Orthotown October 2016 - 33


uneven and excessive gingival display because
of altered passive eruption and mild vertical
maxillary excess-the treatment of choice
was decidedly aesthetic gingivectomy with
osseous recontouring.
Measurements of the keratinized gingival
length and normalized tooth width-to-height
ratios were calculated for her as a digital
template before the surgical procedure
(Fig. 6).
Three week s a f ter orthodontic
debond: Utilizing the digital template
and an aesthetic gauge (Hu-Friedy, Chu's
Aesthetic Gauge) the gingivectomy was
fi rst performed followed by raising a full
buccal f lap and osseous recontouring.
Intraoperative bone sounding was repeated
throughout the procedure to ensure the
re-establishment of a healthy biological
width (Fig. 7).

Six weeks after periodontal surgery (to
allow soft-tissue maturation before the first
postoperative review): During the review, the
patient expressed that she was already satisfied
with the results. However, closer analyses
and patient corroboration revealed there were
areas that needed modification-specifically,
the interproximal papilla between the UR3.4
and the UL2, 4, 5, where the margins still
looked irregular. Minor revision gingivectomy
was performed under local anesthesia to
address these concerns (Fig. 8, p. 34).
Twelve weeks after periodontal surgery
(15 weeks after orthodontic debond): The
patient presented for a final joint postoperative
review with both the orthodontics and periodontology departments. She was extremely
satisfied with the results and expressed that
all her concerns about her gingival display
upon smiling had been resolved (Fig. 9, p. 34).

Fig. 7: Three weeks post-debond-aesthetic gingivectomy and osseous recontouring

Preop bone sounding

Measuring with Chu's aesthetic gauges
Initial gingivectomy

Full buccal flap raised

Flap sutured back in place

Remeasuring with Chu's aesthetic
gauges

Osseous recontouring with end-cutting bone bur

Immediately postop with lip line

orthotown.com \\ OCTOBER 2016

33


http://www.orthotown.com

Table of Contents for the Digital Edition of Orthotown October 2016

Orthotown.com Highlights
Embrace Progress: What’s In Your Records?
New Products
Poll
Message Boards: HSD/Invisalign/Adult
Message Boards: Phase 1: Anterior Crossbite and Crowding
Interdisciplinary Ortho-Perio Treatment of Excessive Gingival Display
Creating a Strong Scheduling Architecture
Indirect Bonding: A Closer Look
Indirect Bonding: The Tech Effect
Welcome to Digital Orthodontics
Good Vibrations
Ad Index
Orthotown October 2016 - Cover1
Orthotown October 2016 - Cover2
Orthotown October 2016 - 1
Orthotown October 2016 - 2
Orthotown October 2016 - 3
Orthotown October 2016 - 4
Orthotown October 2016 - 5
Orthotown October 2016 - Orthotown.com Highlights
Orthotown October 2016 - 7
Orthotown October 2016 - Embrace Progress: What’s In Your Records?
Orthotown October 2016 - 9
Orthotown October 2016 - New Products
Orthotown October 2016 - 11
Orthotown October 2016 - Poll
Orthotown October 2016 - 13
Orthotown October 2016 - Message Boards: HSD/Invisalign/Adult
Orthotown October 2016 - 15
Orthotown October 2016 - 16
Orthotown October 2016 - 17
Orthotown October 2016 - Message Boards: Phase 1: Anterior Crossbite and Crowding
Orthotown October 2016 - 19
Orthotown October 2016 - 20
Orthotown October 2016 - 21
Orthotown October 2016 - 22
Orthotown October 2016 - 23
Orthotown October 2016 - 24
Orthotown October 2016 - 25
Orthotown October 2016 - 26
Orthotown October 2016 - 27
Orthotown October 2016 - Interdisciplinary Ortho-Perio Treatment of Excessive Gingival Display
Orthotown October 2016 - 29
Orthotown October 2016 - 30
Orthotown October 2016 - 31
Orthotown October 2016 - 32
Orthotown October 2016 - 33
Orthotown October 2016 - 34
Orthotown October 2016 - 35
Orthotown October 2016 - Creating a Strong Scheduling Architecture
Orthotown October 2016 - 37
Orthotown October 2016 - 38
Orthotown October 2016 - 39
Orthotown October 2016 - Indirect Bonding: A Closer Look
Orthotown October 2016 - 41
Orthotown October 2016 - 42
Orthotown October 2016 - 43
Orthotown October 2016 - Indirect Bonding: The Tech Effect
Orthotown October 2016 - 45
Orthotown October 2016 - 46
Orthotown October 2016 - 47
Orthotown October 2016 - 48
Orthotown October 2016 - 49
Orthotown October 2016 - Welcome to Digital Orthodontics
Orthotown October 2016 - 51
Orthotown October 2016 - 52
Orthotown October 2016 - 53
Orthotown October 2016 - Good Vibrations
Orthotown October 2016 - 55
Orthotown October 2016 - 56
Orthotown October 2016 - 57
Orthotown October 2016 - 58
Orthotown October 2016 - 59
Orthotown October 2016 - 60
Orthotown October 2016 - Cover4
Orthotown October 2016 - Ad Index
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