This condition should be considered in restorative dentistry, orthodontic and esthetic. During the resolution of inflammation phase (days 22 to 42), the APE test group continued to exhibit statistically higher GI scores than the control group (P = 0.029). This video is about AESTHETICS: TREATMENT OF GUMMY SMILE/ EXCESSIVE GINGIVAL DISPLAY.Pdf notes available. Excessive gingiva can result from delayed or altered tooth eruption. On day 21, at the time of maximum plaque accumulation, the GI of the APE test group was a 109% greater than the GI of the test group (P ≤ 0.001) despite similar plaque levels (P = 0.436). At baseline (day 0) and at days 7, 14, 21, 28, 35, and 42, plaque index (PlI), gingival index (GI), and gingival crevicular fluid volume (GCF) were evaluated for teeth 6 (canine), 7 (lateral incisor) and 8 (central incisor) of test and control groups.ĭuring the experimental gingivitis phase (days 0 to 21), the rate of change in gingival inflammation (GI) was dramatically different between the APE test group and the control group. After 21 days, patients were instructed to resume proper home oral hygiene procedures. The aim of this study, using an experimental gingivitis model, was to examine the development and resolution of gingival inflammation in patients with APE when compared to patients with normal gingival anatomy.Ī localized experimental gingivitis was induced in 9 patients with APE (test group) and 9 patients without APE (control group) in the maxillary right quadrant. Surgical guides are helpful tools that are seldomly reported on in the literature related to esthetic crown lengthening procedures. Meticulous planning and surgical precision are key for successful outcomes. Google Scholar Gargiulo A, Wentz F, Orban B. In patients with gingival exposure on smiling due to altered passive eruption, esthetic crown lengthening is often indicated. To date, this hypothesis has not been sufficiently supported by scientific evidence. Diagnosis and classification of delayed passive eruption of the dentogingival junction in the adult. It is currently believed that the periodontal.

Individuals with altered passive eruption (APE) are assumed to be more susceptible to periodontal diseases. Tooth eruption is a process in tooth development in which the teeth enter the mouth and become visible.

Altered passive eruption