Crown lengthening for gummy smile treatment related to altered passive eruption

Crown lengthening untuk perawatan gummy smile yang berhubungan dengan altered passive eruption

Abstract

One of the most common aesthetic problems patients complain about in dentistry is gummy smile; which can be caused by various factors, one of which is APE. Altered passive eruption (APE) is a condition where the gingiva looks larger, causing the teeth to look shorter when smiling, thus affecting the aesthetic appearance. Crown lengthening, either with or without bone reduction, is a frequent treatment in this case. The purpose of this case report is to explain how crown lengthening was used to treat a gummy smile caused by APE. A 21-year-old female patient presented to Hasanuddin University Dental Hospital with complaints of uneven upper gingiva and short teeth, as well as an unattractive smile. After aesthetic and periodontal tissue analysis, crown lengthening was performed which proved successful in aligning the gingival margin with the gingival crest and improving the patient's smile profile. The patient reported no pain or swelling after the procedure. So, it is concluded that a beautiful smile can be successfully achieved with good diagnosis, proper treatment planning and good skills.