Aesthetics Crown Lengthening with Anterior Gingival Depigmentation: A Case Report

Abstract

Background: Crown lengthening (CL) is a perio–aesthetic treatment to gain an ideal proportion of teeth and gingiva, and depigmentation is a treatment to treat gingival hyperpigmentation. Objective: To describe the treatment of altered passive eruption (APE) with CL procedure and gingival depigmentation using a scalpel scraping technique. Case Report: A 21-year-old man presented with a complaint of short maxillary front teeth and brownish gum. Intraoral examination revealed a disproportionate tooth size and gingival hyperpigmentation in the maxillary and mandibular anterior regions. Crown lengthening and gingival depigmentation procedures were performed in one visit. In gingival depigmentation procedure epithelial tissue was removed from the mucogingival junction up to the interdental papilla. At the one-week follow-up, the gingiva was still reddish. After four weeks, the gingiva healed, and there was no re-pigmentation. Conclusion: Crown lengthening and gingival depigmentation are perio–aesthetic treatments that improve tooth size and gingival proportion to achieve a better aesthetics. Keywords: crown lengthening, depigmentation, perio–aesthetic surgery