Minimally Invasive Surgery for Clinical Crown Lengthening Using Piezoelectric Ultrasound
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1155/2020/7234310 http://hdl.handle.net/11449/201651 |
Resumo: | This case report is aimed at describing a flapless, minimally invasive clinical crown lengthening with an osteotomy performed using a piezoelectric ultrasound. A female patient complained about the amount of gum that was exposed when she smiled, which caused aesthetic discomfort. After a clinical examination, it was confirmed that the patient had excessive gum exposure in the upper arch of the dental region for teeth 14 to 24 when she smiled. The tomographic exam showed that bone tissue was at the level of the enamel-cementum junction, and gingival tissue covered a part of the anatomic crown. Virtual analysis using digital smile design (DSD) demonstrated that enlarging the clinical crowns would provide better aesthetics. The excess gingival tissue was removed from the gingival margin region with the aid of a mockup without interference to the interdental papillae. Then, osteotomy was performed using piezoelectric ultrasound until there was a 2.5 mm distance from the top of the bone crest to the new gingival margin. In the postoperative period, good repositioning of the gingival margin, absence of postoperative complications, and rapid healing of the gingival tissue were verified. After 6 months, a good aesthetic outcome was observed with stability in the level of the periodontal tissues obtained via the crown-lengthening technique. It can be concluded that the minimally invasive clinical crown-lengthening technique was effective in repositioning the gingival margin with no postoperative complications. |
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Minimally Invasive Surgery for Clinical Crown Lengthening Using Piezoelectric UltrasoundThis case report is aimed at describing a flapless, minimally invasive clinical crown lengthening with an osteotomy performed using a piezoelectric ultrasound. A female patient complained about the amount of gum that was exposed when she smiled, which caused aesthetic discomfort. After a clinical examination, it was confirmed that the patient had excessive gum exposure in the upper arch of the dental region for teeth 14 to 24 when she smiled. The tomographic exam showed that bone tissue was at the level of the enamel-cementum junction, and gingival tissue covered a part of the anatomic crown. Virtual analysis using digital smile design (DSD) demonstrated that enlarging the clinical crowns would provide better aesthetics. The excess gingival tissue was removed from the gingival margin region with the aid of a mockup without interference to the interdental papillae. Then, osteotomy was performed using piezoelectric ultrasound until there was a 2.5 mm distance from the top of the bone crest to the new gingival margin. In the postoperative period, good repositioning of the gingival margin, absence of postoperative complications, and rapid healing of the gingival tissue were verified. After 6 months, a good aesthetic outcome was observed with stability in the level of the periodontal tissues obtained via the crown-lengthening technique. It can be concluded that the minimally invasive clinical crown-lengthening technique was effective in repositioning the gingival margin with no postoperative complications.Department of Diagnosis and Surgery Univ. Est. Paul. - UNESPDepartment of Periodontology/Implantology Dental School Federal University of Uberlândia-UFUDepartment of Diagnosis and Surgery Univ. Est. Paul. - UNESPUniversidade Estadual Paulista (Unesp)Universidade Federal de Uberlândia (UFU)Marcantonio, Ana Carolina Monachini [UNESP]De Oliveira, Guilherme José Pimentel LopesScardueli, Cássio Rocha [UNESP]Marcantonio, Camila Chiérici [UNESP]Marcantonio, Rosemary Adriana Chiérici [UNESP]Marcantonio, Elcio [UNESP]2020-12-12T02:38:13Z2020-12-12T02:38:13Z2020-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1155/2020/7234310Case Reports in Dentistry, v. 2020.2090-64552090-6447http://hdl.handle.net/11449/20165110.1155/2020/72343102-s2.0-85082443660Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengCase Reports in Dentistryinfo:eu-repo/semantics/openAccess2021-10-22T20:48:50Zoai:repositorio.unesp.br:11449/201651Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T19:36:12.391065Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Minimally Invasive Surgery for Clinical Crown Lengthening Using Piezoelectric Ultrasound |
title |
Minimally Invasive Surgery for Clinical Crown Lengthening Using Piezoelectric Ultrasound |
spellingShingle |
Minimally Invasive Surgery for Clinical Crown Lengthening Using Piezoelectric Ultrasound Marcantonio, Ana Carolina Monachini [UNESP] |
title_short |
Minimally Invasive Surgery for Clinical Crown Lengthening Using Piezoelectric Ultrasound |
title_full |
Minimally Invasive Surgery for Clinical Crown Lengthening Using Piezoelectric Ultrasound |
title_fullStr |
Minimally Invasive Surgery for Clinical Crown Lengthening Using Piezoelectric Ultrasound |
title_full_unstemmed |
Minimally Invasive Surgery for Clinical Crown Lengthening Using Piezoelectric Ultrasound |
title_sort |
Minimally Invasive Surgery for Clinical Crown Lengthening Using Piezoelectric Ultrasound |
author |
Marcantonio, Ana Carolina Monachini [UNESP] |
author_facet |
Marcantonio, Ana Carolina Monachini [UNESP] De Oliveira, Guilherme José Pimentel Lopes Scardueli, Cássio Rocha [UNESP] Marcantonio, Camila Chiérici [UNESP] Marcantonio, Rosemary Adriana Chiérici [UNESP] Marcantonio, Elcio [UNESP] |
author_role |
author |
author2 |
De Oliveira, Guilherme José Pimentel Lopes Scardueli, Cássio Rocha [UNESP] Marcantonio, Camila Chiérici [UNESP] Marcantonio, Rosemary Adriana Chiérici [UNESP] Marcantonio, Elcio [UNESP] |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Universidade Federal de Uberlândia (UFU) |
dc.contributor.author.fl_str_mv |
Marcantonio, Ana Carolina Monachini [UNESP] De Oliveira, Guilherme José Pimentel Lopes Scardueli, Cássio Rocha [UNESP] Marcantonio, Camila Chiérici [UNESP] Marcantonio, Rosemary Adriana Chiérici [UNESP] Marcantonio, Elcio [UNESP] |
description |
This case report is aimed at describing a flapless, minimally invasive clinical crown lengthening with an osteotomy performed using a piezoelectric ultrasound. A female patient complained about the amount of gum that was exposed when she smiled, which caused aesthetic discomfort. After a clinical examination, it was confirmed that the patient had excessive gum exposure in the upper arch of the dental region for teeth 14 to 24 when she smiled. The tomographic exam showed that bone tissue was at the level of the enamel-cementum junction, and gingival tissue covered a part of the anatomic crown. Virtual analysis using digital smile design (DSD) demonstrated that enlarging the clinical crowns would provide better aesthetics. The excess gingival tissue was removed from the gingival margin region with the aid of a mockup without interference to the interdental papillae. Then, osteotomy was performed using piezoelectric ultrasound until there was a 2.5 mm distance from the top of the bone crest to the new gingival margin. In the postoperative period, good repositioning of the gingival margin, absence of postoperative complications, and rapid healing of the gingival tissue were verified. After 6 months, a good aesthetic outcome was observed with stability in the level of the periodontal tissues obtained via the crown-lengthening technique. It can be concluded that the minimally invasive clinical crown-lengthening technique was effective in repositioning the gingival margin with no postoperative complications. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-12T02:38:13Z 2020-12-12T02:38:13Z 2020-01-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1155/2020/7234310 Case Reports in Dentistry, v. 2020. 2090-6455 2090-6447 http://hdl.handle.net/11449/201651 10.1155/2020/7234310 2-s2.0-85082443660 |
url |
http://dx.doi.org/10.1155/2020/7234310 http://hdl.handle.net/11449/201651 |
identifier_str_mv |
Case Reports in Dentistry, v. 2020. 2090-6455 2090-6447 10.1155/2020/7234310 2-s2.0-85082443660 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Case Reports in Dentistry |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808129095234486272 |