Abstract
Background
In patients with gingival exposure on smiling due to altered passive eruption, esthetic
crown lengthening is often indicated. Meticulous planning and surgical precision are
key for successful outcomes. Surgical guides are helpful tools that are seldomly reported
on in the literature related to esthetic crown lengthening procedures.
Types of Studies Reviewed
The authors searched the literature for articles that described the planning, tools,
and execution related to esthetic crown lengthening procedures.
Results
Several techniques have been reported to guide the esthetic crown lengthening procedure,
ranging from direct bone level measurement to 3-dimensional printed surgical guides.
Practical Implications
This review serves the clinician as an aid in the decision-making process for esthetic
crown lengthening procedures and available surgical guide options, including computer-based
guides.
Key Words
Esthetic
surgery
crown lengthening
surgical guides
Abbreviation Key:
APE (Altered passive eruption), CBCT (Cone-beam computed tomography), CEJ (Cementoenamel junction), 3D (3-dimensional), DBL (Direct bone level), EGD (Excessive gingival display), PA (Periapical), TGP (Transgingival probing)
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Biography
Dr. Alhumaidan is an assistant professor, Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Biography
Dr. al-Qarni is an assistant professor, Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Biography
Dr. AlSharief is an assistant professor, Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Biography
Dr. AlShammasi is a dentist, Ministry of Health, Saudi Arabia.
Biography
Dr. Albasry is a teaching assistant, Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Article Info
Publication History
Published online: September 30, 2021
Accepted:
July 7,
2021
Received in revised form:
April 6,
2021
Received:
February 23,
2021
Publication stage
In Press Corrected Proof
Footnotes
Disclosures. None of the authors reported any disclosures.
Identification
DOI: https://doi.org/10.1016/j.adaj.2021.07.005
Copyright
(C) 2021 American Dental Association. All rights reserved.
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