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Irregular Gum Levels-Clinical Case
Regardless of the beauty of the crowns or veneers, unless the gum line is contoured in a pleasing manner, the esthetic results will be poor. Scalloping the gum to a pleasing form is generally very easy for the patient, with minimal post-operative discomfort. The general dentist should wait for 8-10 weeks before the final crowns are completed, to ensure the gum has healed to its final level. If the patient feels the teeth look too long during the healing phase, temporary crowns can be made.
 
Pre-operative view. Note short
teeth and irregular gum contour
Desired shape of tissue
determined on model
of patient's teeth
 
Desired tooth form is waxed
on model,and a
plastic stent made
Plastic stent placed over teeth
prior to surgery as a guide
 
Tissue recontoured to desired
position and sutured in place
Stent placed after scalloping to
confirm proper contouring
 
Post-op tissue healing Final restorations in place
 

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