Esthetic Crown Lengthening With Onlays

Nicholas Toscano DDS, MS 7/12/2009

This is a case demonstrating how the periodontist and cosmetic dentist working together as a team can enhance a patient's smile.

Nicholas Toscano DDS, MS

Diplomate - American Board of Periodontology

Diplomate - International Congress of Oral Implantologists

Pre Op Views showing the patient's unesthetic gingival margins and excessive gingival display with worn dentition.

An external bevel gingivectomy is done to balance the gingival margins and contours.

Minimally invasive crown lengthening is accomplished through minimal flap reflection. Osteoplasty and Ostectomy is completed to re-establish the biologic width.

Case is sutured with vertical matress sutures 5.0 chromic gut for reaproximation of the papilla.

The patient presents post operatively 12 weeks later to Cosmetic Dentist Scott Synnott DDS to begin restorative preparations.

The case is prepped and impressed for full porcelain jacket crowns.

Crowns prior to insertion

Crowns at insertion.

Final result and Smile at 6 months post insertion

Before

After

Comments

Fri, 10/09/2009 - 18:19 — Dr. Cliff Leachman

FUL CONTOUR PJC'S? Wouldn't

FUL CONTOUR PJC'S? Wouldn't want that done in my mouth!

Sat, 10/10/2009 - 15:38 — hawkeye

I respectfully disagree. I have a patient that I worked with one of my restorative colleagues that is going on 10 years post delivery. Pt has excellent oral hygiene, keeps up with yearly check up and there has been no problem with the case.

I think if you manage the occlusion properly these cases can do quite well in the right hands and in the right patient.

The key is case selection.

Best wishes

Dr. Brunson Hawkeye

Tue, 08/18/2009 - 21:19 — leopold

1from the surgical point of

1from the surgical point of veiw it is a beautiful case(is it will be better if it done by laser?)
2from prosthetics -it seems to be questionable,because the cause of wear dentition don,t removed(tmj,parafunction)how long this veneers will be stay? (i don,t like buccal inclination)what happens with low incisors?

Mon, 07/13/2009 - 17:22 — hawkeye