Review Article
Volume 19 Issue 10 - 2020
Esthetic Crown Lengthening in Anterior Teeth
Mohamed Hany Ahmad Abd Elghany1*, Alduraibi Mohammed Sulaiman2, Ghydaa Abdulah ALShehry2, Nedaa Ali Abdulaziz Azhar2, Eman Mohammed Albisher2, Rahaf Abed Alhazmi3, Rahaf Yousif Alahmadi3, Rahaf Hussain Nazer3, Shaimaa Gamal Tagrida4, Wasim Yassin Bakhit5 and Jenan Hassan Alawami6
1Cairo University, Giza, Egypt
2Ministry of Health, Saudi Arabia
3Taibah University, Medina, Saudi Arabia
4Alfarabi Collage, Riyadh, Saudi Arabia
5Ibn Sina National College, Jeddah, Saudi Arabia
6Jordan University of Science and Technology, Irbid, Jordan
*Corresponding Author: Mohamed Hany Ahmad Abd Elghany, Cairo University, Giza, Egypt.
Received: September 23, 2020; Published: October 22, 2020


Introduction: Patients now days have a greater desire for esthetic treatments. In addition to the anterior teeth itself, the surrounding gingival tissue plays an important role in such treatments. Discrepancies in the symmetry, contour, or color of the gingiva can affect the harmonious appearance of natural or prosthetic teeth. Periodontal surgery comes in handy here. Crown lengthening is a procedure that is undertaken to increase the amount of supragingival tooth structure for esthetic or restorative purposes by apically repositioning the gingival margin, removing bone, or both. Although crown lengthening is primarily undertaken to increase the anatomic length of a tooth to preserve the biological width, esthetic crown lengthening may be undertaken to reduce asymmetry between adjacent anterior teeth, reduce excessive labial gingiva, and to expose anatomical crowns of the tooth for esthetic purposes.

Aim of the Study: The paper aims to discuss the different cases where esthetic crown lengthening may be used, biological width considerations that should be paid attention to while planning such a procedure and the various surgical techniques that can be used to carry out Esthetic Crown Lengthening.

Methodology: The article is a comprehensive research of PUBMED papers from 1961 to 2018.

Conclusion: Esthetic Crown lengthening has now become an integral part of the esthetic dentistry armamentarium and is used regularly to improve the form and retention of restorations that are placed within the esthetic zone.

Case selection and periodontal examinations are very important before planning the procedure. The complete periodontal condition of the patients and their oral hygiene habits should be assessed. It is successful in cases with excessive gingiva, short clinic crowns, and asymmetrical gingival margins. It is important to take into consideration the concept of biological width while planning esthetic crown lengthening. Various surgical treatment protocols are available for performing the procedure, depending on whether or not bone resection is required.

Keywords: Esthetic Crown Lengthening for Anterior Teeth; Periodontal Surgery; Biological Width; Esthetic Dentistry; Gingivectomy


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Citation: Mohamed Hany Ahmad Abd Elghany., et al. “Esthetic Crown Lengthening in Anterior Teeth”. EC Dental Science 19.11 (2020): 39-47.

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