A Suggested Approach of Managing Excessive Maxillary Gingival Display in Terminal Dentition

Joint Authors

Moukarzel, Celine
Saad, Daniel
Haddad, Naim El
Rizk, Anthony

Source

Case Reports in Dentistry

Issue

Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-11, 11 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2020-11-20

Country of Publication

Egypt

No. of Pages

11

Main Subjects

Dental

Abstract EN

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.

American Psychological Association (APA)

Saad, Daniel& Moukarzel, Celine& Haddad, Naim El& Rizk, Anthony. 2020. A Suggested Approach of Managing Excessive Maxillary Gingival Display in Terminal Dentition. Case Reports in Dentistry،Vol. 2020, no. 2020, pp.1-11.
https://search.emarefa.net/detail/BIM-1146544

Modern Language Association (MLA)

Moukarzel, Celine…[et al.]. A Suggested Approach of Managing Excessive Maxillary Gingival Display in Terminal Dentition. Case Reports in Dentistry No. 2020 (2020), pp.1-11.
https://search.emarefa.net/detail/BIM-1146544

American Medical Association (AMA)

Saad, Daniel& Moukarzel, Celine& Haddad, Naim El& Rizk, Anthony. A Suggested Approach of Managing Excessive Maxillary Gingival Display in Terminal Dentition. Case Reports in Dentistry. 2020. Vol. 2020, no. 2020, pp.1-11.
https://search.emarefa.net/detail/BIM-1146544

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1146544