ازاي اظبط الgingival marine لما أعمل Gingivectomy

ال gingivectomy من أبسط الحاجات اللي ممكن تبدأ بيها شغل ال perio بس لانه هدفه أغلب الوقت Esthetics
هتحتاج تعرف شويه قواعد بسيطه علشانً نظبط الgingival margin scalloping خصوصا في حالات :

1) Gingival hyperplasia .
2) Altered passive eruption.... causing gummy smile.... needs esthetic crown lengthening .
3) Short clinical crown and in need for lengthening to avoid compromising the periodontium .... needs Functional crown lengthening.

-في الحالات اللي ذكرناها دي حضرتكً هنحتاج تعمل gingivectomy or modified wideman flap فلازم تعرف gingival zenith لكل tooth ببقي فين ؟! 🙄

-طَيب هو ايه gingival zenith ؟ 🤔
-It is the most apical point of the gingival margine and by placing it in its right position , you can achieve the proper esthetic result that you need.💪🏻

*Let's determine the gingival zenith for each tooth in relation to the verticlal long axis bisecting the crown:
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~For the upper central incisor : 1mm distal.

~For the upper lateral incisor : centralized.

~For the upper canine : 1mm distal or centralized according to the situation.

~For the rest of the upper teeth "premolars and molars ": centralized

~For the lower teeth "anteriors and posteriors" : centralized

# What about the gingival zenith level for each tooth and others ?!! 🙄🤔

~The gingival zenith of upper central incisor and canine are at the same level but the lateral incisor is 1mm coronal to it !

-To be continued

By/Dr.Soulafa Belal