Oral Biol Res.  2024 Jun;48(2):58-67. 10.21851/obr.48.02.202406.58.

Use of digital surgical guides for esthetic crowns in anterior teeth: a case report

Affiliations
  • 1Resident, Department of Prosthodontics, College of Dentistry, Chosun University, Gwangju, Republic of Korea
  • 2Fellow, Department of Prosthodontics, College of Dentistry, Chosun University, Gwangju, Republic of Korea
  • 3Associate Professor, Department of Prosthodontics, College of Dentistry, Chosun University, Gwangju, Republic of Korea
  • 4Professor, Department of Prosthodontics, College of Dentistry, Chosun University, Gwangju, Republic of Korea

Abstract

The shape of the maxillary anterior teeth is an essential factor in esthetics because this region is prominently exposed during conversations and smiles, significantly influencing one’s impression. Moreover, the form and color of the gingiva in the anterior teeth play a vital role in determining esthetics. Therefore, various factors should be considered when improving the esthetics of the maxillary anterior teeth. This report is aimed at introducing the use of digital devices and software to analyze various factors, determining the amount of gingival and alveolar bone resection in a patient with esthetically unpleasing maxillary anterior teeth due to a gummy smile or gingival asymmetry. Furthermore, this study describes the method for creating a digital surgical guide using CAD software for esthetic crown lengthening and reports on the achieved esthetic improvements.

Keyword

Crown lengthening; Esthetics; Gingivectomy; Surgery, computer-assisted
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