Journal of Pierre Fauchard Academy (India Section)

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Refurbishing the Pink and the White. Surgical Crown Lengthening in Esthetic Zone- A 5 Year Follow Up


Affiliations
1 Department of Conservative Dentistry and Endodontics, King George Medical University, Lucknow – 226003, Uttar Pradesh, India
2 Department of Periodontology, Dental College, Regional Institute of Medical Sciences, Imphal – 795004, Manipur, India
3 Department of Oral and Maxillofacial Pathology, King George Medical University, Lucknow – 226003, Uttar Pradesh, India
     

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Root stumps serve as pillars which can be utilized effectively as for future restorative needs in esthetic zones. Enhancing the white and depleting the pink may serve the purpose. Clinical Crown Lengthening Surgery (CCLS) is a traditional procedure which can be utilized to rehabilitate esthetics. The study involves a 30-year old patient with fractured crown irt 13. Crown lengthening was performed with apically repositioned flap and osseous reduction of 2 mm such that the new exposed tooth was approximately 4mm in length. The positive architecture was bone was established and 3 mm of attached gingiva was preserved. Root canal therapy followed by post and core was performed and the prosthesis was fabricated postsurgery. With the 22nd century approaching and dental implants being the new fad, it is still our responsibility to try to preserve what has been provided by nature to prevent us from becoming fictitious entities.


Keywords

Apically Positioned Flap (APF), Clinical Crown lengthening (CCLS).
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  • Hempton TJ, Dominici JT. Contemporary crown-lengthening therapy. A review. J Am Dent Assoc. 2010;141:647–655. https:// doi.org/10.14219/jada.archive.2010.0252. PMid:20516094

  • Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P et al. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri‐ Implant Diseases and Conditions. J Clin Periodontol. 2018;45(Suppl 20): S219–S229. https://doi.org/10.1111/jcpe.12951. PMid:29926500

  • Ross SE, Garguilo A. The surgical management of the restorative alveolar interface. Int J Periodont Rest Dent. 1982; 2:8−31.

  • Ingber FJS, Rose LF, Coslet JG. The biologic width. A concept in periodontics and restorative dentistry. Alpha Omega. 1977; 10:62–65

  • Olsen CT, Ammons WF, van Belle G. A longitudinal study comparing apically repositioned flaps, with and without osseous surgery. Int J Periodont Rest Dent. 1985;5(4):1–33.

  • Joly JC, Mesquita CPF, Carvalho SR. Flapless aesthetic crown lengthening: A new therapeutic approach. Rev Mex Periodontol. 2011;2(3):103–108.

  • Gargiulo A, Wentz F, Orban B. Dimensions and relations of the dentogingival junction in humans. J Periodontol. 1961;32:261–267. https://doi.org/10.1902/jop.1961.32.3.261

  • Bragger U, Lauchenauer D, Lang NP. Surgical lengthening of the clinical crown. J Clin Periodontol. 1992;19(1):58–63. https://doi.org/10.1111/j.1600-051X.1992.tb01150.x. PMid: 1732311

  • Gegauff AG. Effect of crown lengthening and ferule placement on static load failure of cemented cast post-cores and crowns. J Prosthet Dent. 2000;84(2):169–179. https://doi.org/10.1067/mpr.2000.107583. PMid:10946334


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  • Refurbishing the Pink and the White. Surgical Crown Lengthening in Esthetic Zone- A 5 Year Follow Up

Abstract Views: 164  |  PDF Views: 0

Authors

Pragya Pandey
Department of Conservative Dentistry and Endodontics, King George Medical University, Lucknow – 226003, Uttar Pradesh, India
Tanya Nandkeoliar
Department of Periodontology, Dental College, Regional Institute of Medical Sciences, Imphal – 795004, Manipur, India
Diksha Singh
Department of Oral and Maxillofacial Pathology, King George Medical University, Lucknow – 226003, Uttar Pradesh, India
Rhythm Bains
Department of Conservative Dentistry and Endodontics, King George Medical University, Lucknow – 226003, Uttar Pradesh, India

Abstract


Root stumps serve as pillars which can be utilized effectively as for future restorative needs in esthetic zones. Enhancing the white and depleting the pink may serve the purpose. Clinical Crown Lengthening Surgery (CCLS) is a traditional procedure which can be utilized to rehabilitate esthetics. The study involves a 30-year old patient with fractured crown irt 13. Crown lengthening was performed with apically repositioned flap and osseous reduction of 2 mm such that the new exposed tooth was approximately 4mm in length. The positive architecture was bone was established and 3 mm of attached gingiva was preserved. Root canal therapy followed by post and core was performed and the prosthesis was fabricated postsurgery. With the 22nd century approaching and dental implants being the new fad, it is still our responsibility to try to preserve what has been provided by nature to prevent us from becoming fictitious entities.


Keywords


Apically Positioned Flap (APF), Clinical Crown lengthening (CCLS).

References





DOI: https://doi.org/10.18311/jpfa%2F2018%2F22254