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- Title
Aesthetic crown lengthening: periodontal and patient-centred outcomes.
- Authors
Silva, Cléverson O.; Soumaille, Jéssica M. S.; Marson, Fabiano C.; Progiante, Patrícia S.; Tatakis, Dimitris N.
- Abstract
Aim The objective of this prospective study was to assess clinical and patient-centred outcomes of aesthetic crown lengthening surgery for the treatment of altered passive eruption. Materials and Methods Twenty-two patients were treated and followed up for 6 months. The evaluated clinical parameters included, among others, probing depth, clinical attachment level, clinical crown length ( CLc), cemento-enamel junction to alveolar bone crest distance, gingival width ( GW) and gingival display ( GD). Subjects completed surveys to evaluate satisfaction with smile, gingiva and tooth features and experience with the procedure. Results Average CLc was 8.5 ± 0.5 mm at baseline and significantly increased (9.9 ± 0.5 mm; p < 0.0001) at 6 months. Concomitantly, GW significantly decreased from baseline (5.8 ± 1.2 mm) to 6 months (4.9 ± 1.1 mm; p < 0.008), as did GD (from 2.6 ± 2.0 mm to 1.1 ± 1.9 mm; p < 0.0001). In contrast to their pre-operative satisfaction level, the majority (≥73%) of patients were very satisfied post-operatively with gingival and tooth display, when smiling or talking, and with maxillary anterior tooth size and shape. All patients would undergo the procedure again and would recommend it to someone with a similar problem. Conclusion Aesthetic crown lengthening surgery results in high levels of patient satisfaction and predictable and stable outcomes in the short term.
- Subjects
ANALYSIS of variance; CLINICAL trials; STATISTICAL correlation; DENTAL crowns; COSMETIC dentistry; LONGITUDINAL method; EVALUATION of medical care; PATIENT satisfaction; PERIODONTITIS; QUESTIONNAIRES; STATISTICS; DATA analysis; REPEATED measures design; DESCRIPTIVE statistics
- Publication
Journal of Clinical Periodontology, 2015, Vol 42, Issue 12, p1126
- ISSN
0303-6979
- Publication type
Article
- DOI
10.1111/jcpe.12482