Functional Crown Lengthening with Osteotomy in Anterior Teeth as a Prevention Against Restoration Failure: A Case Report

Abstract

Background: Teeth with inadequate clinical crowns lead to failure in restorative treatment. This condition complicates the tooth isolation in root canal treatment and results in minimal retention. Functional crown lengthening is the most common surgical procedure performed to increase the length of the clinical crown.


Case Report: This case report discusses the functional crown lengthening along with osteotomy on the anterior teeth of a 25-five-year-old male patient with a chief complaint of loose crown denture on the upper left lateral incisor accompanied with soreness after root canal treatment. Area #22 was seen as a gingival excess with a clinical crown remaining <2 mm on intraoral examination and showed non-hermetic obturation on radiographic examination.


Conclusion: The effectiveness of the treatment was proven by the nonrecurrence of gingival excess as seen from a one-month follow-up after functional crown lengthening.


Keywords: functional crown lengthening, osteotomy, gingival excess

References
[1] Davarpanah M, Jansen CE, Vidjak FM, Etienne D, Kebir M, Martinez H. Restorative and periodontal considerations of short clinical crowns. The International Journal of Periodontics & Restorative Dentistry. 1998;18(5):424–433.

[2] Gorni FGM, Gaghani MM. The outcome of endodontic retreatment: A 2-years followup. Journal of Endodontics. 2004;30(1):1-3.

[3] Carlos RB, Thomas NM, Pradhan S, Roshni S, Benjamin S, Rose R. Restoration of endodontically treated molars using all ceramic endocrowns. Case Reports in Dentistry. 2013; Vol.2013:1–5. https://doi.org/10.1155/2013/210763

[4] Pradeep K. Full mouth rehabilitation of severe fluorozed teeth with an interdisciplinary approach (6 handed dentistry). Journal Of Clinical and Diagnostic Research. 2013;7(10):2387-2389. https://doi.org/10.7860/JCDR/2013/5805.3533

[5] Tomar N, Tushika B, Marisha B, Anamika S. The perio-esthetic-restorative approach for anterior rehabilitation. Journal of Indian Society of Periodontology. 2013;17(4):535–38. https://doi.org/10.4103/0972-124X.118332

[6] Lai JY, Silvestri L, Girard B. Anterior esthetic crown-lengthening surgery: A case report. Journal of the Canadian Dental Association. 2001;67(10):600–603.

[7] Kutesa-Mutebi A, Osman YI. Effect of the ferrule on fracture resistance of teeth restored with prefabricated posts and composite cores. African Health Sciences. 2004;4(2):131–135.

[8] Gargiulo AW, Wentz FM, Orban B. Dimensions and relations of the dentogingival junction in humans. Journal of Periodontology. 1961;32(3):261–267. https://doi.org/10.1902/jop.1961.32.3.261

[9] Allen EP. Use of mucogingival surgical procedures to enhance esthetics. Dental Clinics of North America. 1988;32(2):307–330.

[10] Glickman GN, Vogt MW. Cohen’s pathways of the pulp. 10th ed. Hargreares KM, editor. Mosby Elsevier, St. Louis, Missouri. 2011. Preparation for treatment; p. 88-123.

[11] Gulabivala K. Endodontics. 3rd ed. Stock CJR, Gulabivala K, Walker RT, editors. Mosby Elsevier; United Kingdom. 2004. Restoration of the root-treated tooth; p.279-305.

[12] Ng CCH, Dumbrigue HB, Al-Bayat MI, Griggs JA, Wakefield CW. Influence of remaining coronal tooth structure location on the fracture resistance of restored endodontically treated anterior teeth. Journal of Prosthetic Dentistry. 2006;95(4):290-296.