A 39-year-old male patient presented with a concerning issue of persistent gum bleeding, which had become noticeable after he received crowns on his front teeth. The intraoral examination did not reveal any signs of periodontal disease affecting the gums. To further investigate the issue, a perio probe was used to measure the pocket depth around the affected teeth, which indicated a 2mm pocket depth. This measurement suggested that the bone was positioned too close to the margins of the crowns, leading to gum inflammation and bleeding. The condition was attributed to the biological width invasion of the gums, which prevented proper reattachment to the tooth structure.
To correct this issue and alleviate the gum inflammation, a crown lengthening procedure was deemed necessary. This procedure involved carefully adjusting the position of the gum tissue to create the required space between the bone and the crown margins. After the crown lengthening procedure, the gums needed time to heal, a process that typically required approximately two months.
Before proceeding with the crown lengthening procedure, diagnostic wax-ups were created to determine the precise amount of lengthening required on the affected teeth. This step allowed both the patient and the dental team to visualize the expected outcome and ensure that the final restorations would meet the patient's expectations.
Once the gums had fully healed after the crown lengthening procedure, the final restorations were placed on the affected teeth. The patient experienced a notable improvement in the condition, with the gum bleeding and inflammation effectively resolved. The final restorations successfully addressed the issue, and the patient was satisfied with the outcome.
In conclusion, the case of this 39-year-old male patient underscores the importance of addressing gum health in conjunction with dental procedures. By conducting a crown lengthening procedure to correct biological width invasion and carefully planning the treatment through diagnostic wax-ups, the patient achieved resolution of gum issues and a successful restoration of his front teeth. This case highlights the significance of personalized treatment and the role of a comprehensive approach in achieving patient satisfaction and improved oral health.