Altered passive eruption, one of the conditions that can lead to gummy smile is defined as a dent gingival relationship in which the gingival margin is positioned coronally to the cement enamel junction. The treatment plan consisted of 2 phases: Surgical phase: Crown lengthening prosthetic phase: Lithium discilicate veneers the aim of this paper is to describe the management of a case diagnosed with altered passive eruption. Altered passive eruption (APE) occurs when the gingival margin is malpositioned incisally on the anatomic crown above the normal location of the cemento-enamel junction (CEJ). In addition to its aesthetic value, however, altered passive eruption could also affect gingival and periodontal health. The patient was diagnosed with altered passive eruption. Altered passive eruption (APE) is an anatomical condition that is frequently diagnosed in periodontal clinical practice, especially for the ever-increasing demand of patients for the aesthetic improvement of their smile. Before choosing the adequate treatment and starting our procedure, periodontal and esthetic factors were analyzed. The case was complicated by the Altered Passive Eruption condition preventing placement of orthodontic brackets in their ideal positions. Previous history taking revealed no drug usage which could have been a contributing factor. A 29-year-old male patient presented to a dental clinic in Beirut, Lebanon, complaining about short looking teeth and excessive gingival display while smiling. A diagnosis of Altered Passive Eruption Type 1, Sub group A was made after thorough periodontal evaluation. There are currently many modalities available for improving the presentation of a smile. An alteration in the passive phase will result in an altered passive eruption (EPA), which would be defined as the interruption of the apical migration of the margin of the gingiva, where it moves away from the amelocementary limit. Abstract The gingival complex plays a vital role. The dental eruption is a physiological process that is divided into two phases: active and passive.
Keywords: Altered passive eruption Crown.
Altered passive eruption is described as a condition in which the relationship between teeth, alveolar bone and the soft tissues creates an excessive gingival display and, in turn, in some circumstances, it may reveal a clinical aspect known as the gummy smile. altered passive eruption or delayed passive eruption. Altered passive eruption: An etiology of short clinical crowns. ABSTRACT Background: Altered passive eruption is a condition that can make clinical crown of teeth seems shorten.
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