Journal List > J Korean Acad Prosthodont > v.56(2) > 1034970

Jo, Ko, Huh, Cho, and Park: Considerations in the selection of method for clinical crown lengthening

Abstract

Clinical crown lengthening procedure would be an effective method for overcoming adverse clinical condition such as short abutment length. There are three kinds of methods in clinical crown lengthening, those are, surgical crown lengthening, orthodontic extrusion and surgical extrusion. Clinicians have to try their best to choose a proper method among those for favorable results. This report aims to review the considerations in each method with various cases and to suggest a decision flow for appropriate selection.

Figures and Tables

Fig. 1

Surgical crown lengthening. (A) Preprosthetic state, (B) Prosthetic restoration after surgical intervention, (C) Central incisor fracture, (D) Re-restoration with surgical re-entry.

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Fig. 2

Fixed appliance for extrusion of central incisors.

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Fig. 3

Fixed appliance for orthodontic extrusion. (A) For extrusion of first molar, (B) Pre-designed wire for extrusion on stone cast.

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Fig. 4

Force measurement gauge for proper orthodontic movement.

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Fig. 5

Orthodontic extrusion procedure. (A) Limited clinical crown length of right canine, (B) Fixed wire appliance and elastic chain, (C) Prosthetic restoration, (D) Infraoccluson status of canine.

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Fig. 6

Surgical extrusion and retention with suture. (A) Pre-operative status, (B) Post-operative status.

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Fig. 7

Decision flow for the selection of a optimal method among clinical crown lengthening procedures.

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TOOLS
ORCID iDs

Kyung-Ho Ko
https://orcid.org/0000-0002-1260-8844

Yoon-Hyuk Huh
https://orcid.org/0000-0003-4072-5199

Lee-Ra Cho
https://orcid.org/0000-0003-3989-2870

Chan-Jin Park
https://orcid.org/0000-0003-4734-214X

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