FUNCTIONAL CROWN LENGTHENING SURGERY FOR IMPROVED AND PREDICTABLE RESTORATIVE OUTCOMES

SYNOPSIS:

Subgingival caries and tooth fractures are common occurrences in clinical practice. They typically lead to difficulties in managing the restorative finish line and an inability to make proper impressions. In other situations, dentists face difficulties obtaining adequate crown retention and a ferrule effect. These can lead to secondary caries, repeated fractures and periodontal complications due to biologic width impingement. This course is designed to assist clinicians with managing these challenges and will explore the periodontal-restorative interface.

Participants will learn about functional crown lengthening and its indications prior to restorative treatment. It will review the surgical techniques and how to improve restorative results by incorporating periodontal principles. The hands-on portion will enable participants to practice surgical crown lengthening including effective flap design and suturing techniques.

TOPICS TO BE COVERED:

Indications and contraindications
Difference between functional and esthetic crown lengthening
The importance of the biologic width
What are the restorative considerations relevant to crown lengthening surgery ?
When to “save” a tooth and when to extract ?
Step-by-step surgical technique
The surgical kit and procedure set-up
Complications management
When to refer to a periodontist
UPON COMPLETION YOU WILL BE ABLE TO:

Hands-On Workshop
Incision design
Soft tissue excisions
Flap reflection
Managing the thick palatal tissue
Ostectomy and osteoplasty
Surgical hand instrumentation
Using rotary instruments
Piezosurgery for crown lengthening
Managing subgingival tooth fractures
Quadrant crown lengthening
Suturing technique