Module V
Surgical crown lengthening and periodontal resective surgery
Summary of the discussed topics:
In the era of minimally invasive dentistry, periodontal resective procedures are becoming increasingly popular. This applies to defects in the hard tissues of the periodontium in areas outside the aesthetic zone and in the furcation of multi-rooted teeth when tissue regeneration is not possible. Furthermore, conservative dentistry, aesthetic dentistry, and prosthetics would also not be possible without resective surgery in situations where the margins of restoration are located in the subgingival area. The surgical procedure for crown lengthening of clinical crowns is often part of a comprehensive restoration of smile aesthetics and can easily yield spectacular aesthetic results for the patient.
During this module, we discuss the modern approach to periodontal resective surgery with a focus on surgical crown lengthening procedures in various clinical scenarios. We also cover the preparation principles for abutment teeth and prosthetic protocols aimed at stimulating interdental papilla growth and shaping soft tissues.
Topics:
- Subapical flap displacement and resective bone surgery in periodontal disease treatment.
- Resective treatment of bone defects in furcations of multi-rooted teeth.
- Smile design in collaboration with the prosthodontist using digital tools.
- Impaired passive eruption of teeth: diagnostics, etiology, surgical treatment.
- Surgical crown lengthening of clinical crowns for prosthetic indications: biological width violation, gingivectomy, osteoplasty, osteotomy.
- Planning and performing prosthetic restorations after crown lengthening procedures.
Practical sessions:
- Planning surgical crown lengthening.
- Surgical crown lengthening in the aesthetic zone (gingivectomy, osteoplasty, osteotomy).
- Microsurgical resective approach for treating horizontal bone defects in the periodontium in the lateral segment.
