Crownlengthening of Palatal Side 1 Flap after internally

Crown-lengthening of Palatal Side 1. Flap after internally beveled gingivectomy 2. Flap after externally beveled gingivectomy 3. Gingivectomy Yin Shik Hur

Distomolar Crown-lengthening 1. Unrepositioned flap with ostectomy 2. Apically positioned flap with ostectomy 3. Gingivectomy Yin Shik Hur

Easy Distomolar Crown-lengthening 1. 부착치은의 보존에 연연하지 말 것 ! 2. Biologic width 확보 후 과잉 점막을 electrosurgery로 절제한다. Yin Shik Hur

Situation I Gingivectomy & Gingivoplasty • Deep pocket on probing • Horizontal bone loss on x-ray radiographs • Wide attached gingiva • Mainly, palatal side gingiva Yin Shik Hur

Situation II Unrepositioned flap with osseous resective surgery • Shallow pockets on probing • Wide attached gingiva • Mainly, anterior teeth and 1 st. premolar of mandible, all teeth of maxilla • Gummy smile • Prosthetic orthodontics Yin Shik Hur

Situation III Apically positioned flap with osseous resective surgery • Shallow or deep pockets • Narrow attached gingiva • Mainly, mandibular 2 nd. premolar & molars • Forced eruption case Yin Shik Hur

Situation IV Unrepositioned flap with osseous resective surgery followed by gingivectomy • Absence of attached gingiva • Mainly, distomolar areas • Electrosurgery Yin Shik Hur

Situation V Bone denudation procedure • Absence of attached gingiva • Mainly, posterior teeth & distomolar area Yin Shik Hur

Procedures 1. Diagnostic wax-up & consult 2. Preparation & temporary crown 3. Determination of the standard position 4. Gingivectomy for the ideal gingival harmony 5. Extension of preparation margin & adjustment of temporary crown 6. Flap reflection & osseous resective surgery 7. Suturing Yin Shik Hur