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Does Biological Width, apparently now known as ‘Supra-crestal tissue attachment’ confuse you? Or would you like an introduction or a refresher on the clinical stages of Crown Lengthening? Fear not, I twisted specialist Periodontist Reena Wadia’s arm and finally got her on the show to teach us!
Protrusive Dental Pearl: How to find out what kind of biotype you’re dealing with: Use a ball ended Perio probe and use the ball-end/tip (sometimes it’s coloured) and probe in to the sulcus – if you can see the tip of the probe shining through the gingiva then that’s a THIN biotype. and if you can’t see the tip of the probe then that is a THICK biotype.
“Don’t complicate things, if something works in your hands and you’re doing it well, keep things simple, don’t have too many variations because then it just starts getting unpredictable. So test everything out, go on courses, and then see what works in your hand and then stick with that.” – Dr. Reena Wadia
In this episode, we discussed:
- Bone sounding (10:35)
- Aesthetic crown lengthening (13:06) and Functional crown lengthening (18:02)
- Altered passive eruption and active eruption (14:21)
- Fundamental difference between the two types of crown lengthening (20:06)
- Biology of keratinised tissue (24:13)
- Steps involved in crown lengthening surgery (26:32)
- Using dental stents as a guide (29:44)
- Post-op management for flaps (30:35)
- Pre- and Post-operative care (33:05)
- Ideal case for beginner Dentists (35:19)
- Placement of sutures (36:28)
Check out Dr.Reeda Wadia’s Perio School
Check out Reena’s Crown Lengthening Live course on a Sunday in London!
If you liked this episode, you might also enjoy How to Save ‘Hopeless’ Teeth with the Surgical Extrusion Technique
