Palabras clave
Gingivectomia
Erupción pasiva alterada.
Cómo citar
Resumen
ResumenExisten situaciones periodontales importantes a evaluar durante el tratamiento: la sonrisa de encía, discrepancia del borde marginal y las carencias de papilas. En algunas de estas situaciones, la alteración de la posición de los dientes, corrige el problema estético; mientras que en otros pacientes la cirugía gingival es el plan de tratamiento óptimo para mejorar la apariencia estética del diente. El alargamiento de corona es un procedimiento quirúrgico, incluido dentro de la cirugía periodontal a colgajo, consistente en eliminar encía y hueso para crear una corona clínica más larga y desplazar en sentido apical el margen gingival. El objetivo de esta cirugía es solucionar el problema de las llamadas coronas clínicas cortas, sin alterar el espacio biológico de inserción. (Duazary 2009-II 134-140)Abstract There are important periodontal situations to evaluate during treatment: the smile of gum, discrepancy of the marginal edge and papillae deficiencies. In some of these situations, alteration of the position of the teeth, corrects the aesthetic problem, while in other patients gingival surgery is the best treatment plan to improve the aesthetic appearance of a patient. The crown lengthening is a surgical procedure, including within the periodontal flap surgery, consisting of removing gum and bone to create a crown longer clinical crown and move apically the gingival margin. The goal of this surgery is to solve the problem of so-called short clinical crowns without altering the biological space of insertion.Key words: Crown Lengthening; Gingivectomy; Altered passive eruption.Citas
Bascones A. Estética de la Sonrisa. Tratado de Odontología. Tomo II. Ediciones avances médico-dentales, S.L. 1999; 2095-2099
Kahlavi D, Stern N. Crown lengthening procedure. Part I. Clinical aspects. Compend Contin Educ Gen Dent 1983; 4: 347-54.
Kahlavi D, Stern N. Crow lengthening prodedure. Part II. Treatment planning and surgical considerations. Compend Contin Educ Gen Dent 1983; 4: 413-9.
Braswell LD. Soft tissue contouring as periodontal plastic surgery. Curr Opin Cosmet Dent. 1997;4:22-8.
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 Oct;18(5):424-33
Shillingburg HT, Jacobi R, Brackett SE. Fundamentals of tooth preparations. Chicago: Quintessence int. 1987: 1-43.
Rivault A. Preprosthetic surgery: Crown lengthening. J Periodontol 1984; 3: 439-50.
Becker BE, Becker W. Use of connective tissue autografts for treatment of mucogingival problems. Int J Periodont Rest Dent 1986; 6: 88-94
Maynard JG, Wilson RD. Physiologic dimensions of the periodontium significant to the restorative dentist. J Periodontol 1979; 50 (4): 170-4.
Rosenberg E, Garber DA Evian CL. Tooth lengthenning procedures. Compend Contin Educ Dent 1980; 1: 161-72.
Pruthi VK.Violation of surgical principIes in periodontal flap surgery-its consequences. J Cant Dent Assoc 1984; 50: 320-2.
Becker CM, Kaldahl WB. Current theories of crown contour, margin placement, and pontic desing. J Prosthet Dent 1981; 45: 268-77.
Caire T, Saffar JL. Periodontal Preprosthetic surgery: lengthening of the clinical crown . Inf Dent 1987; 69: 1675-81.
Canut PM. Alargamiento de corona dentaria I: Bases anatómicas aplicadas.Periodoncia 1996; 6(3): 153-63.
Widerman MN, Pennel BM, King K, Barron JM. Histogenesis of repair following osseous surgery. J Periodontol 1970; 41: 551-65.
Daza de Bastos C. Correlation of gingiva of osseous contour of the surface anatomy of teeth: A comparative study in animals. Boston: Boston University School of Graduate Dentistry. 1977: 26-37.
Kohl JT, Zander H. Morphology of interdental gingival tissues. Oral Surg Oral Med Oral Pathol. 1961; 14: 287-95.
Rufenacht CR. Structural. Esthetics Rules En : Rufenacht CR. Fundamentals of Esthetics. Chicago: Quintessence Publishing Co. Inc. 1990: 67-135.
Allen EP. Surgical crown lengthening for function and esthetics. Dent Clin North Am 1993; 37: 163.
Wolffe GN, Van derWeijdent FA, Spanauf AJ, de Quincey GN. Lengthening clinical crowns- A solution for specific periodontal, restaurative, and esthetic problems. Quintessence Int 1994; 25: 81-88.
Meyer J. Lengthening the clinical crow. How and Why Rev Odontoestomatol 1984; 13: 105-8.
Villaverde Ramírez G, Blanco Carrión J, Ramos Barbosa I, Bascones Ilundain J, Bascones A. Tratamiento quirúrgico de las coronas clínicas cortas: Técnica de alargamiento coronario. Av Periodon Implantol. 2000; 12, 117-126.
Smuckler H, Chaibi M. Periodontal and dental considerations in the crown lengthening procedure: A rational base for his treatment. Int Periodont Rest Dent 1997; 17: 465-77.
Reinhardt RA. Guidelines for locating the cervical margins of dental restorations. Oper 1979; 4: 90-99.
Parma-Benfenati S, Fugazzotto PA, Ruben MP. The effect of restorative margins on the post surgical 140 DUAZARY, 2do SEMESTRE DE 2009, Vol. 6 Nº 2 Cambios en la condición cosmética de la sonrisa de una paciente por medio de alargamiento coronario
development and nature of the periodontium. Int J Periodont Rest Dent 1985; 5: 30-51.36.
Ingber JS, Rose LF, Coslet JG. The "biologic width": A concept in periodontics and restorative dentistry. The Alpha Omegan 1977; 70: 62-65.
Garguilo AW; Wentz FM, Orban R. Dimensions and relations of the dentogingival j unction in humans. J Periodontol 1961; 32: 261-7.
Langer B, Calagna LJ.The subepithelial connective tissue graft. A new approach to anterior cosmetics. Int J Periodont Rest Dent 1982; 2: 22-33.
Van der Velden U. Regeneration of the interdental soft tissues following denudation procedures. J Clin Periodont 1982; 9: 455-9.
Smith DH, Arnmons WF, Van Belle G. A longitudinal study of periodontal status comparing osseus recontouring with flap curetage. 1. Results after 6 months. J Periodontol 1980; 51: 367-75
Wise MD. Stability of gingival crest afther surgery and before anterior crown placement. J Prosthet Dent 1985; 53: 20.
Weinberg MA, Fernández AR, Scherer W. Delayed passive eruption: an old concept with a distinct guise. Gen Dent 1996; 44:352-5.
Weinberg MA, Eskow RN. An overview of delayed passive eruption. Compend Contin Educ Dent. 2000 Jun; 21:511-4.
Dello Russo NM . Placement of crown margins in patients with altered passive eruption. Int J Periodont Res Dent 1984; 4:59-65.
Coslet JG, Vanarsdall R, Weisgold A. Diagnosis and clasification of delayed passive eruption of the dentogingial junction in the adult. The Alpha Omegan 1977;3:24-8
No se permite un uso comercial de la obra original ni de las posibles obras derivadas, la distribución de las cuales se debe hacer con una licencia igual a la que regula la obra original.