Periodontal Surgery to Increase Clinical Crown for Restoration: A Case Reports
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Abstract
Background: Patients want to preserve their natural despite extensive caries under gingival margin. Various treatment plans are utilized to maintain teeth function and restorability.
Objectives: To show a step-by-step crown lengthening procedure to increase clinical crown height. This includes a guideline for the follow-up care of patients who need periodontal surgery to increase the length of teeth for restoration and apply it in the patient’s care appropriately.
Materials and Method: This is a case report showing the treatment of the patient who has undergone periodontal surgery to increase clinical crown for restoration in the upper right premolar with dental caries and short remaining tooth structure.
Results: Three months follow-up after crown lengthening surgery, showed that the gingiva at the surgical wound had good wound healing with no inflammation. There were no changes observed at 6 months follow-up. After periodontal surgery, the length of the restored tooth remained increased after 1 year. The clinical characteristics of the gingiva were normal without complications. The patient was satisfied with the result and could chew food effectively.
Conclusion: In conclusion, periodontal surgery to lengthen teeth is a holistic treatment. The cause should be diagnosed, and a detailed plan should be considered before treatment. These will lead to the appropriate choice of techniques and types of surgeries. Understanding factors that affect the success of the treatment will lead to good long-term treatment results and satisfied patients.
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