Manejo quirúrgico periodontal de la erupción pasiva alterada: reporte de casos

Mario Wilckens , Víctor Beltrán , Carolina Leiva , Francisco Donaire
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Abstract

When the soft tissue is positioned excessively on anatomical crowns of teeth, frequently seen in adults and resulting in short clinical crowns, a condition has been described in the literature by several authors as “altered passive eruption”. It is defined as a dentogingival relationship wherein the gingival margin is positioned coronally on the anatomic crown, and does not attach to the cement-enamel junction due to the disruption in the development and eruptive patterns of the dentogingival unit. This article describes how periodontal plastic surgery can remodel the attachment apparatus, re-establish the correct biological width, eliminate the excessive showing of gingiva, and expose the correct dimensions of teeth. In this report, 3 cases are presented of altered passive eruption, and includes the diagnosis, clinical staging and treatment through periodontal surgery to correct the structural and aesthetic appearance.

改变被动皮疹的牙周手术治疗:病例报告
当软组织过度位于牙齿解剖冠上时,常见于成人,导致临床冠短,几位作者在文献中将这种情况描述为“改变的被动爆发”。它被定义为一种牙牙龈关系,其中牙龈边缘位于解剖冠上的冠状位置,并且由于牙牙龈单元的发育和爆发模式的破坏而不附着于水泥-牙釉质连接。本文介绍牙周整形手术如何重塑附着体,重建正确的生物宽度,消除牙龈的过度显示,露出正确的牙齿尺寸。本文报告3例改变型被动牙露,包括诊断、临床分期及通过牙周手术矫正结构及美观的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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