상악 전치부에서 심미적 치관 연장술의 치유 양상 보고
Case report of esthetic maxillary anterior crown lengthening
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Purpose: Excessive gingival display and short clinical crowns due to altered passive eruptions are major concerns for a considerable number of patients visiting dental clinics. Altered passive eruptions could be corrected through various types of periodontal surgery conformable to a classification. 3 cases are reported here on the esthetic correction of altered passive eruption to evaluate results of crown lengthening procedure. Methods: Three patients whose major complaints were excessive gingival display and short teeth were picked out for this case study. Before treatment, clinical and radiological exam was performed to choose type of surgery. Thickness and width of keratinized gingiva was measured in all three patients then they were treated by surgical methods including flap operation and depigmentation under subsequent diagnosis. Results: Uneventful healing and stable gingival margin were observed in all three patients except recurrence of gingival pigmentation of one patient. Conclusions: The treatment of altered passive eruption requires precise diagnostic procedure and could achieve better esthetic outcomes when it is accompanied by other orthodontic and orthognathic treatment. (J Korean Acad Periodontol 2009;39:199-204 )
Abstract
Purpose: Excessive gingival display and short clinical crowns due to altered passive eruptions are major concerns for a considerable number of patients visiting dental clinics. Altered passive eruptions could be corrected through various types of periodontal surgery conformable to a classification. 3 cases are reported here on the esthetic correction of altered passive eruption to evaluate results of crown lengthening procedure. Methods: Three patients whose major complaints were excessive gingival display and short teeth were picked out for this case study. Before treatment, clinical and radiological exam was performed to choose type of surgery. Thickness and width of keratinized gingiva was measured in all three patients then they were treated by surgical methods including flap operation and depigmentation under subsequent diagnosis. Results: Uneventful healing and stable gingival margin were observed in all three patients except recurrence of gingival pigmentation of one patient. Conclusions: The treatment of altered passive eruption requires precise diagnostic procedure and could achieve better esthetic outcomes when it is accompanied by other orthodontic and orthognathic treatment. (J Korean Acad Periodontol 2009;39:199-204 )
참고문헌 (15)
- Gottlieb B, "Active and passive continuous eruptions of teeth", J Dent, 13, pp.214~219 (1933)
- Goldman HM, "Periodontal therapy. 4th ed" (1968), CV Mosby
- Volchansky A, "A 3-year longitudinal study of the position of the gingival margin in man", J Clin Periodontol, 6, pp.231~237 (1979)
- Tjan AHL, "some esthetic factors in a smile", J Prosthet Dent, 51, pp.24~28 (1984)
- Allen EP, "Use of mucogingival surgical procedures to enhance esthetics", Dent Clin North Am, 32, pp.307~330 (1988)
- Coslet JG, "Diagnosis and classification of delayed passive eruption of dentogingival junction in the adult", Alpha Omegan, 3, pp.24~28 (1977)
- Olsson M, "Periodontal characteristics in individuals with varying forms of the upper central incisors", J Clin Periodontol, 18, pp.78~82 (1991)
- Pontoriero R, "Surgical crown lengthening : A 12-month clinical wound healing study", J Periodontol, 72, pp.841~848 (2001)
- Eger, T., "Ultrasonic determination of gingival thickness: subject variation and influence of tooth type and clinical features", J. Clin. Periodontol, 23, pp.839~845 (1996)
- Kang CH, "A study on keratinized gingival thickness in healthy koreal adults", J Korean Acad Periodontol, 30, pp.179~185 (2005)
- Gargiulo AW, "Dimensions and relations of the dentogingival junction in humans", J Periodontol, 32, pp.261~267 (1961)
- David ED, "Osseous Surgery for Crown Lengthening: A 6-Month Clinical Study", J Periodontol, 75, pp.1288~1294 (2004)
- Samuel P, "Repigmentation of the gingiva following surgical injury", J Periodontol, 57, pp.48~50 (1985)
- Dummett CO, "Postsurgical clinical repigmentation of the gingiva", Oral Sug, 16, pp.353~ (1963)
- Garber DA, "The aesthetic smile: diagnosis and treatment", Perio 2000, 11, pp.18~28 (1996)