A guide to minimally invasive crown lengthening and tooth preparation for rehabilitating pink and white aesthetics

Key Points

  • Suggests ways to expedite healing.

  • Suggests ways to improve patient comfort.

  • Suggests a minimal intervention perio-restorative approach for improving anterior dental aesthetics.

Abstract

The rehabilitation of anterior dental aesthetics involves a multitude of disciplines, each with its own methodologies for achieving a predefined goal. The literature is awash with different techniques for a given predicament, based on both scientific credence, as well as empirical clinical judgements. An example is crown lengthening for correcting uneven gingival zeniths, increasing clinical crown lengths, and therefore, reducing the amount of maxillary gingival display that detracts from pleasing pink aesthetics. Many procedures have been advocated for rectifying gingival anomalies depending on prevailing clinical scenarios and aetiology. This paper presents a minimally invasive technique for crown lengthening for short clinical crowns concurrent with excessive maxillary gingival display, which is expedient, maintaining the inter-proximal papilla, mitigating morbidity, reducing post-operative inflammation, and increasing patient comfort. In addition, with a similar ethos, a minimally invasive tooth preparation approach is presented for achieving optimal white aesthetics.

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Figure 18: Addition silicone VPS impression.
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Acknowledgements

The authors would like to extend their gratitude to Mr Amed Kharfan, Zercon Smile Dental Laboratory, Riyadh, KSA for the ceramic work presented in the case study.

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Correspondence to I. Ahmad.

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Al-Harbi, F., Ahmad, I. A guide to minimally invasive crown lengthening and tooth preparation for rehabilitating pink and white aesthetics. Br Dent J 224, 228–234 (2018). https://doi.org/10.1038/sj.bdj.2018.121

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