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Managing Excessive Gingival Display Using a Digital Workflow
Author(s) -
Ahmed Walaa Magdy,
Hans Amandeep,
Verhaeghe Tyler V.,
Nguyen Caroline
Publication year - 2020
Publication title -
journal of prosthodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.902
H-Index - 60
eISSN - 1532-849X
pISSN - 1059-941X
DOI - 10.1111/jopr.13181
Subject(s) - crown (dentistry) , workflow , crown lengthening , scanner , dentistry , orthodontics , medicine , reduction (mathematics) , computer science , mathematics , artificial intelligence , database , geometry
This technique article describes an approach to managing excessive gingival display by lengthening of the clinical crowns using a digital workflow. An intraoral scanner was used to obtain a template to be used for the crown lengthening surgical procedure considering the patient‐desired diagnostic setups while fully seating the template on the patient's teeth during surgery. Using a digital approach for lengthening the clinical crowns decreased the likelihood of the need for postsurgical modifications, thus shortening the treatment duration. After the crown lengthening healed for 12 weeks, full‐mouth reconstruction proceeded. Maxillary and mandibular preparation reduction guides were digitally designed and printed to facilitate conservative crown preparations. An intraoral scanner was used to make full‐arch scans and interocclusal records for the fabrication of provisional and final crowns. Fully guided implant planning and placement were also executed.