In this video, Dr. Scott Froum, editorial director of Perio-Implant Advisory, demonstrates how he recreates space around crown and veneer restorations that have violated the biologic width, resulting in inflammation and bleeding, through functional crown lengthening using a 9.3-micron CO2 laser.
Welcome to our first 10-minute Clinical Quick Tips Video, presented by Perio-Implant Advisory. Look for more videos to come in which we will present techniques and product demonstrations on real patients with an emphasis on solving periodontal- and implant-related issues.
In this video, you will learn how to correct gum inflammation and bleeding around existing crown and veneer restorations with functional crown lengthening (figure 1). I will discuss biologic width and the importance of maintaining this space, the etiology and treatment of inflammation, and the steps involved in the functional crown lengthening procedure.
Figure 1: Before-and-after photos showing the results of functional crown lengthening using
a 9.3-micron CO2 laser to recreate space around crown and veneer restorations that have violated
the biologic width, causing inflammation and bleeding in the surrounding gum tissue.
I will also present a case example of a patient with anterior crown and veneer restorations that have invaded the biologic width, causing the surrounding gum tissue to become inflamed and bleed. You will see how I recreate this space through anterior crown lengthening by reducing the hard and soft tissue with a new 9.3-micron CO2 laser (Solea from Convergent Dental) in a closed flap technique. The intention of this procedure is to reduce postoperative pain for the patient by avoiding the necessity of large incisions and sutures.
Scott Froum, DDS, a graduate of the State University of New York Stony Brook School of Dental Medicine, is a periodontist in private practice in New York City. He is the editorial director of Perio-Implant Advisory e-newsletter, as well as a contributing author for DentistryIQ and Dental Economics. Dr. Froum, a diplomate of the American Board of Periodontology, is a clinical associate professor at both SUNY Stony Brook and the NYU Dental School in the Department of Periodontology and Implantology. He serves on the board of editorial consultants for the Academy of Osseointegration's Academy News. Contact him by email at email@example.com or through his website at drscottfroum.com.