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Quintessence International
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Quintessence Int 28 (1997), No. 4     1. Apr. 1997
Quintessence Int 28 (1997), No. 4  (01.04.1997)

Page 249-254


Simultaneous team approach of a crown-lengthening procedure and an operative restoration: Technique and long-term effect
Tseng / Yuan / Wang / Chen / Huang / Wolff
Traditionally, crown-lengthening procedures to expose subgingival caries for oeprative restorative work are carried out in a two-stage approach. A disadvantage of this procedure is that the gingival margin associated with the treated tooth moves apically; this may create an esthetic problem. Resin-modified glass-ionomer cement has been demonstrated to have good biocompatibility with dental hard and soft tissues. Surgical and restorative procedures were combined at the same appointment in an effort to achieve a restoration with minimal change in the gingival margin. Four patients have been treated with this one-stage team approach and followed for 8 to 13 months. The clinical results demonstrated this team approach procedure is excellent for the dentition when esthetics is a consideration.