POST-ORTHODONTIC PERIODONTAL SURGERY IN THE MANAGEMENT OF EXCESSIVE GINGIVAL DISPLAY. A REVIEW AND CASE REPORTS
DOI:
https://doi.org/10.33279/jkcd.v10i02.321Keywords:
excessive gingival display, altered passive eruption, crown lengthening, biological widthAbstract
Objective: The purpose of this study is to discuss altered passive eruption as one of the etiological factors of Excessive gingival display, its diagnosis, and the periodontal surgical approach to treat Excessive gingival display after orthodontic treatment.
Materials and Methods: We present a case series of 10 patients reported to the Department of Periodontology, Khyber College of Dentistry during the year 2018 and 2019. The chief complaint of an excessive gingival display during a smile. Most of them were found with short clinical crowns, fibrotic gums, thick and flat biotype in maxillary and mandibular segments. The diagnoses were made based on classification given by Coslet et al. Periodontal surgical Flap procedure were performed, including osseous recontouring. All of these cases were treated under Local Anaesthesia.
Results: The 6 to 12 months follow up of these patients showed excellent color and contour of the gingiva. Healing was uneventful in the follow-up visits.
Conclusion: Correction of an excessive gingival display with esthetic mucogingival procedure gives esthetic and cosmetic benefits. Conventional surgical procedure using surgical blades was used as it is known to be an excellent tool as compared to other electrosurgical procedures in terms of patient and operator comfort.
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Copyright (c) 2020 Tariq Ali khan, Safia Rehmat, Hussam, Zeeshan Danish, Muhammad Naveed, Jamil Orakzai
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