Flapless Crown Lengthening

Figure 27. Crown Prep/Crown Lengthening.
This image depicts fractured buccal cusp on 70-year-old female requires osseous crown lengthening due to biologic width impingement on mesial and buccal.
Fractured buccal cusp on 70-year-old female requires osseous crown lengthening due to biologic width impingement on mesial and buccal.
Figure 28. Crown Prep/Crown Lengthening.
This image depicts the hard tissue crown lengthening can be done with a flapless approach if two millimeters or less of bone needs to be removed.
The hard tissue crown lengthening can be done with a flapless approach if two millimeters or less of bone needs to be removed. Enough bone has been removed with the Er:YAG laser to assure adequate distance from the final crown margin and osseous crest for biological width requirements.
Figure 29. Crown Prep/Crown Lengthening.
This image depicts the tooth is built up with a high contrast composite material and prepared for the crown on the same appointment as the crown lengthening.
The tooth is built up with a high contrast composite material and prepared for the crown on the same appointment as the crown lengthening.
Figure 30. Crown Prep/Crown Lengthening.
This image depicts a final impression is taken that day as well.
A final impression is taken that day as well.
Figure 31. Crown Prep/Crown Lengthening - Two Weeks Later.
This image depicts the sulcular and attached gingiva are healing well at the crown delivery appointment two weeks after osseous crown lengthening.
The sulcular and attached gingiva are healing well at the crown delivery appointment two weeks after osseous crown lengthening. The patient reported no significant pain post-operatively.
Figure 32. Crown Prep/Crown Lengthening.
This image depicts the crown is delivered two weeks after the osseous crown lengthening.
The crown is delivered two weeks after the osseous crown lengthening.