Download fulltext HTML
Syaify, A., & Rohmawati, L. (2022). Aesthetics Crown Lengthening with Anterior Gingival Depigmentation: A Case Report. KnE Medicine, 2(1), 260-269. https://doi.org/10.18502/kme.v2i1.10859

https://doi.org/10.18502/kme.v2i1.10859

statistics

  • 263 Abstract Views
  • 288 PDF Views
  • 0 HTML Views

authors

  • Ahmad Syaify

    Ahmad Syaify

    Periodontics Department, Faculty of Dentistry, Universitas Gadjah Mada, Jl. Denta Sekip Utara, Sinduadi, Mlati, Sleman Regency, Special Region of Yogyakarta 55281, Indonesia
  • Lina Rohmawati

    Lina Rohmawati

    Periodontics Department, Faculty of Dentistry, Universitas Gadjah Mada, Jl. Denta Sekip Utara, Sinduadi, Mlati, Sleman Regency, Special Region of Yogyakarta 55281, Indonesia

Published Date

  • Apr 25, 2022

Aesthetics Crown Lengthening with Anterior Gingival Depigmentation: A Case Report

KnE Medicine / The International Online Seminar Series on Periodontology in conjunction with Scientific Seminar / Pages 260-269

Abstract

Background: Crown lengthening (CL) is a perio–aesthetic treatment to gain an ideal proportion of teeth and gingiva, and depigmentation is a treatment to treat gingival hyperpigmentation.


Objective: To describe the treatment of altered passive eruption (APE) with CL procedure and gingival depigmentation using a scalpel scraping technique.


Case Report: A 21-year-old man presented with a complaint of short maxillary front teeth and brownish gum. Intraoral examination revealed a disproportionate tooth size and gingival hyperpigmentation in the maxillary and mandibular anterior regions. Crown lengthening and gingival depigmentation procedures were performed in one visit. In gingival depigmentation procedure epithelial tissue was removed from the mucogingival junction up to the interdental papilla. At the one-week follow-up, the gingiva was still reddish. After four weeks, the gingiva healed, and there was no re-pigmentation.


Conclusion: Crown lengthening and gingival depigmentation are perio–aesthetic treatments that improve tooth size and gingival proportion to achieve a better aesthetics.


Keywords: crown lengthening, depigmentation, perio–aesthetic surgery

References
[1] Storrer CLM, de Oliveira ND, Deliberador TM, Ori LT, Guerrero SM, Santos FR. Gingival smile: A case report. Journal of International Academic Periodontology. 2017;19(2):51–6.

[2] Boeira PO, De Rossi A, Caporossi LS, de Silveira Lima G. Periodontal esthetic surgery to improve a natural smile: Report case with 2-year follow-up. Journal of Indian Social Periodontology. 2020;24(1):87-91.

[3] Padhye N, Padhye A, Pathak T. Clinical short crowns: A report on perioplastic management of altered passive eruption of three cases. Indian Journal of Dental Sciences. 2019;11(1):56-60.

[4] Sharma A, Panjrath S. Crown lengthening for smile enhancement. Research Journal of Life Bioinformatics Pharmaceutical and Chemical Sciences. 2018;4(4):165-9.

[5] Touati B. Defining forms and positions. Practice Periodontology of Aesthetic Dental. 1998;10(7):800–7.

[6] Townsend GC, Harris EF, Lesot H, Clauss F, Brook A. Morphogenetic fields within the human dentition: A new, clinically relevant synthesis of an old concept. Archives Oral Biology. 2009;54:34-44.

[7] Patil PS, Bhongade ML. Case report undiagnosed & diagnosed entity altered passive eruption, review, and case report. Journal of Applied Dent and Medicine Sciences. 2016;2(3):158-68.

[8] Apriantika I, Krismariono A. Aesthetic crown lengthening for gummy smile treatment related to altered passive eruption: A case report. Dentika Dental Journal. 2020;23(2):28-33.

[9] Gunadi HA, Burhan LA, Suryatenggara F. Removable partial dentures. Vol I. Jakarta: Hippocrates; 1995.

[10] Huang WJ, Creath CJ. The midline diastema: A review on its etiology and treatment. Pediatric Dentistry. 1995;17:171-9.

[11] Cicek Y. The normal and pathological pigmentation of oral mucous membrane: A review. Journal of Contemporary Dental Practice. 2003;4(3):76-86.

[12] Shafer WG, Hine MK, Levy BM. A textbook of oral pathology. Philadelphia: WB Saunders Co.;1984.

[13] Dummet CO, Barens G. Oromucosal pigmentation: An updated literary review. Journal of Periodontology. 1971;42:726–36.

[14] Ladvige S, Doshi Y, Marawar P. Management of gingival hyperpigmentation using scalpel and diode laser: A comparative study. Journal of Oral Laser Application. 2009;9:41-7.

[15] Abdel Moneim RA, El Deeb M, Rabea AA. Gingival pigmentation (Cause, treatment and histological preview). Futur Dental Journal. 2017;3:1–7.

[16] Allen E, Gladkova N, Fomina Y et al. Successful gingival depigmentation with laserpatterned micro coagulation: A case report. Clinical Advantage Periodontology. 2011;1:210-4.

[17] Alpiste-Illueca F. Altered passive eruption (APE): A little-known clinical situation. Medicine Oral Pathology of Oral Cir Buccal. 2011;16(1):e100-4

[18] Storrer CLM, de Oliveira ND, Deliberador TM, Ori LT, Guerrero SM, Santos FR. Treatment of gingival smile: A case report. Journal of the International Academy of Periodontology. 2017;19(2):51–6.

[19] Sharma A, Panjrath S. Crown lengthening for smile enhancement. Research Journal of Life Bioinformatics Pharmaceutical and Chemical Sciences. 2018;4(4):165-9.

[20] Cicek Y. The normal and pathological pigmentation of oral mucous membrane: A review. Journal of Contemporary Dental Practice. 2003;4(3):76-86.

[21] Narayan S, Narayan TV, Jacob PC. Correction of a gummy smile: A report of two cases. Journal of the Indian Society of Periodontology. 2011;15(4):421–4.

[22] Krismariono A. Coronally positioned vestibule for gummy smile. Journal of International Dental Medical Research. 2018;11(2):707-10.

[23] Delli K, Sculean A, Katsaros C. Fact and myth regarding the maxillary midline frenum and its treatment: A systematic review of the literature. Quintessence International. 2013;44:177-187

[24] Kanakamedala AK, Geetha A, Ramakrishnan T, Emadi P. Management of gingival hyperpigmentation by the surgical scalpel technique: Report of three cases. Journal of Clinical Diagnostic Research, 2010;4(2):2341-6.