Deep Margin Elevation Is a Viable Alternative to Conventional Surgical CrownLengthening on Teeth Affected by Extensive Carious Lesions Skip NavigationUniversity: Home | Calendar | MapsCATs HomeWhat is a CAT?CAT MentorsSearch CATs LibrarySubmit a CATClinical CAT videosEvidence-based Practice ProgramDental School Home ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAMView the CAT printer-friendly / share this CAT Title Deep Margin Elevation Is a Viable Alternative to Conventional Surgical CrownLengthening on Teeth Affected by Extensive Carious LesionsClinical Question In patients in need of restorations on teeth with subgingival caries lesions (P), does the choice of deep margin elevation (I) or conventional surgical crownlengthening procedure (C) affect clinical outcomes (O)?Clinical Bottom Line Deep
Treatment of excessive gingival display using conventional esthetic crownlengthening versus computer guided esthetic crownlengthening: (a randomized clinical trial). Surgical guides have been proposed in an attempt to reach more predictable outcomes for esthetic crownlengthening. The objective of the present study was to evaluate the effectiveness of esthetic crownlengthening using 3D in terms of operating time with the study group being significantly lower (P < 0.001). Digitally assisted esthetic crownlengthening helps shorten the operating time and reduces the possibility of human errors during the measurements. This will be useful in helping practitioners achieve better results. The conventional method remains to be the gold standard. However, shorter operating time and lower
Evaluation of minimally invasive esthetic crownlengthening using an open flap versus flapless surgical approach: A randomized controlled clinical trial. Esthetic crownlengthening (ECL) is commonly advocated to treat patients with altered passive eruption (APE). Since the introduction of the minimally invasive surgical concept, a limited number of studies have investigated this technique
Combined treatment of surgical extrusion and crownlengthening procedure for severe crown-root fracture of a growing patient: a case report. Preservation of a healthy periodontium is critical for the long-term success of restored teeth. In cases of extensive caries, tooth fracture, inadequate crown length, and increased esthetic demands, the restorative margins need to be placed apical to the gingival margin. Violation of the biological width due to dental trauma frequently appears in clinical practice. There are three treatment options for preserving biological width and the ferrule effect: crownlengthening, orthodontic extrusion, and surgical extrusion. This case report describes the surgical intervention and fixed prostheses for crown-root fractured maxillary incisors in a growing patient
Digital planning and guided dual technique in esthetic crownlengthening: a randomized controlled clinical trial. The present study aimed to compare the guided dual technique with the conventional technique in esthetic crownlengthening (ECL). The trial registration number is NCT04922086. Twenty-four participants diagnosed with altered passive eruption (APE) type I subcategory B were selected
Evaluation of the effect of Echium amoenum on pain control after clinical crownlengthening surgery. Pain after periodontal surgeries is one of the most common complications. is among the important therapeutic herbs in Iranian traditional medicine. Various studies have shown its pain control properties. This study aimed to evaluate this herb's efficacy in controlling pain after periodontal surgeries. In this randomized clinical trial, 50 patients referred to Tabriz Dental School for clinical crownlengthening surgery were divided into two equal groups: control and test. In the test group (using ), 24 hours before surgery, was administered to the patient at home every 12 hours, and a dose of was administered one hour before the procedure. The postoperative pain was assessed using VAS 30
Biological evaluation of indirect restorations in endodontically treated posterior teeth with deeply located proximal margins following deep margin elevation versus surgical crownlengthening: a randomized controlled trial. The current clinical trial was conducted to evaluate the effect of proximal indirect restorations in endodontically treated posterior teeth with deeply located margins following deep margin elevation compared to surgical crownlengthening. Deep proximal cavities in endodontically treated posterior teeth were randomly assigned into two groups; deep margin elevation (DME) or crownlengthening (CL). The clinical attachment level (CAL), probing depth (PD), bleeding on probing (BOP), crestal bone level (CBL), and secondary caries were evaluated at the baseline, 1, 3, 6, 9
Crownlengthening – Are outcomes stable? Crownlengthening - Are outcomes stable? - National Elf ServiceMenu * * Take your event #BeyondTheRoom * Training * #ElfHelp * Contact us * NewsSearch National Elf Service No bias. No misinformation. No spin. Just what you need! The Dental Elf * Home * About * Categories * Cost effectivenessEvaluation and impact assessmentFinancial managementFinancial (cbm) * complementary and alternative * digital health * exercise * medicines * mental illness prevention * mindfulness * other * psychotherapy * rehabilitation * self-management * surgical * systems * telehealth * topical Podcasts Search Search National Elf Service Home » Posts » Dentistry » restorative dentistry » Crownlengthening – Are outcomes
The use of diode laser in esthetic crownlengthening: a randomized controlled clinical trial. This clinical trial assessed patient comfort, satisfaction, and the achievement and maintenance of ideal gingival margin levels using laser compared to conventional surgery in sculpting the soft tissues during esthetic crownlengthening. Eighteen patients with altered passive eruption were treated in a randomized split-mouth design by laser or scalpel crown-lengthening surgery. Patients were evaluated for intra- and postoperative pain and bleeding at 3 and 7 days. Clinical parameters including clinical crown length, probing depth, plaque index, bleeding on probing, and clinical attachment level were recorded at baseline, 3 and 6 months postoperatively. A gradual reduction in postoperative pain
Success rate of fractured teeth receiving modified crownlengthening surgery and restorations. Whether to preserve a structurally compromised tooth or remove it is a dilemma often encountered by clinicians. The aim of this study was to assess the long-term success rate of fractured teeth preserved by modified crownlengthening surgery and restorations. Thirty-nine patients with a total of 45 fractured teeth who had received modified crownlengthening surgery were recruited and examined. Numbers of teeth lost were recorded, and the criteria for successful teeth were defined. Kaplan-Meier estimator was used to determine the success rate. Possible risk factors were compared between successful and unsuccessful groups by a Cox regression analysis to explore the potential predictors of failure
New approach to expedite the delivery of the final crowns for teeth requiring crownlengthening surgery: a pilot study. The healing period from crownlengthening procedures (CLPs) often delays the final crown delivery. This study aimed to explore the feasibility of a new approach expediting the delivery of the final crowns for teeth requiring CLPs. Teeth requiring CLPs and single-crown
Flapless Er,Cr:YSGG laser versus traditional flap in crownlengthening procedure. Laser technology and minimally invasive therapy has gained attention in many dentistry fields. Er,Cr:YSGG laser is the latest laser type that can be applied on both soft tissue and hard tissue. This study presents periodontal outcome of Er,Cr:YSGG laser flapless crownlengthening procedure compared with traditional technique. Twenty-five participants were divided into two groups: 13 patients were treated with the traditional method of crownlengthening and 12 patients were treated using a flapless Er,Cr:YSGG laser. Their periodontal status were measured and compared at baseline, immediately, one month, and three months after surgery. The results showed a significant increase in clinical crown length immediately
Laser-Assisted Esthetic CrownLengthening: Open-Flap Versus Flapless. This study compares the clinical outcomes of Er,Cr:YSGG (2,780 nm) laser-assisted open-flap (OF) and flapless (FL) esthetic crownlengthening (ECL) for the treatment of altered passive eruption. Thirty-six healthy patients requiring ECL were randomly divided into two groups: OF and FL. Gingivectomy and ostectomy were performed
Surgical guides for esthetic crownlengthening procedures: Periodontal and prosthetic aspects. In patients with gingival exposure on smiling due to altered passive eruption, esthetic crownlengthening is often indicated. Meticulous planning and surgical precision are key for successful outcomes. Surgical guides are helpful tools that are seldomly reported on in the literature related to esthetic crownlengthening procedures. The authors searched the literature for articles that described the planning, tools, and execution related to esthetic crownlengthening procedures. Several techniques have been reported to guide the esthetic crownlengthening procedure, ranging from direct bone level measurement to 3-dimensional printed surgical guides. This review serves the clinician as an aid
Effect of photobiomodulation on pain control after clinical crownlengthening surgery. Photobiomodulation is a novel technique to reduce pain following different surgeries and treatments. This study aimed to investigate the effect of photobiomodulation on pain control after clinical crownlengthening procedures. Twenty patients were included and randomly assigned to two groups in this single -blind randomized clinical trial. The patients had been referred to the Periodontics Department, Tabriz Faculty of Dentistry, for crownlengthening surgery. In the laser group, diode laser therapy with a wavelength of 860 nm and a power of 100 mW was applied immediately after the surgery on the surgery day and three and seven days after the surgery. In the control group, the laser was turned off
Flap-Less Microsurgery May Be a Suitable Alternative to Open-Flap Esthetic CrownLengthening Surgery UTCAT2650, Found CAT view, CRITICALLY APPRAISED TOPICs * CATs Home * What is a CAT? * CAT Mentors * Search CATs Library * Submit a CAT * Clinical CAT videos * Evidence-based Practice Program * Dental School HomeSkip NavigationUniversity: Home | Calendar | Maps * CATs Home * What is a CAT? * CAT ..
One- versus Two-Stage CrownLengthening Surgical Procedure for Aesthetic Restorative Purposes: A Randomized Controlled Trial. This randomized controlled trial aimed to assess the efficacy of a two-stage crownlengthening intervention (SCL) in the aesthetic zone compared with a one-stage crownlengthening procedure (CCL). Thirty subjects were randomly assigned to either SCL (n = 15) or CCL (n
Long-Term Survival of Structurally-Compromised Tooth Preserved with CrownLengthening Procedure and Restorative Treatment: A Pilot Retrospective Analysis. Since there is limited study to assist in an evidenced-based decision whether to extract or preserve a structurally compromised tooth, the aim of this retrospective study was to investigate the long-term survival rate of tooth preservation after crownlengthening procedure (CLP) and restorative treatments. Electronic and paper chart of patients received CLP in our graduate clinic from 1990 to 2015 were reviewed. Statistical analysis was done using Cox regression analysis and Kaplan-Meier estimator. A total of 766 coded charts were initially collected. Four hundred and fourteen cases were included in the final analysis. The Kaplan-Meier
The Effect of CrownLengthening on the Outcome of Endodontically Treated Posterior Teeth: 10-year Survival Analysis. The purpose of this study was to investigate the effect of a crownlengthening (CL) procedure and the crown-root ratio after CL on the long-term survival of endodontically treated teeth (ETT). Permanent posterior teeth with opposing dentition that had received adequate nonsurgical
An in vitro study evaluating the effect of ferrule design on the fracture resistance of endodontically treated mandibular premolars after simulated crownlengthening or forced eruption methods. The purpose of this study was to evaluate the effect of ferrule design on the fracture resistance of endodontically treated mandibular first premolars after simulated crownlengthening and orthodontic into five equal groups. The control group had undergone incomplete ferrule preparation in the cervical root, with 0.0 mm buccal and 2.0 mm lingual ferrule lengths (Group F0). Simulated surgical crownlengthening method provided ferrule preparation of 1.0 mm (Group CL/F1) and 2.0 mm (Group CL/F2) on the buccal surface, with ferrule lengths of 3.0 mm and 4.0 mm on the lingual surface, respectively