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Managing Excessive Gingival Display Using a Digital Workflow.

Walaa Magdy Ahmed1,2, Amandeep Hans1, Tyler V Verhaeghe1

  • 1Faculty of Dentistry, The University of British Columbia, Vancouver, BC, Canada.

Journal of Prosthodontics : Official Journal of the American College of Prosthodontists
|April 23, 2020
PubMed
Summary

This study presents a digital workflow for clinical crown lengthening to manage excessive gingival display. This technique reduces post-surgical modifications and shortens treatment time for dental restorations.

Keywords:
CAD/CAMCrown lengtheningDigital setupPreparation reduction guide

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Area of Science:

  • Dentistry
  • Digital Dentistry
  • Restorative Dentistry

Background:

  • Excessive gingival display can impact aesthetics and patient satisfaction.
  • Traditional crown lengthening procedures may require multiple surgical and restorative phases.

Purpose of the Study:

  • To describe a digital workflow for clinical crown lengthening.
  • To evaluate the efficiency of a digital approach in managing excessive gingival display and facilitating full-mouth reconstruction.

Main Methods:

  • Utilized an intraoral scanner for a surgical template based on patient-desired diagnostic setups.
  • Employed digital design and 3D printing for preparation guides and provisional/final crowns.
  • Integrated fully guided implant planning and placement.

Main Results:

  • The digital workflow for crown lengthening minimized the need for post-surgical modifications.
  • Treatment duration was reduced due to the streamlined digital process.
  • Conservative crown preparations were facilitated by digital guides.

Conclusions:

  • A digital workflow offers an efficient and predictable method for clinical crown lengthening.
  • This approach enhances the overall process of full-mouth reconstruction, improving patient outcomes and reducing treatment time.