title: Clinical crown lengthening - a case report.
abstract: Maintaining healthy parodontium during teeth restoration procedures is an indispensable condition for obtain- ing regular functionning and esthetics. Thus, the knowledge of correct anatomy and the influence of filling and complement on paradontium tissue is vital. Difficulty in maintaining appropriate gingival biological width (GBW) is a frequent problem encountered in this type of reconstruction. Preservation of unchanged biological width conditions predictible treatment result and, what is more, lack of inflammatory lesions in marginal parodontium. The ideal situation for parodontium is localizing the filling/complement border supragingivaly, which is at least 3 mm from alveolar process edge. In the case, when the above conditions are impossible to fulfil, elongation of clinical crown is a metod of choice. The effect is possible to achieve by surgical treatment or combined orthodontic - surgical treatment. Surgical treatment is faster and preferred procedure for indirect reconstruction, where achieving high clinical crown is necessary. Three clinical cases of performing method of surgical clinical crown elongation were presented in the article. Performing the described procedure enables correct tooth crown reconstruction and, what is most important, keeping individual toothing.
authors.affiliation: Department of Periodontology and Oral Medicine, Dental Institute, Jagiellonian University Medical College, Montelupich 4, Krakow, Poland. wmm.lipscy@gmail.com.
authors.forename: Weronika
authors.initials: W
authors.lastname: Lipska
authors.forename: Marcin
authors.initials: M
authors.lastname: Lipski
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Lisiewicz
authors.forename: Andrzej
authors.initials: A
authors.lastname: Gala
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Gronkiewicz
authors.forename: Dagmara
authors.initials: D
authors.lastname: Darczuk
authors.forename: Maria
authors.initials: M
authors.lastname: Chomyszyn-Gajewska
mesh_terms: D000328:Adult; D000368:Aged; D003238:Connective Tissue / Q000601:surgery; D016556:Crown Lengthening / Q000379:methods*; D017267:Dental Prosthesis Design; D003793:Dental Restoration, Permanent / Q000379:methods*; D005260:Female; D005882:Gingival Diseases / Q000601:surgery*; D006801:Humans; D008297:Male; D019228:Tooth Crown / Q000473:pathology; D014076:Tooth Diseases / Q000601:surgery*; D016896:Treatment Outcome
keywords: biological width; clinical crown lengthening; periosurgery