Treatment of altered passive eruption: periodontal plastic surgery of the dentogingival junction Abstract Excessive gingival display, frequently seen in adults and resulting in short clinical crowns, has been described in the literature by several authors as "altered passive eruption."
What is altered passive eruption and how is it treated?
Esthetic treatment of altered passive eruption Altered passive eruption is described as a condition in which the relationship between teeth, alveolar bone and soft tissues creates an excessive display of gingiva, commonly known as a 'gummy smile'. While there are authors who consider altered passive eruption to be a risk to periodontal health, i …
What are the treatment options for altered passive eruption of gum disease?
Treatment of altered passive eruption: periodontal plastic surgery of the dentogingival junction
Is altered passive eruption a risk to periodontal health?
Altered passive eruption is described as a condition in which the relationship between teeth, alveolar bone and soft tissues creates an excessive display of gingiva, commonly known as a 'gummy smile'. While there are authors who consider altered passive eruption to be a risk to periodontal health, i …
How do you treat an altered passive eruption?
Garber & Salama 24 suggested that there are only two treatment options for cases of altered passive eruption: first, a simple gingivectomy to expose the hidden anatomy in cases of altered passive eruption type 1A; and, second, an apically repositioned full-thickness flap, with or without osseous resective surgery, in ...
How is an altered passive eruption diagnosed?
Periodontal probing revealed a gingival sulcus of 3 mm, while bone sounding revealed a probing depth of 5 mm from the free gingival margin to the osseous crest, indicating a diagnosis of APE Type 1A. To achieve an ideal central incisor length of 10.5 mm,12 an esthetic crown lengthening procedure was indicated.
What is passive eruption of teeth?
The passive eruption phase is the exposure of the crown of the tooth due to the apical migration of the gingival tissues. This apical migration in the passive phase of tooth eruption occurs in four distinct stages: 6. Stage 1: The teeth reach the plane of occlusion, and the junctional epithelium is on the enamel.
What is altered active eruption?
Altered active eruption (AAE) occurs when teeth achieve the opposite relationship to the occlusal plane prematurely and the osseous crest is on or very close to the cemento-enamel junction. Thus, correct understanding of biologic events related to APE and AAE should be considered in the classification of a gummy smile.
What is a Gingivectomy procedure?
Gingivectomy and Gingivoplasty. GINGIVECTOMY is the surgical removal of gingiva (i.e., gum tissue). A gingivectomy is necessary when the gums have pulled away from the teeth creating deep pockets. The pockets make it hard to clean away plaque and calculus.
What is a good crown root ratio?
In considering the crown-root ratio as a prognostic tool, a ratio of 1:2 is considered ideal, whereas for teeth used as abutments for a fixed partial denture, a ratio of 2:3 or 1:1.5 is desirable. Nevertheless, a crown-root ratio of 1:1 is considered to be minimal (20) .
Why there is no bleeding during tooth eruption?
As the tooth erupts, the REE cells mingle with the oral epithelium and hence form a “junction” between the tooth and the future gingiva (▶ Fig. 8.2). At no time during eruption, there is a break in this epithelium, and hence there is no bleeding or risk of infection as the tooth emerges through the oral mucosa.
When does tooth eruption begin and end?
Tooth Eruption and Shedding Tooth eruption begins around the age of 6 months and can last until the age of 3 years. During this stage, your child's gums may be sore and irritable.
What causes an erupted tooth?
The coordinated neuromuscular forces convert into electrical, electrochemical, and biomechanical energies to stimulate cellular and molecular actions within and around the dental follicle and enamel organ. This action prepares a pathway as well as other cellular functions for the eruption of a developing tooth.
What is compensatory eruption?
Compensatory eruption is a condition defined by the shortening and vertical movement of teeth caused by grinding and tooth wear. As a patient grinds their teeth, over time tooth structure is worn away.
What is gingival overgrowth?
Gingival hyperplasia is a condition that refers to an overgrowth of your gums (also known as your gingiva). Whereas some people have too little gums to cover their teeth, those with this condition have too much gum tissue.
How do you do esthetic crown lengthening?
The crown lengthening procedure involves pulling the gums away from your teeth in order to expose the roots and surrounding bone. Once this is done, your gum line will be repositioned to expose the full contour of your enamel, creating an immediate and dramatic improvement to the appearance of your smile.
Abstract
Altered passive eruption is a condition in prominence rather than at the cementoenamel junction. Difficult to detect, most of these cases go undiagnosed or misdiagnosed. adequately diagnose and treat it. restoring esthetics is a prime concern in these cases. provides vital information in diagnosing and treatment this c successfully treated case.
References (23)
ResearchGate has not been able to resolve any citations for this publication.
Abstract and Figures
In today’s society, an increasing number of people have become aware of the esthetic appeal and symmetry between the crown length and gingival exposure. Fulfilling the patients’ expectations has created new esthetic and clinical challenges.
References (14)
ResearchGate has not been able to resolve any citations for this publication.
