J Adv Prosthodont.  2010 Jun;2(2):50-53. 10.4047/jap.2010.2.2.50.

Full mouth rehabilitation of partially and fully edentulous patient with crown lengthening procedure: a case report

• Seol HW
• Koak JY
• Kim SK
• Heo SJ

• KMID: 1456756
• DOI: http://doi.org/10.4047/jap.2010.2.2.50

Abstract

BACKGROUND
In order to restore severely attrited teeth properly, surgical intervention in the form of a crown-lengthening procedure may be required. And also, proper diagnosis and treatment sequencing is critical to obtain a successful results. Adequate diagnostic wax-up ensures good esthetics and healthy periodontal tissue. CASE DESCRIPTION: This clinical case report describes a diagnostically based protocol for restoration on mandibular anterior teeth with crown lengthening procedure and the treatment of partially edentulous mandible combined with an edentulous maxilla. In addition, the effort to prevent the combination syndrome was described. CLINICAL IMPLICATION: An interdisciplinary diagnosis and examination through visualization of the desired results ensure conservative and more predictable outcome.

Keyword

Surgical crown lengthening; Diagnostic wax up; Full mouth rehabilitation; Combination syndrome

MeSH Terms

Crown Lengthening
Crowns
Dietary Sucrose
Esthetics
Humans
Mandible
Maxilla
Mouth
Mouth Rehabilitation
Tooth
Dietary Sucrose

Figure

• 

  Fig. 1 Initial intraoral photograph.

• 

  Fig. 2 Initial intraoral photograph.

• 

  Fig. 3 Analysis of diagnostic cast. Determination of the length of surgical crown lengthening.

• 

  Fig. 4 Diagnostic wax-up.

• 

  Fig. 5 After surgical crown lengthening procedure.

• 

  Fig. 6 Recording base and resin jig.

• 

  Fig. 7 Definitive prosthesis.

• 

  Fig. 8 Recall check - 4 months later.

Reference

1. Davarpanah M, Jansen CE, Vidjak FM, Etienne D, Kebir M, Martinez H. Restorative and periodontal considerations of short clinical crowns. Int J Periodontics Restorative Dent. 1998. 18:424–433.

2. Yeh S, Andreana S. Crown lengthening: basic principles, indications, techniques and clinical case reports. N Y State Dent J. 2004. 70:30–36.

3. Assif D, Pilo R, Marshak B. Restoring teeth following crown lengthening procedures. J Prosthet Dent. 1991. 65:62–64.

4. Kelly E. Changes caused by a mandibular removable partial denture opposing a maxillary complete denture. J Prosthet Dent. 1972. 27:140–150.

5. Kwon KR, Kim YS, Kim CH, Kim HJ, Moon HS, Park SW, Park CJ, Song KY, Lee JS, Lee CH, Lim YJ, Chung MK, Jeong JH, Jeong CM, Cho IH, Cho HW, Choi DG, Han JH. Prosthodontic treatment for edentulous patients. 2007. 1st ed. Seoul: Shinhung international;426–428.

6. Palmqvist S, Carlsson GE, Owall B. The combination syndrome: a literature review. J Prosthet Dent. 2003. 90:270–275.

7. Ash M, Nelson S. Wheeler's Dental Anatomy. Physiology and Occlusion. 2003. 8th ed. Philadelphia: Saunders;230–238.

8. Langer Y, Laufer BZ, Cardash HS. Modalities of treatment for the combination syndrome. J Prosthodont. 1995. 4:76–81.

9. Chang IT, Heo SJ, Koak JY, Lee SB, Lee HY, Han DH, Hwang SH, Kye KS, Cho SA, Lim JS, Vang MS, Park HO, Park JM, Jin TH, Shin SY, Cho LR. Textbook of removable partial denture. 2004. 1st ed. Seoul: Jeesung Publishing Co.;373–382.