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Aesthetic crown lengthening: periodontal and patient‐centred outcomes
Author(s) -
Silva Cléverson O.,
Soumaille Jéssica M. S.,
Marson Fabiano C.,
Progiante Patrícia S.,
Tatakis Dimitris N.
Publication year - 2015
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.12482
Subject(s) - crown lengthening , medicine , crown (dentistry) , dentistry , patient satisfaction , dental alveolus , alveolar crest , prospective cohort study , orthodontics , alveolar mucosa , surgery
Aim The objective of this prospective study was to assess clinical and patient‐centred outcomes of aesthetic crown lengthening surgery for the treatment of altered passive eruption. Materials and Methods Twenty‐two patients were treated and followed up for 6 months. The evaluated clinical parameters included, among others, probing depth, clinical attachment level, clinical crown length ( CL c ), cemento‐enamel junction to alveolar bone crest distance, gingival width ( GW ) and gingival display ( GD ). Subjects completed surveys to evaluate satisfaction with smile, gingiva and tooth features and experience with the procedure. Results Average CL c was 8.5 ± 0.5 mm at baseline and significantly increased (9.9 ± 0.5 mm; p < 0.0001) at 6 months. Concomitantly, GW significantly decreased from baseline (5.8 ± 1.2 mm) to 6 months (4.9 ± 1.1 mm; p < 0.008), as did GD (from 2.6 ± 2.0 mm to 1.1 ± 1.9 mm; p < 0.0001). In contrast to their pre‐operative satisfaction level, the majority (≥73%) of patients were very satisfied post‐operatively with gingival and tooth display, when smiling or talking, and with maxillary anterior tooth size and shape. All patients would undergo the procedure again and would recommend it to someone with a similar problem. Conclusion Aesthetic crown lengthening surgery results in high levels of patient satisfaction and predictable and stable outcomes in the short term.