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KMID : 1004520150310020143
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Journal of Dental Rehabilitation and Applied Science
2015 Volume.31 No. 2 p.143 ~ p.149
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Esthetic restoration of malpositioned anterior teeth by tooth shape and gingival contour modification : a clinical report
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Kim Ja-Yeong
Kim Kyoung-A
Seo Jae-Min
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Abstract
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In esthetic treatments, it is important to consider the arrangement of teeth and the relation between the teeth and soft tissues. A precise diagnosis and establishing an appropriate treatment plan is essential in an esthetic treatment of anterior maxillary teeth. For a fixed prosthesis to meet esthetic expectations, It is crucial to achieve symmetry and adequate proportions of the gingival contour around the crowns. To achieve an esthetic improvement and creating a favorable environment for gingival healing of a physiologic gingival contour, gingivectomy, crown lengthening and forced eruption can be applied to the appropriate site. All ceramics or porcelain laminate veneer can be selected for esthetic improvement of teeth contour and shade. In this case report, malposition of the remaining teeth made it hard to get an esthetic appearance. Gingivectomy, crown lengthening and provisional restoration insertion were performed before the final prosthesis fabrication to reform the gingival form. This case presents satisfying result esthetically and functionally.
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KEYWORD
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malposition, gingivectomy, crown lengthening, all ceramics, laminate veneer
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