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Crown lengthening: the periodontal-restorative connection
W Becker1, C Ochsenbein, B E Becker
1Department of Periodontology, School of Dentistry, University of Southern California, Los Angeles, USA.
Summary
Crown lengthening is a dental procedure essential for successful treatment, relying on understanding biologic width. This article details techniques for managing issues like decay below the gum line and tooth wear.
Area of Science:
- Dentistry
- Periodontology
- Restorative Dentistry
Background:
- Crown lengthening procedures are guided by fundamental biologic principles.
- Understanding biologic width is crucial for successful outcomes.
- Indications include subgingival caries, fractured teeth, and excessive wear.
Purpose of the Study:
- To describe flap designs for crown lengthening.
- To introduce a new bur probe for precise measurement.
- To present suturing techniques for flap stabilization.
Main Methods:
- Detailed description of various flap designs.
- Utilizing a novel bur probe for accurate clinical crown exposure measurement.
- Explanation of flap stabilization through specific suturing methods.
Main Results:
- The article presents clinical documentation of diverse patient cases.
- Illustrates the application of described techniques in real-world scenarios.
- Highlights the importance of precise measurement and surgical technique.
Conclusions:
- Crown lengthening procedures require adherence to biologic principles.
- Proper technique, including flap design and measurement, ensures successful treatment.
- The presented methods offer practical solutions for various clinical challenges.