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Surgical Crown Lengthening 2
1.
2.
The location of
the alveolar crest and gingival margin.
3.
The width of
the keratinized attached tissue.
4.
The amount of
exposed tooth structure available.
5.
Biological width
6.
is a natural defense of the periodontium ,The concept of a minimum dimension of tissue from the alveolar crest to the bottom of the gingival sulcus. Consist of the average histological dimensions of the:
7.
connective tissue attachment
8.
the epithelial attachment
9.
10.
Medical History: Medically
fit.
11.
12.
There is no
root proximity.
13.
The tooth is
endodontically treated.
14.
There is no
adequate space between the temporary restoration and the crestal bone (biological width is violated).
15.
INSTRUMENTS:
16.
Mirror.
17.
Periodontal prob.
18.
Disposable plastic Syringe+
Saline solution
19.
Metal syringe +Anesthetic
solution (xylocain 2% + adrenalin 12,5 micrgm/ml)
20.
Sterile gauze
21.
Surgical kit :
22.
scalpel blades (no.15,12)
23.
Austin retractor
24.
periosteal elevator
25.
tissue forceps
26.
surgical curettes
27.
bone file (sugarman
)
28.
surgical scissors
29.
high speed hand
piece
30.
small round bur
31.
32.
non resorbable silk
suture size 3-0.
33.
34.
Keep your tongue
and your fingers away from the surgical area so you don’t disturb the healing process.
35.
At the same
day of the surgery :
36.
Eat soft food
37.
Don’t eat or
drink hot food
38.
Follow your regular
activities with no excessive exercise
39.
NO gargling is
allowed .
40.
After one day
of the surgery :
41.
Rinse with chlorhexidine
2% for 1 week twiceay
42.
Brush your teeth
regularly except the area of surgery .
43.
If any complications
occur as bleeding or sever pain contact the dental clinic.
44.
suture removal was
schedule after two week . Prognosis: Good. Follow up visit: Removal of sutures was done, & irrigation with saline.