Published date: Apr 25 2022

Journal Title: KnE Medicine

Issue title: The International Online Seminar Series on Periodontology in conjunction with Scientific Seminar

Pages: 122-130

DOI: 10.18502/kme.v2i1.10843

Ayu Rahayu Feblinaayurahayufeblina@gmail.comPeriodontology Specialist Educational Program, Department of Periodontology, Hasanuddin University Dental and Oral Health Hospital-Faculty of Dentistry, Hasanuddin University, Jl. Kandea No. 5, Baraya, Bontoala, Makassar, South Sulawesi, 90153, Indonesia

Arni Irawaty DjaisDepartment of Periodontology, Hasanuddin University Dental and Oral Health Hospital-Faculty of Dentistry, Hasanuddin University, Jl. Kandea No. 5, Baraya, Bontoala, Makassar, South Sulawesi, 90153, Indonesia

Adam MardianaDepartment of Periodontology, Hasanuddin University Dental and Oral Health Hospital-Faculty of Dentistry, Hasanuddin University, Jl. Kandea No. 5, Baraya, Bontoala, Makassar, South Sulawesi, 90153, Indonesia

Afdalia AnnisaPeriodontology Specialist Educational Program, Department of Periodontology, Hasanuddin University Dental and Oral Health Hospital-Faculty of Dentistry, Hasanuddin University, Jl. Kandea No. 5, Baraya, Bontoala, Makassar, South Sulawesi, 90153, Indonesia

Nurlinda HamrunDepartment of Oral Biology, Faculty of Dentistry, Hasanuddin University, Jl. Perintis Kemerdekaan KM.10, Makassar, South Sulawesi, 90245, Indonesia

Background: A harmonious smile is considered a symbol of beauty in modern society. Generally, a smileis considered pleasant when it normally exposes all of the maxillary teeth, as well as around 1 mmof facial gingiva. The gingival exposure of up to 2-3 mm is normally acceptable. The rehabilitation performed for the abnormalities in symmetry and contour of the gingiva in this region can be challenging. Crown-lengthening surgery is used in combination with perio-aesthetic procedures to repair gingival asymmetries and realign the dentogingival complex. The Chu’s aesthetic gauges were designed to diagnose and treat aesthetic tooth discrepancies and abnormalities in a predictable manner.

Objective: To attain optimal crown lengthening using Chu’s aesthetic gauges.

Case Report: A 21-year-old female patient presented to the Department of Periodontology, with a request for “better-looking teeth”. Extraoral examination revealed no significant findings. No mobility and adequate levels of keratinized attached gingiva on intraoral examination. The case was diagnosed as a gummy smile, that could be repaired with crown lengthening. During the surgical crown-lengthening, Chu’s aesthetic gauges were used to measure the midfacial length of the biologic crown at the same time. These gauges are unique technique that is innovative and a novel method to get adequate crown proportions. Results: Evaluation after two weeks after the surgery showed a better-looking smile line and no erythema.

Conclusion: A successful crown-lengthening procedure was performed using Chu’s aesthetic measurement, including optimal dimension of clinical crowns and symmetrical gingival contour.

Keywords: crown lengthening, aesthetic procedure, Chu’s aesthetic gauges, case report

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