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Video Details
Cosmetic Crown Lengthening

Description:
The diagnosis and treatment planning of cosmetic crown lengthening. The restorative lab phase followed by the actual surgical procedure utilizing a surgical template, simple gingivectomy and osseous reduction followed by suturing.

Date Added:
11/16/2007

Author(s):

Maurice Salama, DMD Maurice Salama, DMD
Dr. Maurice A. Salama completed his undergraduate studies at the State University of New York at Binghamton in 1985, where he received his BS in Biology. Dr. Salama r...
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Recognized Institutes

Online Videos / Restorative / Crowns and Bridges / Cosmetic Crown Lengthening




Questions & Comments
Maurice Salama - (1/9/2013 8:15 PM)

Saverio; Many thanks. Multiple options here. You can temporize and prep just down to new gingival margin or you can provide a vacuform matrix with dentin sealant to address sensitivity issues prior to final preparation at 3 months. Yes, look forward to Birmingham, England next month. See you there. Dr. Salama

SAVERIO ACCARDI - (1/9/2013 1:23 PM)

How do you manage the root exposure in case the crown lengthening involved a hgher display of root surface in terms of aesthetics(especially for high smile line) and sensitivity? Would you recommend to provide provisionals just after crown lengthening or alternatively relining the cervical margin of provisionals? Many thanks Dr Salama, can' t wait to see you 3D in Birmingham!

Maurice Salama - (8/14/2012 5:20 PM)

Daniel and Mateo; many thanks for your posts. Yes, sterile water through handpiece in surgical operatory or spearate sterile water source through monoject syringe.
thanks Dr. Salama

Emilio Mateo - (8/14/2012 12:01 PM)

muy bello quedo el caso! el paciente debe estar muy complacido.. usted es uno de mis mejores mentores!!

Daniel Ardelean - (5/16/2012 12:02 AM)

What type of water do you use through your surgical handpiece? Is it sterile saline? Is that line dedicated to sterile saline only? Thank you. (I do general dentistry and surgeries, and I have always used a syringe for surgeries due to sterility, but find it very difficult to achieve copious irrigation with just a syringe in this instance ) What do you recommend?

Maurice Salama - (4/30/2012 9:36 AM)

Lourdes; Thank you. The patient desired FULL display of her natural clinical crown length in preparation for anterior veneers. Crown lengthening here established normal and natural proportions and length to the teeth.
Dr. Salama

Lourdes Gutierrez Garrido - (4/28/2012 11:18 PM)

Many thanks for video, Dr Salama. Which was the chief complaint of the patient?

Maurice Salama - (3/12/2012 5:47 PM)

Kevin; You must blend the bone with the teeth and make certain there is no ledge of bone left. This can be an issue with post-op tissue rebound and cause chronic inflammation especially if restorative margins will be placed after 3 months of healing. Good luck Dr. Salama

kevin potocsky - (3/12/2012 5:23 PM)

why do we want to reduce the bone thickness?

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