgical sequence of aesthetic crown lengthening to improve smile profile and eliminate gummy smile. We reported a 21-year-old non-smoking woman with no pertinent medical history who presented with a chief complaint of an unattractive smile due to excessive gingival display. The gingival display in the smile was 5 mm, and the width to height ratio of the central incisor was 121%. Neither periodontal problems nor teeth mobility was detected. Assessment for the condition was excessive gingival display due to altered passive eruption. The overall prognosis for this case was good. The primary treatment plan proposed to the patient was an aesthetic crown lengthening. Altered passive eruption class I subtype A was a case conclusion, and aesthetic crown lengthening with gingivectomy without osseous reduction was the selected treatment. In conclusion, aesthetic crown lengthening should be considered as a surgical component of aesthetic therapy to improve smile profile and eliminate gummy smile.

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

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.

scholarly journals Errors in Implant Positioning Due to Lack of Planning: A Clinical Case Report of New Prosthetic Materials and Solutions

Materials ◽  
2020 ◽  
Vol 13 (8) ◽  
pp. 1883 ◽  
Author(s):  
Marco Tallarico ◽  
Roberto Scrascia ◽  
Marco Annucci ◽  
Silvio Mario Meloni ◽  
Aurea Immacolata Lumbau ◽  
...  
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Survival Rates ◽  
Primary Treatment ◽  
High Survival ◽  
Adequate Treatment ◽  
Implant Position ◽  
Implant Positioning ◽  
Implant Placement

The achievement of the optimal implant position is a critical consideration in implant surgery, as it can facilitate the ideal prosthesis design and allow adequate oral hygiene maintenance. The switch from bone-driven to prosthetic-driven implant placement, through a comprehensive diagnosis and adequate treatment plan, is a prerequisite for long-term successful implant-based therapy. The aim of the present case report is to describe a step-by-step prosthetic retreatment of a patient with primary treatment failure due to incorrect dental implant placement. Although dental implants achieve high survival rates, the success of implant prosthetic therapy significantly relies on an appropriate implant position. Malpositioned implants can cause damage to vital structures, like nerves or vessels. Moreover, improper implant positioning can result in esthetic, biological, and technical complications and can, in extreme situations, render the desired prosthetic rehabilitation impossible to achieve.

scholarly journals Endodontic Treatment and Esthetic Management of a Geminated Central Incisor Bearing a Talon Cusp

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Elif Tarım Ertaş ◽  
Meral Yırcalı Atıcı ◽  
Hakan Arslan ◽  
Bilal Yaşa ◽  
Hüseyin Ertaş
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Treatment Plan ◽  
Specific Treatment ◽  
Central Incisor ◽  
Dental Anomalies ◽  
Treatment Needs ◽  
Radiologic Diagnosis ◽  
Radiographic Findings ◽  
Clinical Problems

Gemination with talon cusps is an uncommon morphologic dental anomaly, characterized by the formation of clinically wide tooth that can cause significant aesthetic and clinical problems including esthetic impairment, pain, caries susceptibility, and tooth crowding. These morphological dental anomalies have specific treatment needs due to the abnormal morphology and need virtuous radiologic diagnosis. Multidisciplinary approach can supply success of the treatment plan that can provide esthetic and occlusal requirements. In this case report, the multidisciplinary approach for the treatment of geminated tooth with talon cusp is presented with the clinical and radiographic findings.

PLASMA CELL GRANULOMA IN BUCCAL MUCOSA: A CASE REPORT AND REVIEW OF DIFFERENT CASE REPORTS ON PLASMA CELL GRANULOMA IN ORAL CAVITY

2021 ◽  
pp. 9-10
Author(s):  
Pranay Bhandari ◽  
Pratiksha pawar ◽  
Ameya Bihani ◽  
Roopal Rathi
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Plasma Cell ◽  
Buccal Mucosa ◽  
Squamous Epithelium ◽  
Case Reports ◽  
Treatment Plan ◽  
Benign Lesion ◽  
Chief Complaint ◽  
Plasma Cell Granuloma

Introduction: 3 Plasma cell granuloma mainly occurs in lungs but can occur in any other organ or soft tissue . It occurs very rarely in oral cavity. We have also reviewed different articles describing plasma cell granuloma in oral cavity. We search the articles in google scholar and pubmed with keywords plasma cell granuloma in oral cavity, buccal mucosa, gingiva, tongue. A Case report: 39 year old male came with a chief complaint of growth on left buccal mucosa. HPE discovered parakeratinized stratied squamous epithelium, showing focal ulceration and underlying dense connective tissue stroma. On the basis of clinicopathological ndings the diagnosis of plasma cell granuloma was made. Discussion: Plasma cell granuloma is a benign lesion but its exact aetiology, behaviour and prognosis is not completely known. We can give emphasis on frozen histopathology intraoperatively to avoid unnecessarily extensive and potentially destructive surgery as the treatment plan.

Single-Tooth Rehabilitation Combining Root Displacement and Crown Lengthening Two-Year Follow-Up: A Case Report

2021 ◽  
Author(s):  
JC Pontons-Melo ◽  
IM Garcia ◽  
MA Melo ◽  
FM Collares
Keyword(s):  
Case Report ◽  
Clinical Decision Making ◽  
Treatment Plan ◽  
Critical Evaluation ◽  
Treatment Strategies ◽  
Anterior Tooth ◽  
Clinical Report ◽  
Single Tooth ◽  
Crown Lengthening

Clinical Relevance Combined techniques to expose circumferential tooth structure associated with subsequent restoration may represent a valid option in many situations. This case provides an example of the successful management of the anterior tooth rehabilitation combining root displacement and crown lengthening. SUMMARY Rehabilitation of an extensively compromised single anterior tooth represents an intriguing challenge for dentists, particularly when the rehabilitation involves esthetic, psychosocial, and functional requirements. The success in rehabilitating a patient with a conservative approach depends on a critical evaluation of the remaining structures, precise treatment plan, systematic treatment strategies, and patient compliance. In this case, the patient’s chief complaint was the undesirable appearance of the maxillary right lateral, caused by the displacement of the post and crown. Clinical examination revealed a remaining tooth with coronal fracture, severe loss of tissue due to caries, and absence of ferrule effect. Radiographic examination revealed that the fracture margin was located subgingival. This case report describes a single-tooth rehabilitation involving a combination of root displacement via orthodontic extrusion and crown lengthening. The rehabilitation was followed by post-and-core restoration using a prefabricated glass fiber post associated with a disilicate lithium crown. The clinical decision making and combined effect of both treatment strategies are explained in this report. The treatment required three months, including recovery times after surgery and the placement of the provisional crown. The patient was esthetically and functionally satisfied with the restoration. Patient follow-up examination was performed 24 months after the treatment. This clinical report contributes to the clinical practice and exemplifies the possibility of rehabilitating the natural tooth using combined techniques, which may offer particular advantages regarding prognosis and invested efforts.

scholarly journals Management of Impacted Maxillary Central Incisor: Modified Nance Arch Application

2015 ◽  
Vol 16 (5) ◽  
pp. 415-421 ◽  
Author(s):  
Bonolo Mannathoko-Molefhe ◽  
Hu Rongdang
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Radiographic Examination ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Fixed Appliances ◽  
Medical University

ABSTRACT This is a case report of a patient who presented to Wenzhou Medical University—Orthodontic Department at 8 years of age with missing right maxillary central incisor. A detailed clinical and radiographic examination was carried out and treatment plan formulated to surgically expose the impacted incisor and use the modified nance arch (MNA) appliance for orthodontic traction of the tooth in line of arch as phase one treatment followed by phase two treatment with fixed appliances. How to cite this article Mannathoko-Molefhe B, Hu R. Management of Impacted Maxillary Central Incisor: Modified Nance Arch Application. J Contemp Dent Pract 2015;16(5): 415-421.

scholarly journals An unusual endodontic complication following crown lengthening surgery: A Case Report.

2021 ◽  
Vol 10 (2) ◽  
pp. 1-6
Author(s):  
Tong Wah Lim ◽  
◽  
Teng Kai Ong ◽  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Cone Beam Computed Tomography ◽  
Root Resorption ◽  
Rare Complication ◽  
Cone Beam ◽  
Present Case Report ◽  
Dentine Hypersensitivity ◽  
Crown Lengthening ◽  
Gummy Smile

A gummy smile is a form of excessive gingival display when smiling. The excessive gingival display due to altered eruption is likely to benefit from crown lengthening surgery in order to restore the esthetic smile. Case Report: The potential complications of the crown lengthening surgery include possible esthetic deformities, dentine hypersensitivity, transient mobility, and root resorption. The present case report reveals a rare complication happened after an esthetic crown lengthening surgery which was performed to correct the gummy smile of a 37-year-old female. The patient experienced dull throbbing pain and mild tender to percussion on tooth 11, 3 weeks after the surgery, and the symptoms did not improve after the composite restorations were placed at the cervical regions. Instead, the tooth was tender to percussion and palpation with a sign of coronal discoloration. Pulp necrosis was confirmed with the clinical tests. A cone-beam computed tomography was taken after the root canal treatment, and apical fenestration on tooth 11 was noted. Therefore, this case report shows the possible correlation between crown lengthening surgery on a tooth with apical fenestration and pulp necrosis, if the apical vasculature is severed accidentally during the procedure. Conclusion: A cone-beam computed tomography should be considered prior to the surgery and extra precaution during the surgery may reduce the risk of severing the apical vasculature if apical fenestration is evidenced.

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 Esthetic crown lengthening: a case report

2015 ◽  
Vol 3 (3) ◽  
pp. 678
Author(s):  
Rodolfo José Gomes De Araújo ◽  
Felipe Vilhena Brilhante ◽  
Jacy Leite Mattos ◽  
Flávia Medeiros Aliverti Alves ◽  
Bruna De Fátima Soares Do Nascimento ◽  
...  
Keyword(s):  
Case Report ◽  
Undergraduate Students ◽  
Scientific Article ◽  
Crown Lengthening ◽  
Gummy Smile ◽  
Clinical Cases

The periodontal plastic surgeries have been valued and sought by people who claim they want to correct “gummy smile”, which happens when one has expose more gum than teeth when smiling. There are many causes for the gummy smile, this scientific article covers four cases of altered passive eruption of the teeth with excess keratinized gingiva. The harmonic smile disturbed aesthetic is a discomfort that troubles many people, especially women. Based what has been discussed so far, this paper has as main objective report clinical cases of esthetic periodontal surgeries osteoplasty made by undergraduate students of the dentistry program. Such techniques promote a more adequate dental exposure and create anharmonical smile on the patient. The cirurgical procedures were indicated based on the analysis of the smiles. After the procedures were made, we conclude the techniques used were suitable based on the satisfaction of the patient and that they were easy to execute in order to obtain an aesthetic smile.

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