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http://dx.doi.org/10.14368/jdras.2015.31.2.143

Esthetic restoration of malpositioned anterior teeth by tooth shape and gingival contour modification : a clinical report  

Kim, Ja-Yeong (Department of Dentistry, Presbyterian Medical Center, University of Seonam College of Medicine)
Kim, Kyoung-A (Department of Dentistry, School of Medicine, Eulji University)
Seo, Jae-Min (Department of Prosthodontics, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University)
Publication Information
Journal of Dental Rehabilitation and Applied Science / v.31, no.2, 2015 , pp. 143-149 More about this Journal
Abstract
In esthetic treatments, it is important to consider the arrangement of teeth and the relation between the teeth and soft tissues. A precise diagnosis and establishing an appropriate treatment plan is essential in an esthetic treatment of anterior maxillary teeth. For a fixed prosthesis to meet esthetic expectations, It is crucial to achieve symmetry and adequate proportions of the gingival contour around the crowns. To achieve an esthetic improvement and creating a favorable environment for gingival healing of a physiologic gingival contour, gingivectomy, crown lengthening and forced eruption can be applied to the appropriate site. All ceramics or porcelain laminate veneer can be selected for esthetic improvement of teeth contour and shade. In this case report, malposition of the remaining teeth made it hard to get an esthetic appearance. Gingivectomy, crown lengthening and provisional restoration insertion were performed before the final prosthesis fabrication to reform the gingival form. This case presents satisfying result esthetically and functionally.
Keywords
malposition; gingivectomy; crown lengthening; all ceramics; laminate veneer;
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