Journal of oral biology and craniofacial research · 2025
Periodontal and restorative integration for managing extreme gummy smiles with lip repositioning flap, crown lengthening, and lithium disilicate veneers: A case report.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ramadhan Daniyal Lazuardi, Sampoerno Galih, Saraswati Widya, Krismariono Agung, Binti Tengku Ahmad Noor Tengku Natasha Eleena
Аннотация
BACKGROUND: Excessive gingival display, commonly referred to as a gummy smile, has a major impact on facial aesthetics and patient confidence. Addressing this condition often requires a multidisciplinary approach combining periodontal and restorative procedures.
PURPOSE: This case report intends to demonstrate the efficacy of a comprehensive treatment strategy that included a lip repositioning flap, crown lengthening, and lithium disilicate veneers in achieving esthetic rehabilitation of an extreme gummy smile.
CASE: A 29-year-old male patient presented with excessive gingival display and short clinical crowns, resulting in a disharmonious smile. The patient expressed dissatisfaction with her smile aesthetics and sought a minimally invasive yet effective solution.
CASE MANAGEMENT: The initial evaluation includes clinical and radiographic assessments to identify gingival biotype, crown-to-root ratio, and amount of gingival excess. A lip repositioning flap was performed to optimize gingival levels, followed by crown lengthening to expose adequate tooth structure for veneering. Lithium disilicate veneers were created utilizing a digital approach to improve precision and aesthetics. The treatment lasted six months, which ensured adequate healing and functional integration.
CONCLUSION: The combination of periodontal surgery and advanced restorative techniques successfully addressed the patient's esthetic concerns, achieving a balanced gingival-dental relationship and a natural, harmonious smile. This case demonstrates the value of an interdisciplinary approach in managing complex esthetic challenges, providing predictable and satisfying outcomes for both clinicians and patients.
PURPOSE: This case report intends to demonstrate the efficacy of a comprehensive treatment strategy that included a lip repositioning flap, crown lengthening, and lithium disilicate veneers in achieving esthetic rehabilitation of an extreme gummy smile.
CASE: A 29-year-old male patient presented with excessive gingival display and short clinical crowns, resulting in a disharmonious smile. The patient expressed dissatisfaction with her smile aesthetics and sought a minimally invasive yet effective solution.
CASE MANAGEMENT: The initial evaluation includes clinical and radiographic assessments to identify gingival biotype, crown-to-root ratio, and amount of gingival excess. A lip repositioning flap was performed to optimize gingival levels, followed by crown lengthening to expose adequate tooth structure for veneering. Lithium disilicate veneers were created utilizing a digital approach to improve precision and aesthetics. The treatment lasted six months, which ensured adequate healing and functional integration.
CONCLUSION: The combination of periodontal surgery and advanced restorative techniques successfully addressed the patient's esthetic concerns, achieving a balanced gingival-dental relationship and a natural, harmonious smile. This case demonstrates the value of an interdisciplinary approach in managing complex esthetic challenges, providing predictable and satisfying outcomes for both clinicians and patients.