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Multidisciplinary Treatment of Aesthetic Problems at Maxillary Anterior Region
1.Purpose: In this case, the aim is to correct the aesthetic impairment at the maxillary anterior region by applying gingivectomy followed by full ceramic restorations at the new level of the gingiva. 2.Materials and Methods: A systemically healthy 24-year-old male patient came to Atatürk University Faculty of Dentistry complains of aesthetic problems at the maxillary anterior region. There were multiple defective restorations with improper gingival levels were found in their respective teeth. The initial periodontal treatment was completed followed by the surgical phase. First, the depth of periodontal pockets were measured, markings were made at the desired gingival level. External bevel incisions were made followed by gingivoplasty procedure. The gingival levels were checked and the wound was closed with a periodontal pack. Follow up were made after two weeks of the surgery, ideal healing of the gingiva was observed and prosthetic treatment was started. At oral examination large composite fillings were found in 11, 21 and 22 teeth. For this reason, full ceramic restoration was made including tooth number 12 to acheive a more appropriate aesthetic appearance. The 12, 11, 21, 22 teeth were prepared with chamfer- step finish line. Retraction cord was applied to the prepared teeth followed by two-step impression technique using addition silicone impression material then the dental cast was poured. The propriate aesthetic appearance was achieved with the produced lithium disilicate glass ceramic crowns (IPS e.max Press, Ivoclar Vivadent). No complications were observed during 6-month clinical follow-up. 3.Result: Gingivectomy produce positive results at areas with sufficient bone level and aesthetic problems. The procedure is limited to the gingival and was not extended to the bone. 4. Conclusion: Full ceramic crowns that meet the high aesthetic expectations of the patients are frequently used in the teeth at the anterior region.