Crown Lengthening in Esthetic Zone: Case Report

Abstract

Gingival tissue appearance plays a significant part in the overall structure of the look in the esthetic zone, particularly in patients with a medium or high smile line. Several methods can be performed to improve gum esthetics and enhance the smile's appearance, such as crown lengthening. Crown lengthening is a periodontal resection procedure that aims to remove a portion of the supporting periodontal tissue. Crown lengthening procedures may require only gingivectomy or additional osseous recontouring. Crown lengthening procedures may require only gingivectomy or additional osseous recontouring. This clinical case report describes crown lengthening procedures using a different gingivectomy technique and various instruments that allowed optimal results in the aesthetic zone. Cases: This case report presents a case of 25-year-old female patient with excessive gingival display (gummy smile) referred from the department of orthodontics to manage the inadequate space for bracket placement caused by Altered Passive Eruption (APE), and surgery was done by using a 3D-designed surgical guide as a template for crown lengthening and modified technique involving conventional and diode laser for gingivectomy and gingivoplasty. Discussion: Crown lengthening in the aesthetic zone requires careful planning and execution to achieve optimal results. The procedure can be challenging due to balancing functional and esthetic considerations.