title: A combined periodontal - prosthetic treatment approach to manage unusual gingival visibility in resting lip position and inversely inclined upper anterior teeth: a case report with discussion.
abstract: Excessive gingival visibility during smile is a common esthetic complaint in dentistry, but excessive gingival visibility in resting lip position is relatively uncommon condition. Several exclusive radical to conservative surgical treatment or its combination with orthodontic therapy to treat this condition are within the reach of every patient nowadays. A case report of an excessive gingival visibility because of altered passive eruption along with inversely inclined maxillary anterior teeth is presented here. A relatively simple treatment approach combining periodontal and restorative therapy is used here to achieve the desirable aesthetic results. The gingival exposure resulting from altered passive eruption was completely managed by a gingivectomy, but the inclined appearance of teeth was still an aesthetic complaint. After complete healing of gingivectomy surgery, appropriately designed crowns were given to rectify the inversely inclined appearance. A complete rehabilitation of patient's smile could be achieved, the case was followed up for 3 years and the condition was found satisfactory.
authors: Professor & Head, Department of Clinical Periodontology and Oral Implantology, Royal Dental College, Palakkad, Chalissery, Kerala, India.
authors: K R
authors: KR
authors: Biniraj
authors: Associate Professor, Department of Oral Pathology & Microbiology, Amrita School of Dentistry, Kochi, Kerala, India.
authors: Mahija
authors: M
authors: Janardhanan
authors: Professor, Department of Pedodontics and Preventive Dentistry, Royal Dental College, Palakkad, Chalissery, Kerala, India.
authors: M M
authors: MM
authors: Sunil
authors: Professor & Head, Department of Conservative Dentistry and Endodontics, Royal Dental College, Palakkad, Chalissery, Kerala, India.
authors: Mohammed
authors: M
authors: Sagir
authors: Professor, Department of Orthodontics, Royal Dental College, Palakkad, Chalissery, Kerala, India.
authors: A
authors: A
authors: Hariprasad
authors: Professor, Department of Clinical Periodontology and Oral Implantology, Royal Dental College, Palakkad, Chalissery, Kerala, India.
authors: Tony P
authors: TP
authors: Paul
authors: Professor, Department of Clinical Periodontology and Oral Implantology, Royal Dental College, Palakkad, Chalissery, Kerala, India.
authors: Rishi
authors: R
authors: Emmatty
keywords: Altered passive eruption; gingival pocket; gummy smile; inclined teeth