Gingivectomy and Gingivoplasty as Treatment for Altered Passive Eruption: A Case Report
DOI:
https://doi.org/10.30659/odj.13.2.202-209Keywords:
Altered passive eruption, crown lengthening, gingivectomy, gingivoplastyAbstract
Background: Altered passive eruption (APE) is a developmental disorder that occurs when the gingival does not move apically as the tooth erupts. APE is a condition that can be corrected through a surgical procedure known as crown lengthening with gingivectomy.
Case: A 21-year old patient presented at Unimus Dental Hospital with one the upper front tooth appearing shorter. The gingival margin of tooth 12 appeared more convex and asymmetrical compared to tooth 22. Additionally, the gingiva of tooth 12 exhibited a physiological discoloration, appearing pale. Based on the results of subjective and objective examinations, as well as radiographic findings, the patient was diagnosed with chronic gingivitis accompanied by altered passive eruption. A gingivectomy and gingivoplasty were performed on tooth number 12. The patient was also prescribed paracetamol and a chlorhexidine mouthwash. The patient was advised to attend a follow-up appointment one week after the procedure and return one month later.
Conclusion: The surgical procedures performed were gingivectomy and gingivoplasty. One week after the surgery, the gingival still appears red. One month after surgery, the gingival condition had returned to normal and the shape of margin gingiva is aesthetically pleasing.References
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