Esthetic crown lengthening should be considered to achieve desired esthetics in. Current concepts of recognition, diagnosis, and treatment of altered. 80 were more likely to have been classified as having the appearance of gingival excess or gummy smile. commonly overlooked etiologies of the short clinical crown is altered passive eruption. Subjects who exceeded the clinical W:L ratio of. It’s a non-pathological situation which may sometimes affect, depending on its degree, the aesthetics of the smile in young adults and adults. CONCLUSION: 83 of the subject population had central incisors that displayed altered passive eruption. In conclusion, the clinically healthy gingiva of APE patients showed features compatible with persistent inflammation, possibly due to recurrent traumatisms caused by an incisally placed gingival margin. Altered Passive Eruption is a condition often described as gummy smile. Normal density and orientation of collagen fibers could be seen within the superficial and the deep portions of connective tissue, with an increase in size and number of the deep collagen fibers and a reduced laxity of the superficial ones. Ulceration with exposure of the lamina propria and inflammatory granulation tissue were evident in the most severe cases. In four out of five patients, signs of inflammation including spongiosis and neutrophil exocytosis could be found in the epithelium of the gingival sulcus. The incomplete process is referred to as Altered Passive Eruption. During the surgical procedure, the excised gingival margin was collected to be histologically examined. Altered Passive Eruption, There are situations where teeth erupt but gums do not recede appropriately resulting in short clinical crowns (short fat teeth). After 6 months of supervised plaque control and uninterrupted gingival clinical health (Gingival Index (GI) = 0 and no Bleeding on Probing (BoP)), upper anterior teeth were surgically treated. This condition should be considered in restorative dentistry, orthodontic and esthetic treatment. They underwent scaling and polishing and received oral hygiene instructions. Excessive gingiva can result from delayed or altered tooth eruption. Five patients with type 1 APE were enrolled. To predictably achieve a successful esthetic and functional result, the dentist must be able to precisely.

The gingival complex plays a vital role in the overall beauty of a smile. The purpose of this study was to histologically examine the clinically healthy gingiva of patients with altered passive eruption (APE). Altered passive eruption: an etiology of short clinical crowns.: The gingival complex plays a vital role in the overall beauty of a smile.