Enhanced anterior esthetic using crown lengthening and depigmentation at single visit: Report of two cases and review of literature

Abstract

Gingival hyper-pigmentation becomes more obvious when it is associated with excessive gingival display. The treatment of excessive gingival display and depigmentation collectively are the key to patient satisfaction. The objective of the present article was to evaluate 6 months' result of surgical protocol that integrated surgical depigmentation, gingivectomy, and an apically positioned flap with osseous resective surgery to correct hyper-pigmentation and excessive gingival display in maxillary anterior teeth among different patients. The author has discussed in detail the selection of surgical techniques in different clinical conditions to achieve pleasant and long-term results. The selected techniques for depigmentation and crown lengthening resulted in excellent color and contour of the gingiva at the 6-month follow-up.