Crown lengthening is one of treatment that can treat altered passive eruption. The, excessive gum or dentogingival junction level that overlap to enamel become causal factor for altered passive, eruption. Standardized preoperative X-rays were used to assess crown length at baseline and to place submarginal incisions. Background: Altered passive eruption is a condition that can make clinical crown of teeth seems shorten. A specific surgical protocol was designed and tested in patients with altered passive eruption. Gingiva berwarna kecoklatan disebabkan oleh hiperpigmentasi melanin. Salah satu penyebab gummy smile dan mahkota klinis pendek adalah altered passive eruption. Its adevelopmental anomaly clinically associated with a. Excessive ginigival display (EGD) atau gummy smile, mahkota klinis yang pendek dan gingiva yang berwarna kecoklatan sering menjadi keluhan pasien. This patient’s values were in the 5mm range, not the typical 3mm seen in many. Altered passive eruption/gummy smile is a common challenge in patients requiring aesthetic treatment. This article compares and contrasts altered passive eruption (APE) and active secondary eruption (ASE) and highlights the treatment similarities and. Altered passive eruption is a condition inprominence rather than at the cementoenamel junction. As we always do prior to these types of procedures, bone sounding at 6 points per tooth was done to determine her “personalized” biologic width at all sites scheduled to be crown lengthened. Altered Passive Eruption (APE) is a clinical situation produced by excessive gum overlapping over the enamel limits, resulting in a short clinical crown appearance, that gives the sensation of hidden teeth. Given that this patient has a wide smile showing all the way back to her molars, we decided to plan for clinical crown lengthening from teeth #16-26. Initial therapy (scaling and oral hygiene instruction).The surgical management of such cases is well understood and has been. Flat osseous profile in the anterior maxillaĪs you can appreciate from the photo above, this patient exhibited an excessive display of gingiva, short/square clinical crowns as well as a very flat appearance of the gums. Altered passive eruption is described as a condition in which the relationship between teeth, alveolar bone, and the soft tissues creates an excessive gingival display and, in turn, in some circumstances, it may reveal a clinical aspect also known as the gummy smile.
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