Surgery-Guided Periodontal Techniques for Esthetic Integration of Anterior Fixed Prostheses: A Case Report

Introduction: Achieving optimal esthetic integration of fixed prostheses in the anterior region requires effective periodontal management. This case report demonstrates the use of surgery-guided techniques to enhance esthetic outcomes in a prosthetic rehabilitation. Observation: A patient with insufficient clinical crown height underwent crown lengthening and subepithelial connective tissue grafting for soft tissue optimization. CAD/CAM technology was used to fabricate a provisional prosthesis, ensuring precise fit and esthetic integration. Discussion: Surgery-guided periodontal techniques, including crown lengthening and soft tissue grafting, improve esthetic outcomes by optimizing gingival contours. The use of digital workflows enhances precision, but challenges remain in managing gingival healing and achieving ideal esthetics. Further research into advanced materials and technologies could further refine this approach.