Conservative orthodontic-prosthodontic approach for excessive gingival display: A clinical report.
A differential diagnosis of excessive gingival display is critical in determining appropriate treatment options and sequence. Anterior tooth malposition for patients with deep vertical overlap has been suggested as one of the 3 main causes of excessive gingival display. Specifically, patients with Angle class II, division 2 malocclusions show an occlusal scheme that might be responsible for additional anterior tooth wear when compared with individuals without malocclusion. In the long term, this condition can cause dentoalveolar compensation and overeruption of maxillary incisors with concomitant coronal movement of the gingival margin with excessive gingival display. A combined orthodontic and restorative treatment was proposed as a conservative treatment to reposition maxillary anterior teeth and their gingival margins to a more ideal position and create the necessary interocclusal restorative space to restore worn teeth with ceramic restorations, enhance dental and facial esthetics, and reestablish anterior guidance.
Clinical Assistant Professor, Division of Prosthodontics, Eastman Institute for Oral Health, University of Rochester, Rochester, NY. Electronic address: casher@infomed.es.
Rafael
R
del Castillo
Private practice, Alicante, Spain.
Ana M
AM
Hernández
Professor, Chairman, and Program Director, Division Of Prosthodontics, Eastman Institute for Oral Health, University of Rochester, Rochester, NY.
Carlo
C
Ercoli
D000328:Adult; D000538:Aluminum Silicates / Q000737:chemistry; D003188:Composite Resins / Q000737:chemistry; D000072700:Conservative Treatment / Q000379:methods*; D003731:Dental Caries / Q000628:therapy; D003764:Dental Materials / Q000737:chemistry; D003776:Dental Porcelain / Q000737:chemistry; D017267:Dental Prosthesis Design; D003801:Dental Veneers; D003807:Dentin Sensitivity / Q000628:therapy; D005260:Female; D005881:Gingiva / Q000473:pathology*; D006801:Humans; D007180:Incisor / Q000473:pathology*; D008312:Malocclusion, Angle Class II / Q000628:therapy*; D010347:Patient Care Planning; D011176:Post and Core Technique; D017680:Potassium Compounds / Q000737:chemistry; D014078:Tooth Eruption / Q000502:physiology; D014087:Tooth Movement Techniques / Q000379:methods*; D057085:Tooth Wear / Q000628:therapy*; D019553:Tooth, Nonvital / Q000628:therapy
D000538:Aluminum Silicates; D003188:Composite Resins; D003764:Dental Materials; D017680:Potassium Compounds; D003776:Dental Porcelain; C016447:feldspar