Esthetic Rehabilitation of Gummy Smile by Osteoplasty and Crown Lengthening Procedure: A Clinical Case Report

Didit Hidayat, Poernomo Agoes Wibisono, Noer Ulfah

2017

Abstract

Excessive gingival display during smiling can result in compromised esthetics. Objective: This study aimed to report a case of excessive gingival display with multiple etiologies treated by means of the osteoplasty technique associated with esthetic crown lengthening. Case: A 27‑year‑old male patient came to Periodontic Clinic Dental Hospital Airlangga University with the chief complaint of excessive gum display while smiling. Intraoral examination found 5-8 mm of gingival display during smiling caused by the buccal site of anterior maxilla exostoses and short clinical crown. Radiography showed the distance between the CEJ and alveolar bone crest to be less than 1.5 mm. Assessment of the case was a gummy smile by altered passive eruption. Case Management: Bone reduction was performed after a full thickness flap was made from the 1/3 distal side of tooth #13 to the 1/3 distal side of tooth #23, thus forming a normal contour. Then a crown lengthening procedure was proceeded with to obtain the ideal width and length ratio of teeth in accordance with outlines of the desired position of the gingival margin and alveolar bone crest on the diagnostic model measured using Chu’s-esthetic gauges (Hu-Friedy®). Discussion: The osteoplasty and crown lengthening procedure were effective management strategies for a gummy smile to achieve both esthetic and functional aspects. Conclusion: Osteoplasty and crown lengthening should be considered as a surgical component of esthetic therapy. A thorough understanding of the anatomical structures involved, and the biological width concept, are essential for the appropriate assignment within the described treatment classes.

Paper Citation

in Harvard Style

Hidayat D., Wibisono P. and Ulfah N. (2017). Esthetic Rehabilitation of Gummy Smile by Osteoplasty and Crown Lengthening Procedure: A Clinical Case Report.In Proceedings of the 7th International Meeting and the 4th Joint Scientific Meeting in Dentistry - Volume 1: TIMNAS7-JSMID4, ISBN 978-989-758-341-4, pages 58-62. DOI: 10.5220/0007292000580062

in Bibtex Style

@conference{timnas7-jsmid417,
author={Didit Hidayat and Poernomo Agoes Wibisono and Noer Ulfah},
title={Esthetic Rehabilitation of Gummy Smile by Osteoplasty and Crown Lengthening Procedure: A Clinical Case Report},
booktitle={Proceedings of the 7th International Meeting and the 4th Joint Scientific Meeting in Dentistry - Volume 1: TIMNAS7-JSMID4,},
year={2017},
pages={58-62},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0007292000580062},
isbn={978-989-758-341-4},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 7th International Meeting and the 4th Joint Scientific Meeting in Dentistry - Volume 1: TIMNAS7-JSMID4,
TI - Esthetic Rehabilitation of Gummy Smile by Osteoplasty and Crown Lengthening Procedure: A Clinical Case Report
SN - 978-989-758-341-4
AU - Hidayat D.
AU - Wibisono P.
AU - Ulfah N.
PY - 2017
SP - 58
EP - 62
DO - 10.5220/0007292000580062