RESUMO
The term 'crown lengthening surgery' refers to a variety of techniques which aim to expose a greater amount of tooth structure around a tooth or group of teeth. The decision to treat and which technique to use will depend upon: the underlying aetiology; a thorough history and examination; results of any supporting investigations and a clear understanding of the intended outcome of treatment. This paper aims to provide an overview of crown lengthening surgery and is illustrated with clinical cases.
Assuntos
Aumento da Coroa Clínica , Coroa do Dente , Coroas , HumanosRESUMO
This is the second paper in this two-part series. Paper one provided an overview of managing gingival tissue excess and paper two will focus on increasing clinical crown height to facilitate restorative treatment. Crown lengthening is a surgical procedure aimed at the removal of gingival tissue with or without adjunctive bone removal. The different types of procedure undertaken will be discussed over the two papers. In order to provide predictable restorations, care must be taken to ensure the integrity of the margins. If this is not taken into account it can lead to an impingement on the biologic width, which may in turn lead to chronic inflammation resulting in recession or the development of periodontal problems which can be hard to manage. Clinical Relevance: This paper aims to reinforce the need for thorough diagnosis and treatment planning and provides an overview of the various procedures that can be undertaken.
Assuntos
Aumento da Coroa Clínica/métodos , Restauração Dentária Permanente/métodos , Coroa do Dente/anatomia & histologia , Processo Alveolar/diagnóstico por imagem , Alveolectomia/métodos , Dente Canino/patologia , Estética Dentária , Gengiva/anatomia & histologia , Humanos , Incisivo/patologia , Masculino , Pessoa de Meia-Idade , Planejamento de Assistência ao Paciente , Piezocirurgia/métodos , Radiografia , Retalhos Cirúrgicos/cirurgia , Colo do Dente/anatomia & histologia , Raiz Dentária/diagnóstico por imagem , Desgaste dos Dentes/reabilitação , Adulto JovemRESUMO
This is the first article in a two-part series which aims to provide an overview of the different techniques used to increase clinical crown height. In the first paper, the focus will be on the management of patients who present with gingival tissue excess. The different aetiologies are discussed and illustrated with clinical cases, following which a range of procedures that may be employed in the management of these patients are presented. With an increasingly ageing population, more patients are taking regular medications prescribed from their general medical practitioner, and so having a working knowledge of the specific drugs that may cause gingival enlargement is essential. Clinical Relevance: When patients with gingival tissue excess present in primary or secondary care, a clinician must have a good knowledge of the possible causes of the condition, as well as an idea of how the patient may be managed.
