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Crown Lengthening

(To overcome problems with gummy smile)


Factors must be considered
Location of gingival margins in relation to the
CEJ and the bone crest
Croon-root-alveolar bone relationships
Size and shape of upper lip
Location of lip during speech and during a
broad, relaxed smile

Crown Lengthening
(To overcome problems with gummy smile)

Crown Lengthening
(To overcome problems with gummy smile)

Crown Lengthening
(To expose sound tooth structure)
Subgingival location of caries lesions
Subgingival location of fracture lines
Inaccessibility of subgingival margins of
failing restorations
Inaccessibility of subgingival prepared
tooth structure for proper impressions

Crown Lengthening
(To expose sound tooth structure)
Biological width:
It is the sum of the supracrestal fibers, the
junctional epithelium, and the gingival sulcus
and has a proposed minimal dimension of 3 mm.

Crown Lengthening
(To expose sound tooth structure)
Techniques:
Apically positioned flap (with or without
bone resection)
Force eruption of teeth

Crown Lengthening
(To expose sound tooth structure)
(Apical Positioned Flap)
Indication:
multiple teeth

Contraindication:
Single tooth

Crown Lengthening
(To expose sound tooth structure)
(Apical Positioned Flap)

Crown Lengthening
(To expose sound tooth structure)
(Apical Positioned Flap)

Crown Lengthening
(To expose sound tooth structure)
(Force Eruption)
Indications:
At sites where it is important to maintain the
location of the gingival margin at adjacent
teeth unchanged
At sites where removal of attachment and
bone from adjacent teeth must e avoided
At sites where with angular bony defects
Contraindications:
Few teeth remaining

Crown Lengthening
(To expose sound tooth structure)
(Force Eruption)

Crown Lengthening
(To expose sound tooth structure)
(Force Eruption)

Crown Lengthening
(To expose sound tooth structure)
(Force Eruption)

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