Full protocol of prosthetic treatment of gummy smile cases
Statement of problems
1- Gummy smile
2- Short clinical crowns
3- Fractured teeth
4- Edge to edge occlusion
The low labial height of maxillary and mandibular teeth not related to decreased vertical dimension instead of low gingival plan and bony excess
Treatment plan
1- Digital smile design (DSD)
2- Surgical Esthetic crown lengthening guided by DSD planning
3- Temporization phase ( 6 weeks )
4- Mixed preparation for crowns, veneers and 3/4 crowns
5- Designing of restorations and correction of the edge to edge occlusion
6- Pressed lithium disilicate restorations
7- Bonding protocol of e.max
8- Follow up and harmonization of occlusion
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