Tratamiento de encía excesiva y sobreerupción anterior.
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Tratamiento de encía excesiva y sobreerupción anterior.

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En función de desarrollar una fisiología normal entre las crestas óseas y corregir el posicionamiento incisal del margen gingival, se requiere como primer paso el procedimiento quirúrgico del ...

En función de desarrollar una fisiología normal entre las crestas óseas y corregir el posicionamiento incisal del margen gingival, se requiere como primer paso el procedimiento quirúrgico del exceso de encía en el paciente.
La Rehabilitación estética fué lograda usando el sistema de coronas de feldespato que proveen una fluorescencia natural netutralizando las sombras subyacentes

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Tratamiento de encía excesiva y sobreerupción anterior. Document Transcript

  • 1. MY BEST INDIRECT CASE Vol II 2008 Treatment of Excessive Gingival Display and Anterior Overeruption: Rehabilitation and Restoration In order to develop a normal physiologic relationship between the osseous crest and correct the incisal positioning of the gingival 1. 2. margin as related to the CEJ, surgical correction of the patient’s excessive gingival display was required. Once sufficient crown length was present, the anterior dentition were prepared for porcelain restoration and 3. 4. provisionalized. Aesthetic rehabilitation was performed using a feldspathic 1. The patient presented with 2. Discoloration and alignment veneer system that would excessive gingival display due to were also areas of concern noted provide natural fluoresence active altered eruption. during treatment planning. and light transmission, while neutralizing the underlying 3. Occlusal view of the maxillary 4. The diagnostic model was used tooth shades. region demonstrates compro- to determine the desired bone mised rotation and preexisting levels following periodontal restorations. rehabilitation.Jay M. Lerner, DDS*Peter Kouvaris, CDT†*Private practice, Palm Beach Gardens, Florida.† Laboratory technician and VP/ Partner, JK Dental Laboratory, Port Washington, New York.5602 PGA Boulevard, Suite 201West Palm Beach, FL 33418Tel.: 561-379-8787E-mail: lernerlemongello@aol.com 5. Following final soft tissue healing, the teeth were prepared for all-ceramic restorations. 7
  • 2. Jay M. Lerner, DDS, Peter Kouvaris, CDT 6. Provisional restorations were placed with the incisal edges brought to proper length. 7. A silicone template was fabri- cated based on the diagnostic waxup of the provisionalized teeth to ensure development of optimal tooth contours. 8. The required porcelain thickness was veri- 9. The initial porcelain layering was conducted fied on the model prior to initial layering. using a feldspathic ceramic (JK Veneer, JK Dental Laboratory, Port Washington, NY). 10. Additional porcelain characterization was 11. Interproximal cutback and facial character- added to the cervical third to ensure a natu- ization were required to provide optimal ral transition to the gingival tissue. light transmission.8
  • 3. MY BEST INDIRECT CASE Vol II 200812. Appearance of the definitive restorations following firing. Note the aesthetic light transmission and refraction. 13. Occlusal appearance of the definitive restorations. 14. Note the improved crown visibility and elimination of excessive gingival display during natural smile. 15. Postoperative appearance of the definitive restorations demonstrates aesthetic harmony and a natural emer- gence profile. 9