Functional Crown Lengthening: A Pre- Restorative Treatment For Long-Term Survivability

Abstract

Background: Factor that become biggest challenges to achieve a good restoration result is to increase the height of clinical crown length deficiency in which establish the stability of dentogingival complex to improve retention and obtain an aesthetically pleasing final restoration. Functional crown lengthening is one of the most common surgical procedures performed to achieve result that increase clinical crown length. Case Report: In this case report, a 38-year-old female patient who required functional crown lengthening due to a fractured tooth 35 and no clinical crown remaining is discussed. The patient was referred by the prosthodontics department. Case Management: The case patient was treated with functional crown lengthening (FCL) with through calculation and consideration. Discussion: FCL is a minimally invasive surgical procedure that can prolong the teeth while maintaining healthy periodontal structure. This is known as an interdisciplinary approach in consideration of the biological and anatomical aspects of the tooth that will determine the success of the treatment. Conclusion: Goal of FCL is one of the deciding factor for restorative treatment with inadequate clinical crown, to maintain ideal biological width and build-up of the supragingival structure, to achieve a ferrule effect that improve the durability of the restoration.