Keywords
Altered passive eruption
cementoenamel junction
gingival zenith
gingivectomy
cementoenamel junction
gingival zenith
gingivectomy
Abstract
The dramatic appeal of a face, especially caught in a smile or laugh, lies in the interplay between the lips, teeth, and periodontium. Any deviation from the ideal form alters perceived attractiveness. Excessive marginal or papillary soft tissue because of inflammation, altered passive eruption, and a myriad of other pathologies distorts dental silhouettes. Modification of the gingiva, then, instead of tooth structure, often resolves cosmetic deformities. In this case report, we discuss about aesthetic crown lengthening, that aims to reduce excessive soft and hard tissues to establish a natural smile with harmonious proportion between the teeth and the dentogingival complex.
References
Bhatsange A, Mehetre V, Waghmare A, Kerudi L, Ahire A, Shende A. A quantitative evaluation of gingival zenith position of maxillary central incisors in different facial forms. IOSR J Dent Med Sci. 2015;14:62-5.
Silva CO, Soumaille JM, Marson FC, Progiante PS, Tatakis DN. Aesthetic crown lengthening: periodontal and patient‐centred outcomes. J Clin Periodontol 2015;42(12):1126-34.
Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann. Periodontol. 1999;4(1):1-6.
Flores-Mir C, Silva E, Barriga M, Lagravere M, Major P. Lay person’s perception of smile aesthetics in dental and facial views. J Orthod. 2004;31(3):204-9.
Kerosuo H, Hausen H, Laine T, Shaw WC. The influence of incisal malocclusion on the social attractiveness of young adults in Finland. Eur J Orthod. 1995;17(6):505-12.
Lee EA. Aesthetic crown lengthening: classification, biologic rationale, and treatment planning considerations. Pract Proced Aesthet Dent. 2004;16(10):769-78.
Zucchelli G, Sharma P, Mounssif I. Esthetics in periodontics and implantology. Periodontol 2000. 2018 Jun;77(1):7-18.
Silva CO, Soumaille JM, Marson FC, Progiante PS, Tatakis DN. Aesthetic crown lengthening: periodontal and patient‐centred outcomes. J Clin Periodontol 2015;42(12):1126-34.
Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann. Periodontol. 1999;4(1):1-6.
Flores-Mir C, Silva E, Barriga M, Lagravere M, Major P. Lay person’s perception of smile aesthetics in dental and facial views. J Orthod. 2004;31(3):204-9.
Kerosuo H, Hausen H, Laine T, Shaw WC. The influence of incisal malocclusion on the social attractiveness of young adults in Finland. Eur J Orthod. 1995;17(6):505-12.
Lee EA. Aesthetic crown lengthening: classification, biologic rationale, and treatment planning considerations. Pract Proced Aesthet Dent. 2004;16(10):769-78.
Zucchelli G, Sharma P, Mounssif I. Esthetics in periodontics and implantology. Periodontol 2000. 2018 Jun;77(1):7-18.