Error: Subscribe to Dental Update to view, or purchase this article.

Article: Volume 42 Number 1 Page 36 - January/February 2015

Prev    Article P36    Next  Read article

  Dent Update 2015; 42: 36-42

Periodontics:  Functional Crown Lengthening Surgery in the Aesthetic Zone; Periodontic and Prosthodontic Considerations

CPD:  CPD  0:24   (closed)      Self assess

Feedback:  0 comments, 0 ratings

      

Abstract: Crown lengthening surgery aims to increase the amount of supragingival tooth tissue by resection of the soft and/or hard tissues to enable otherwise unrestorable teeth to be restored by increasing the retention and resistance forms of the teeth. Restoration of the worn dentition may require significant prosthodontic knowledge and skill. A prosthodontist should be involved from the beginning of the management of the patient. A number of key stages should be considered for correct management. Although the periodontist may guide the prosthodontist with regards to what may or may not be possible surgically, the overall treatment plan should be prosthodontically driven.

Clinical relevance: Toothwear of the anterior dentition provides a unique challenge to restore not only function but also to manage the aesthetic demands of the patient. To ensure that the correct outcome is reached, clinicians should be familiar with the normal anatomical proportions and relationships to enable planning and treatment to take place.

Author notes: Rajiv M Patel, BDS, MClinDent(Perio), MFDS RCS(Eng), MPerio RCS(Ed), Specialist in Periodontics and Paul Baker, BDS, MSc, MClinDent(Perio), FDS RCS(Eng), MRD RCS, Specialist in Periodontics, Perio London, 4 Queen Anne Street, London, W1G 9ZF, UK.

Objective: To describe a framework for planning crown lengthening surgery for worn teeth in the aesthetic zone.

Belmont