Conventional crown lengthening procedure with bone reduction (Osseus resection)

Background: Crown lengthening procedures are often required to restore proper tooth proportions and re-establish biological width prior to restorative treatment. This article presents a case of conventional crown lengthening with bone reduction (osseous resection) performed on the anterior maxilla. The surgical procedure involved a full-thickness flap, osseous recontouring, and apical repositioning of the gingival margin. The postoperative evaluation of the treatment shows good healing, proper biological width and apical reposition of the gingival margin.

Purpose: The purpose of writing this article is to describe crown lengthening process accompanied by bone reduction to correct excessive gingival display in a patient that requires esthetic improvement of the maxillary anterior teeth.

Case: A 21-year-old female who was from the Department of Conservative Dentistry to the Department of Periodontics, Faculty of Dental Medicine, Airlangga University with a complaint of wanting to fix the front teeth for esthetic improvement. The patient currently undergoes a treatment in the conservative department and was referred for gingival reduction of the front teeth to become more esthetic. Patient had no systemic illness or allergy history and had last scaling done one year ago.

Case Management: After periodontal evaluation and bone sounding, crown lengthening with bone reduction was performed. A full thickness flap, osseous recontouring and apical repositioning of the gingival margin were carried out to re-establish the biological width and enhance the esthetics.