A dentist, father, old car enthusiast, education advocate, photographer and some more. My cases shown on Dental Soul can be used in your study club or classroom discussions only if they are shown as web pages from Dental Soul.
This crown lengthening case was done some years ago. The patient was in his mid 60’s and had severe attrition on the upper incisors as you can see in the photograph. My prosthodontist made a surgical stent that showed where the final crown margins would be. I basically removed enough bone to allow 3 mm of distance from the proposed final crown margins to the bone. Of course, I used an end cutting bur to establish the distance first and then a round bur to contour the bone to a physiological shape. (Don’t forget to plane the root surface after removing the bone). After a few weeks of initial healing of the soft tissue, the teeth were prepared and provisional restorations were delivered while waiting for the tissues to heal further.
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Thanks for sharing the case with us.
I can see how much more of the tooth structure is exposed.
thanks James.
You mentioned that you used an end cutting bur.
Is it a carbide or diamond?
The diamond type is too slow cutting bone; so I use the carbide type of end cutting bur. It is the one that people use when refining a shoulder type of margin on PFM’s.