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Case Reports
. 2015 Mar;7(3):64-7.

A combined periodontal - prosthetic treatment approach to manage unusual gingival visibility in resting lip position and inversely inclined upper anterior teeth: a case report with discussion

K R Biniraj  1 , Mahija Janardhanan  2 , M M Sunil  3 , Mohammed Sagir  4 , A Hariprasad  5 , Tony P Paul  6 , Rishi Emmatty  6
Affiliations
Case Reports

A combined periodontal - prosthetic treatment approach to manage unusual gingival visibility in resting lip position and inversely inclined upper anterior teeth: a case report with discussion

K R Biniraj et al. J Int Oral Health. 2015 Mar.

Abstract

Excessive gingival visibility during smile is a common esthetic complaint in dentistry, but excessive gingival visibility in resting lip position is relatively uncommon condition. Several exclusive radical to conservative surgical treatment or its combination with orthodontic therapy to treat this condition are within the reach of every patient nowadays. A case report of an excessive gingival visibility because of altered passive eruption along with inversely inclined maxillary anterior teeth is presented here. A relatively simple treatment approach combining periodontal and restorative therapy is used here to achieve the desirable aesthetic results. The gingival exposure resulting from altered passive eruption was completely managed by a gingivectomy, but the inclined appearance of teeth was still an aesthetic complaint. After complete healing of gingivectomy surgery, appropriately designed crowns were given to rectify the inversely inclined appearance. A complete rehabilitation of patient's smile could be achieved, the case was followed up for 3 years and the condition was found satisfactory.

Keywords: Altered passive eruption; gingival pocket; gummy smile; inclined teeth.

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Conflict of interest statement

Conflict of Interest: None

Figures

Figure 1
Figure 1
Gingival visibility in resting lip position.
Figure 2
Figure 2
After trans gingival probing the level of alveolar crest is marked with a sharp explorer.
Figure 3
Figure 3
One month post-operative view; after healing of gingivectomy area.
Figure 4
Figure 4
Crown preparation to favour the required labial inclination of crowns.
Figure 5
Figure 5
The position of gingiva and visibility of teeth in resting lip position after treatment.
Figure 6
Figure 6
Post-operative view.
See this image and copyright information in PMC

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