Kalsi Harpoonam Jeet, Bomfim Deborah Iola, Darbar Ulpee
Dent Update. 2015 Apr;42(3):230-2, 235-6. doi: 10.12968/denu.2015.42.3.230.
This is the second paper in this two-part series. Paper one provided an overview of managing gingival tissue excess and paper two will focus on increasing clinical crown height to facilitate restorative treatment. Crown lengthening is a surgical procedure aimed at the removal of gingival tissue with or without adjunctive bone removal. The different types of procedure undertaken will be discussed over the two papers. In order to provide predictable restorations, care must be taken to ensure the integrity of the margins. If this is not taken into account it can lead to an impingement on the biologic width, which may in turn lead to chronic inflammation resulting in recession or the development of periodontal problems which can be hard to manage. Clinical Relevance: This paper aims to reinforce the need for thorough diagnosis and treatment planning and provides an overview of the various procedures that can be undertaken.
这是这个两部分系列文章中的第二篇。第一篇文章概述了牙龈组织过多的处理方法，第二篇文章将重点关注增加临床牙冠高度以促进修复治疗。牙冠延长术是一种外科手术，旨在去除牙龈组织，可能还会辅助去除骨组织。在这两篇文章中将讨论所采用的不同类型的手术。为了提供可预测的修复效果，必须注意确保边缘的完整性。如果不考虑这一点，可能会侵犯生物学宽度，进而导致慢性炎症，导致牙龈退缩或出现难以处理的牙周问题。临床意义：本文旨在强调进行全面诊断和治疗计划的必要性，并概述可以采用的各种手术。
