Clinical Crown Lengthening Using Soft Tissue Diode Laser: A Case Series
Abstract: To aid in retention of prostheses and aesthetic purposes crown lengthening procedures are performed to by allowing placement of restorative margins and proper tooth preparation. Healthy periodontium is a key to a successful prostheses. Different treatment modalities are available for crown lengthening, eg, scalpel gingivectomy, apically displaced flap, ostectomy and lasers.
This case series describes crown lengthening procedures by using soft tissue diode laser, as this technique is easier, comfortable for patients, and provides predictable postoperative results.
Keywords: diode laser, crown lengthening, biological width, gingivectomy, gingivoplasty
INTRODUCTION
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From this case series, it can be concluded that diode laser application appears to be a safe and alternative procedure for management of altered gingival contour.
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Crown Lengthening: You might need crown lengthening if you need a restoration or crown on a tooth. The problem is a result of the edge of your restoration being too close to the bone. The crown lengthening treatment gives you access to the restoration once again. This procedure basically creates a new tooth-to-gum relationship.
On his initial examination dated 23/06/13 the patient was seen for a routine full mouth scale and polish with reinforced oral hygiene instruction including flossing technique. He presented with excellent oral hygiene at this appointment which was a reflection of his commitment to good oral hygiene; tooth-brushing twice daily and dental flossing once daily. This was further supported by the patients plaque scores at 5% and bleeding scores at 4% with only minimal supra gingival calculus on lower anterior teeth. There was no erythema or oedema present on the gingival tissues.
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Tooth brushing techniques causing gingival trauma are a significant factor for gingival recession. The frequency, duration and force of brushing all contribute to recession. Excessive force and improper technique may lead to ...
Albuquerque, C., F. Morinha, J. Requicha, T. Martins, I. Dias, H. Guedes-Pinto, E. Bastos, and C. Viegas. "Canine Periodontitis: The Dog as an Important Model for Periodontal Studies." The Veterinary Journal 191.3 (2012): 299-305. University of Michigan Dearborn Library Catalog. Web. 18 Mar. 2014.
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DiAngelis AJ, Andreasen JO, Ebeleseder KA et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dent Traumatol 2012; 28:2–12.
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