En función de desarrollar una fisiología normal entre las crestas óseas y corregir el posicionamiento incisal del margen gingival, se requiere como primer paso el procedimiento quirúrgico del exceso de encía en el paciente. La Rehabilitación estética fué lograda usando el sistema de coronas de feldespato que proveen una fluorescencia natural netutralizando las sombras subyacentes

1. MY BEST INDIRECT CASE Vol II 2008
Treatment of Excessive Gingival Display and Anterior Overeruption:
Rehabilitation and Restoration
In order to develop a normal
physiologic relationship
between the osseous crest
and correct the incisal
positioning of the gingival
1. 2.
margin as related to the CEJ,
surgical correction of the
patient’s excessive gingival
display was required.
Once sufficient crown
length was present,
the anterior dentition
were prepared for
porcelain restoration and
3. 4.
provisionalized.
Aesthetic rehabilitation was
performed using a feldspathic 1. The patient presented with 2. Discoloration and alignment
veneer system that would excessive gingival display due to were also areas of concern noted
provide natural fluoresence active altered eruption. during treatment planning.
and light transmission, while
neutralizing the underlying 3. Occlusal view of the maxillary 4. The diagnostic model was used
tooth shades. region demonstrates compro- to determine the desired bone
mised rotation and preexisting levels following periodontal
restorations. rehabilitation.
Jay M. Lerner, DDS*
Peter Kouvaris, CDT†
*Private practice, Palm Beach
Gardens, Florida.
† Laboratory technician and VP/
Partner, JK Dental Laboratory,
Port Washington, New York.
5602 PGA Boulevard, Suite 201
West Palm Beach, FL 33418
Tel.: 561-379-8787
E-mail: lernerlemongello@aol.com
5. Following final soft tissue healing, the teeth were
prepared for all-ceramic restorations.
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2. Jay M. Lerner, DDS, Peter Kouvaris, CDT
6. Provisional restorations were
placed with the incisal edges
brought to proper length.
7. A silicone template was fabri-
cated based on the diagnostic
waxup of the provisionalized
teeth to ensure development of
optimal tooth contours.
8. The required porcelain thickness was veri- 9. The initial porcelain layering was conducted
fied on the model prior to initial layering. using a feldspathic ceramic (JK Veneer, JK
Dental Laboratory, Port Washington, NY).
10. Additional porcelain characterization was 11. Interproximal cutback and facial character-
added to the cervical third to ensure a natu- ization were required to provide optimal
ral transition to the gingival tissue. light transmission.
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3. MY BEST INDIRECT CASE Vol II 2008
12. Appearance of the definitive restorations following firing.
Note the aesthetic light transmission and refraction.
13. Occlusal appearance of the
definitive restorations.
14. Note the improved crown visibility and elimination
of excessive gingival display during natural smile.
15. Postoperative appearance of the definitive restorations
demonstrates aesthetic harmony and a natural emer-
gence profile.
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