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Esthetic Crown Lengthening Surgery - A 30-Year Retrospective and Lessons Learned.
1*J William Robbins, DDS, MA, adjunct clinical professor, Department of Dentistry, University of Texas Health Science Center at San Antonio, TX.
Operative Dentistry
|August 2, 2022
Summary
This article details advancements in esthetic crown lengthening (ECL) surgery techniques over 30 years. It covers modifications in incision, bone removal, and tissue placement to improve outcomes and prevent tissue rebound.
Area of Science:
- Dentistry
- Periodontics
- Esthetic Surgery
Background:
- Esthetic crown lengthening (ECL) surgery is a well-established procedure.
- Over 30 years of clinical experience provide a foundation for technique evolution.
Purpose of the Study:
- To present the author's evolving techniques in esthetic crown lengthening surgery.
- To discuss modifications in surgical steps and address potential complications.
Main Methods:
- Review of surgical techniques over a 30-year period.
- Discussion of specific modifications in initial incision, ostectomy, and tissue placement.
- Analysis of factors contributing to gingival tissue rebound.
Main Results:
- Evolution of ECL surgical techniques demonstrated.
- Specific technical modifications detailed for improved esthetic outcomes.
- Understanding of factors leading to tissue rebound elucidated.
Conclusions:
- Continuous refinement of ECL techniques is crucial.
- Addressing ostectomy and tissue placement are key to successful ECL.
- Understanding tissue rebound mechanisms aids in long-term stability.
