Altered Passive Eruption: A Combined Perio-Restorative Approach: A Case Report

Abstract

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. 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. Before choosing the adequate treatment and starting our procedure, periodontal and esthetic factors were analyzed. The patient was diagnosed with altered passive eruption. 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, 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. A well performed clinical exam, leading to a correct diagnosis and therefore an adequate treatment plan will enhance the post-operative results.