title: An update on crown lengthening. Part 1: Gingival tissue excess.
abstract: This is the first article in a two-part series which aims to provide an overview of the different techniques used to increase clinical crown height. In the first paper, the focus will be on the management of patients who present with gingival tissue excess. The different aetiologies are discussed and illustrated with clinical cases, following which a range of procedures that may be employed in the management of these patients are presented. With an increasingly ageing population, more patients are taking regular medications prescribed from their general medical practitioner, and so having a working knowledge of the specific drugs that may cause gingival enlargement is essential. Clinical Relevance: When patients with gingival tissue excess present in primary or secondary care, a clinician must have a good knowledge of the possible causes of the condition, as well as an idea of how the patient may be managed.
authors.forename: Harpoonam Jeet
authors.initials: HJ
authors.lastname: Kalsi
authors.forename: Zahra
authors.initials: Z
authors.lastname: Hussain
authors.forename: Ulpee
authors.initials: U
authors.lastname: Darbar
mesh_terms: D000328:Adult; D000368:Aged; D000541:Alveolectomy / Q000379:methods; D000927:Anticonvulsants / Q000009:adverse effects; D002121:Calcium Channel Blockers / Q000009:adverse effects; D016556:Crown Lengthening / Q000379:methods*; D003773:Dental Plaque / Q000517:prevention & control; D005260:Female; D005351:Fibromatosis, Gingival / Q000235:genetics / Q000601:surgery; D005881:Gingiva / Q000637:transplantation; D019214:Gingival Overgrowth / Q000139:chemically induced / Q000209:etiology / Q000601:surgery*; D005890:Gingivectomy / Q000379:methods; D005893:Gingivoplasty / Q000379:methods; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects; D053685:Laser Therapy / Q000379:methods; D008297:Male; D010347:Patient Care Planning; D013524:Surgical Flaps / Q000637:transplantation; D014078:Tooth Eruption / Q000502:physiology
chemical_list: D000927:Anticonvulsants; D002121:Calcium Channel Blockers; D007166:Immunosuppressive Agents