Gingival Margin Stability Following Esthetic Crown Lengthening Utilizing a Double Periodontal Surgical Guide

Launched by AIN SHAMS UNIVERSITY · May 1, 2024

Keywords

ClinConnect Summary

This clinical trial is studying a procedure called esthetic crown lengthening, which is used to improve the appearance of smiles by adjusting the gum line. The researchers want to see if different methods—using a scalpel, a diode laser, or electro-surgery—can achieve the same stability of the gum line after the procedure over a period of 3 and 6 months.

To be eligible for this trial, participants should have specific dental conditions, such as having teeth that are proportionately short and excessive gum showing when they smile. They should also have a history of treated gum disease. However, individuals with certain health issues, like uncontrolled diabetes or those who have had prior surgery in the same area, won't be able to participate. If you join the trial, you can expect to receive one of the three treatments and will be monitored for several months to see how well your gum line holds up after the procedure.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Altered passive eruption as presence of quadratic anterior teeth \[crown width/length ratio
• • 0.85 \].
• • Gingival margin located coronal to the tooth cervical convexity and \>2 mm of gingival band display during maximum smile.
• • Patients with treated periodontal disease (i.e., stage I of periodontitis);
• Exclusion Criteria:
• • Patients with systemic contraindications for oral surgery as uncontrolled diabetes.
• • patients on drug therapy related with drug-associated gingival enlargement.
• • Areas in which the remaining amount of keratinized gingiva after the submarginal incision is less than 3 mm.
• • Previous surgical treatment in the same area.