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Crown lengthening is a surgical procedure performed by a dentist, or more frequently a periodontist, where more tooth is exposed by removing some of the gingival margin (gum) and supporting bone. [1] Crown lengthening can also be achieved orthodontically (using braces) by extruding the tooth.
Crown lengthening is a technique for increasing crown height of teeth by flap surgery with or without bone surgery. [3] There are two main types: Aesthetic crown lengthening which is performed when a "gummy" smile is an issue for the patient [3] Functional crown lengthening is used to make an unrestorable tooth restorable.
In situations where the margin cannot be placed apically enough to provide for proper retention of the prosthetic crown on the prepared tooth structure, the tooth or teeth involved should undergo a crown lengthening procedure. There are a number of different types of margins that can be placed for restoration with a crown.
In dentistry, a crown or a dental cap is a type of dental restoration that completely caps or encircles a tooth or dental implant. A crown may be needed when a large dental cavity threatens the health of a tooth. Some dentists will also finish root canal treatment by covering the exposed tooth with a crown.
Gingivectomy is the primary treatment method available in reducing the pocket depths of patients with periodontitis and suprabony pockets. [4] [5] In a retrospective comparison between different treatment approach to periodontitis management based on the initial and final gingival health, conventional gingivectomy was proven to be more successful in reducing pocket depths and inflammation ...
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This consideration of crown-to-root ratio is essential when evaluating the tooth for a crown-lengthening procedure. In the picture at right, the two teeth on the extreme left and right are the ones under discussion. The two teeth in the middle have been endodontically treated, but do not have post and cores.