A Suggested Approach of Managing Excessive Maxillary Gingival Display in Terminal Dentition
The aim of this paper is to report a suggested approach for the management of excessive maxillary gingival display with terminal dentition. A segmental osteotomy of the maxillary process was performed, and the latter used as grafting material for lateral sinus augmentation that was performed simulta...
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2020-01-01
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Series: | Case Reports in Dentistry |
Online Access: | http://dx.doi.org/10.1155/2020/6975275 |
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doaj-6c8e720f70bf48649470118c64e37f2d2021-07-02T15:55:25ZengHindawi LimitedCase Reports in Dentistry2090-64472090-64552020-01-01202010.1155/2020/69752756975275A Suggested Approach of Managing Excessive Maxillary Gingival Display in Terminal DentitionDaniel Saad0Celine Moukarzel1Naim El Haddad2Anthony Rizk3Postgraduate Department, MOI, Faculty of Dentistry, Goethe University, Frankfurt, GermanyPostgraduate Department, MOI, Faculty of Dentistry, Goethe University, Frankfurt, GermanyPostgraduate Department, MOI, Faculty of Dentistry, Goethe University, Frankfurt, GermanyPostgraduate Department, MOI, Faculty of Dentistry, Goethe University, Frankfurt, GermanyThe aim of this paper is to report a suggested approach for the management of excessive maxillary gingival display with terminal dentition. A segmental osteotomy of the maxillary process was performed, and the latter used as grafting material for lateral sinus augmentation that was performed simultaneously. Following the graft maturation period, implants were inserted and rehabilitated with a fixed dentogingival prosthesis. Consequently, the mandible was prosthetically restored following the new occlusal plane dictated by the rehabilitated maxilla. Clinically, the procedure showed a drastic improvement in the patient’s appearance, eliminating the excessive gingival display. Radiologically, it led to a vertical translation of the maxillary process level in an apical direction. Nevertheless, the resected process used as grafting material was noticed to have a suboptimal behavior as long as it showed increased intrasinusal resorption, barely sufficient for a regular implant accommodation. The described therapy concept seems to be a plausible approach when it comes to manage excessive maxillary gingival displays in edentulous patients or those presenting a terminal dentition. However, at the time of sinus augmentation, authors recommend to graft a mixture of resected maxillary process and a bone substitute material, in order to get more stable results.http://dx.doi.org/10.1155/2020/6975275 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Daniel Saad Celine Moukarzel Naim El Haddad Anthony Rizk |
spellingShingle |
Daniel Saad Celine Moukarzel Naim El Haddad Anthony Rizk A Suggested Approach of Managing Excessive Maxillary Gingival Display in Terminal Dentition Case Reports in Dentistry |
author_facet |
Daniel Saad Celine Moukarzel Naim El Haddad Anthony Rizk |
author_sort |
Daniel Saad |
title |
A Suggested Approach of Managing Excessive Maxillary Gingival Display in Terminal Dentition |
title_short |
A Suggested Approach of Managing Excessive Maxillary Gingival Display in Terminal Dentition |
title_full |
A Suggested Approach of Managing Excessive Maxillary Gingival Display in Terminal Dentition |
title_fullStr |
A Suggested Approach of Managing Excessive Maxillary Gingival Display in Terminal Dentition |
title_full_unstemmed |
A Suggested Approach of Managing Excessive Maxillary Gingival Display in Terminal Dentition |
title_sort |
suggested approach of managing excessive maxillary gingival display in terminal dentition |
publisher |
Hindawi Limited |
series |
Case Reports in Dentistry |
issn |
2090-6447 2090-6455 |
publishDate |
2020-01-01 |
description |
The aim of this paper is to report a suggested approach for the management of excessive maxillary gingival display with terminal dentition. A segmental osteotomy of the maxillary process was performed, and the latter used as grafting material for lateral sinus augmentation that was performed simultaneously. Following the graft maturation period, implants were inserted and rehabilitated with a fixed dentogingival prosthesis. Consequently, the mandible was prosthetically restored following the new occlusal plane dictated by the rehabilitated maxilla. Clinically, the procedure showed a drastic improvement in the patient’s appearance, eliminating the excessive gingival display. Radiologically, it led to a vertical translation of the maxillary process level in an apical direction. Nevertheless, the resected process used as grafting material was noticed to have a suboptimal behavior as long as it showed increased intrasinusal resorption, barely sufficient for a regular implant accommodation. The described therapy concept seems to be a plausible approach when it comes to manage excessive maxillary gingival displays in edentulous patients or those presenting a terminal dentition. However, at the time of sinus augmentation, authors recommend to graft a mixture of resected maxillary process and a bone substitute material, in order to get more stable results. |
url |
http://dx.doi.org/10.1155/2020/6975275 |
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