Aesthetic crown lengthening in gingival enlargement patients with orthodontic treatment: A case report

Introduction: The orthodontic treatment process that is carried out can cause changes in the soft tissue and hard tissue of the tooth support and the most common is the enlargement of the gingiva. One of the managements in the case of gingival enlargement is crown lengthening, which is carried out by taking gingival tissue with or without bone reduction to further expose the tooth structure so that a better ratio of dental crown and gingiva is obtained. The purpose of this article is to describe the crown lengthening procedure with bone reduction to correct excessive gingival display in patients with orthodontic treatment on the anterior teeth of the upper jaw Case Report: A 19-year-old female patient came to the Periodontology Specialist Poly on a referral from the Dental Orthodontic Specialist of RSGM Universitas Airlangga with complaints that the upper front teeth looked shorter. The patient does not have problems with the periodontal tissue and has no history of systemic diseases such as diabetes, high blood pressure, and no history of allergy to medications. Case management: After the analysis is carried out on the periodontal tissue, the therapy option is in the form of crown lengthening with bone reduction for the treatment of the case. Conclusion: Determining etiological factors and proper examination is very important to determine a crown lengthening action plan as the elimination of gingival enlargement so that it can improve aesthetic appearance.