치관연장술을 통한 상악 전치부 심미적 문제의 해결: 증례보고
Solution to esthetic problems in maxillary anterior teeth by crown lengthening technique: Case reports
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Lately, interest into aesthetics has increased both personally and socially, making the topic of maxillary anterior teeth especially important to patients. The aesthetics of maxillary anterior teeth involve position, length of lips, frenum's position, facial symmetry, occlusal vertical dimension, as well as harmony between teeth and gingiva. There are numerous problems associated with improper aesthetics of maxillary anterior teeth. For instance, short teeth can result in altered passive eruption, exposed gingiva create a so-called gummy smile, there can be an imbalance in the teeth-gingiva ratio, and it is difficult to obtain sufficient teeth length to conform stable prosthetics despite a need to recover from caries and fractures. These problems can be resolved by gingivectomy with bone reduction and various crown lengthening techniques such as forced eruption. We report diverse methods using gingivectomy only, gingivectomy with osteoplasty, and forced eruption in patients with aesthetic problems in their maxillary anterior teeth in Department of Periodontology, Chosun University Dental Hospital.
Abstract
Lately, interest into aesthetics has increased both personally and socially, making the topic of maxillary anterior teeth especially important to patients. The aesthetics of maxillary anterior teeth involve position, length of lips, frenum's position, facial symmetry, occlusal vertical dimension, as well as harmony between teeth and gingiva. There are numerous problems associated with improper aesthetics of maxillary anterior teeth. For instance, short teeth can result in altered passive eruption, exposed gingiva create a so-called gummy smile, there can be an imbalance in the teeth-gingiva ratio, and it is difficult to obtain sufficient teeth length to conform stable prosthetics despite a need to recover from caries and fractures. These problems can be resolved by gingivectomy with bone reduction and various crown lengthening techniques such as forced eruption. We report diverse methods using gingivectomy only, gingivectomy with osteoplasty, and forced eruption in patients with aesthetic problems in their maxillary anterior teeth in Department of Periodontology, Chosun University Dental Hospital.
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