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MeSH Review:

Crown Lengthening

Scott, G.L. et al., Pontoriero, R. et al., Becker, W. et al., Kohavi, D. et al.

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High impact information on Crown Lengthening

CONCLUSIONS: The results of the present clinical investigation demonstrated that during a 1-year period of healing following surgical crown lengthening, the marginal periodontal tissue showed a tendency to grow in a coronal direction from the level defined at surgery [1].
A few of the indications for crown lengthening are caries beneath the gingival margin, fractured teeth with insufficient clinical crown exposure, and teeth with excessive occlusal or incisal wear [2].
Crown lengthening procedure. Part I. Clinical aspects [3].

Anatomical context of Crown Lengthening

When presented with little coronal tooth structure remaining, four options exist: (1) extraction only, (2) extraction and restoration, (3) root canal therapy and a cast restoration (which may involve crown lengthening and/or orthodontic extrusion), or (4) root canal therapy and a composite/amalgam crown [4].

References

Surgical crown lengthening: a 12-month clinical wound healing study. Pontoriero, R., Carnevale, G. J. Periodontol. (2001) [Pubmed]
Crown lengthening: the periodontal-restorative connection. Becker, W., Ochsenbein, C., Becker, B.E. Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995) (1998) [Pubmed]
Crown lengthening procedure. Part I. Clinical aspects. Kohavi, D., Stern, N. The Compendium of continuing education in dentistry. (1983) [Pubmed]
One-appointment composite crown: an alternative to conventional crown and bridge. Scott, G.L., Meyer, R.D. General dentistry. (1998) [Pubmed]

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