Short clinical crowns (SCC) - treatment considerations and techniques

Area of Science:

• Dentistry
• Periodontology
• Restorative Dentistry

Background:

• Restoring teeth with dimensionally inadequate clinical crowns presents significant esthetic and biologic challenges.
• Achieving acceptable restorations often necessitates surgical crown lengthening to increase the existing clinical crown length.

Purpose of the Study:

• To review periodontal and restorative factors for managing teeth with short clinical crowns.
• To discuss treatment modalities and the impact of restoration margin placement on periodontal health.

Main Methods:

• Review of various treatment methods for short clinical crowns.
• Analysis of periodontal and restorative considerations.
• Discussion on the role of diagnostic wax-ups and surgical procedures like alveoloplasty and gingivectomy.

Main Results:

• Combined therapeutic approaches are typically required to meet biologic, restorative, and esthetic demands.
• Understanding both dental and periodontal parameters is crucial for successful management.
• Improper restoration margins can negatively impact the supracrestal gingivae and dental symbiosis.

Conclusions:

• Comprehensive treatment planning and proper sequencing are essential for satisfactory outcomes in restoring short clinical crowns.
• Integrating periodontal and restorative techniques ensures optimal functional and esthetic results.
• Careful consideration of restoration margin placement is vital for maintaining periodontal health.