Published date: Apr 25 2022

Journal Title: KnE Medicine

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

Pages: 244-251

DOI: 10.18502/kme.v2i1.10857

Sri Pramestri Lastiannysri.pramestri@ugm.ac.idPeriodontics Department, Faculty of Dentistry, Universitas Gadjah Mada, Jl. Denta Sekip Utara, Sinduadi, Mlati, Sleman Regency, Special Region of Yogyakarta 55281, Indonesia

Ekalia Girina Desi MaulidaPeriodontics Department, Faculty of Dentistry, Universitas Gadjah Mada, Jl. Denta Sekip Utara, Sinduadi, Mlati, Sleman Regency, Special Region of Yogyakarta 55281, Indonesia

Background: A smile, a good harmonization of teeth, alveolar bones and gums inside the oral cavity can improve one’s appearance and self-confidence. Short clinical crowns have become a frequent chief complaint. One of reasons for this is the altered passive eruption.

Objective: To describe the correction of altered passive eruption by performing crown lengthening with an osteotomy to achieve ideal clinical crowns and restore the functions and aesthetics.

Case Report: A 31-year-old man was admitted to the Periodontics Clinic of Rumah Sakit Gigi dan Mulut, Universitas Gadjah Mada Prof. Soedomo, Yogyakarta, Indonesia, with a chief complaint of front teeth looking short. He was diagnosed with an altered passive eruption in connection with a gummy smile. Crown lengthening was performed by gingivectomy technique with osteotomy, and interdental papilla was preserved.

Conclusion: Crown lengthening is an effective treatment in correcting dysfunctions and aesthetics due to altered passive eruption.

Keywords: altered passive eruption, short clinical crowns, crown lengthening procedure, osteotomy, papilla preservation

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