PMC4795145_01
Preoperative OPG
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F1
The clinical examination revealed gingival overgrowth on the labial aspect from distal of 33 extending to distal of 43 region with periodontal probing depth of around 6 mm, OPG revealed deep caries in 11 and 12 and root stumps in 18 [Figure 1].
Preoperative view
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F2
The patient was monitored throughout the procedure using pulse oximeter and noninvasive blood pressure monitor [Figure 2].
Immediate postoperative view after gingivectomy of lower anteriors, endodontic therapy and crown lengthening in 11 and 12
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F3
Kirkland Knife was used to recontour the gingiva [Figure 3]. All the treatment procedures were carried out in a single sitting [Figure 3].
Crown lengthening using electrocautery
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F4
Crown lengthening was done on the buccal and the palatal aspect with the electrosurgical scalpel [Figure 4] in such a way that biologic width was preserved.
1-week postoperative view with postspace preparation in 11 and 12
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F5
A custom-made postcore was fabricated using nickel-chromium alloy [Figure 5], which was luted with Type I GIC.
2 weeks postoperative view after completion of all treatment
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F6
Metal ceramic crowns were fabricated and luted in 11 and 12 [Figures 6 and 7].
Postoperative radiograph
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F7
Metal ceramic crowns were fabricated and luted in 11 and 12 [Figures 6 and 7].
6 weeks postoperative view
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F8
Patient was reviewed after 6 weeks [Figure 8] and 6 months [Figure 9].
6 months postoperative view
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F9
Patient was reviewed after 6 weeks [Figure 8] and 6 months [Figure 9].