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Clujul Medical - Iuliu Haţieganu

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<strong>Clujul</strong> <strong>Medical</strong> 2006 vol. LXXX - nr. 1<br />

4. TOWNSEND C. - Prerestorative periodontal plastic surgery. Creating the gingival<br />

framework for the ideal smile, Dent Today 2004 Feb; 23 (2): 130-3.<br />

5. ORSINI M, ORSINI G, BENLLOCH D, ARANDA JJ, LAZARO P, SANZ M -<br />

Esthetic and dimensional evaluation of free connective tissue grafts in<br />

prosthetically treated patients: a 1-year clinical study., J Periodontol. 2004 Mar; 75<br />

(3): 470-7.<br />

6. PASQUINELLI LK. - Periodontal plastic surgery as an adjunctive therapeutic<br />

modality for esthetic restorative dentistry, J Calif Dent Assoc. 2005 Mar; 33 (3):<br />

217-21.<br />

Achieving anterior dental esthetics by complex surgicalprosthetic<br />

therapy<br />

DANIELA CONDOR, SMARANDA BUDURU<br />

Summary<br />

Our case presents an improvement of the maxillary anterior region in a young<br />

patient with an evident discrepancy between the gingival margins of the central incisors.<br />

In order to align the marginal gingiva according to esthetical criteria, we decided to<br />

combine two surgical techniques. For the posttraumatic elongated crown (21) we<br />

decided to apply a free gingival flap from the palate. For the remaining anterior teeth,<br />

because of the permissive biological width, we decided to perform a gingivectomy in<br />

order to obtain the optimal dental proportion. After the optimal periodontal healing, the<br />

final crowns applied were all ceramic Empress 1.<br />

Key words: free connective tissue graft, gingivectomy, gingival margin line,<br />

dental proportion.<br />

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