Crown Lengthening for The Treatment Of Gummy Smile Associated With Altered Passive Eruption: A Case Report

Abstract

A harmonious smile is considered a beautiful image in today's society. An appealing smile can enhance the look so that someone is more effortlessly popular in society. In making plans for dental remedies to be carried out, aesthetic issues are very applicable due to the connection between smile and facial beauty. Altered passive eruption (APE) is a condition where the gingival margin rises due to excessive tooth wear, leading to an increased display of gingival tissue. Crown lengthening is a surgical procedure that can help address these issues. Case Report: A 34 year old female came to the Department of Periodontology at RSGM USU with a chief complaint of not being confident with her smile because of excessive gingival display (gummy smile) because of APE. Case Management: This case report presents a gummy smile treatment with crown lengthening involving bone reduction. Discussion: The patient's gummy smile was significantly improved after the crown lengthening procedure, with the gingival margin now at the same level as the incisal edge of the teeth. The procedure effectively addressed the APE, enhancing the patient's oral aesthetics and self-confidence. Conclusion: Crown lengthening is a viable treatment option for patients with gummy smiles associated with APE. This case report highlights the importance of a thorough diagnosis and treatment planning to achieve optimal outcomes in such cases.