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Immediate temporization crown lengthening.

Shih-Chang Tseng1, Jia Hui Fu, Hom-Lay Wang

  • 1Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, Michigan, USA.

Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)
|May 13, 2011
PubMed
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Immediate temporization crown lengthening (ITCL) is a technique that re-establishes biologic width, crucial for periodontal health. This method simplifies patient visits and ensures well-fitting restorations.

Area of Science:

  • Dentistry
  • Periodontology
  • Restorative Dentistry

Background:

  • The biologic width is essential for periodontal health, acting as a seal against microbial invasion.
  • Subgingival caries and crown-root fractures can compromise the biologic width, necessitating intervention.
  • Crown lengthening surgery re-establishes the biologic width, ensuring periodontal health and restoration stability.

Observation:

  • A full-thickness mucoperiosteal flap is raised to access bone and root surfaces.
  • Bone and root debridement are performed, and crown preparation is finalized.
  • A minimum of 3 mm is maintained between the restorative margin and alveolar bone crest to preserve biologic width.

Findings:

  • The immediate temporization crown lengthening (ITCL) technique allows crown preparation and impression taking during surgery.

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  • This approach reduces patient appointment frequency and facilitates the creation of accurately fitting restorations.
  • Patients receive provisional restorations, preserving tooth structure and restoring function and aesthetics during healing.

    • Implications:

    • The ITCL technique offers a simple, predictable method for dentists to incorporate into their practice.
    • It enhances patient experience by shortening treatment duration and providing immediate functional and aesthetic results.
    • Successful implementation of ITCL supports long-term periodontal health and restoration longevity.