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Repositioning of the gingival margin by extrusion
Siew Han Chay1, A Bakr M Rabie
1Orthodontics, Faculty of Dentistry, University of Singapore, Singapore.
Summary
Orthodontic treatment successfully repositioned a maxillary canine's gingival margin by 9 mm, mimicking a lateral incisor. Pre-extrusion bone and gingival thickening prevented recession, showcasing orthodontics' potential over cosmetic restorations.
Area of Science:
- Dentistry
- Orthodontics
- Periodontics
Background:
- Gingival margin repositioning is crucial for aesthetic outcomes.
- Mimicking a lateral incisor with a maxillary canine presents unique challenges.
- Traditional restorative dentistry may not address gingival height discrepancies effectively.
Observation:
- A case report details orthodontic intervention to move a maxillary canine's gingival margin incisally by nearly 9 mm.
Findings:
- The procedure aimed to create the appearance of a lateral incisor.
- Increasing labial bone plate and attached gingiva thickness before extrusion prevented later gingival recession.
- Orthodontic treatment achieved results unattainable by conventional cosmetic dentistry.
Implications:
- This case highlights the efficacy of orthodontic treatment for complex gingival margin and height issues.
- A step-by-step approach for achieving such treatment objectives is presented.
- Orthodontics offers a viable alternative to restorative solutions in specific aesthetic scenarios.