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Scholars Journal of Medical Case Reports | Volume-13 | Issue-07
Crown Lengthening for Functional Rehabilitation Using Er: YAG Laser: A Case Series
Dr. Arnav Mukherji, Dr. Spoorthi A. Belludi, Dr. Sinthiya Bose
Published: July 23, 2025 | 73 44
Pages: 1705-1709
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Abstract
Aim: To rehabilitate severely decayed teeth with inadequate clinical crown by surgical crown lengthening. Background: Crown lengthening is a surgical procedure aimed at increasing clinical crown length by removal of periodontal tissue. The dentist should have adequate knowledge of biological width, indications, technique, as well as its limitations. Taking into account biological factors crown lengthening as part of an overall treatment plan in a controlled and predictable manner can be carried out. In clinical practice, dentist faces dilemma in encountering patients with tooth wear. Providing fixed prosthesis becomes a challenge. Technique: Conventional methods employ scalpel blade and rotary instruments. Lasers have made impressive inroads into periodontal therapy. This case series discusses surgical crown lengthening of severely attrited teeth with Er: YAG laser for adequate prosthetic restoration. Conclusion: Er: YAG laser was effective in crown lengthening procedure with least discomfort to patients. Results achieved with Er: YAG laser was satisfactory and prosthetic rehabilitation was successful. Clinical Significance: Er: YAG laser is a boon in modern dentistry. It can handle soft tissues as well as hard tissues with ease. Surgical procedures done with laser are bloodless and painless. In comparison with scalpel blade where patient has anxiety undergoing surgery, use of laser negates all the apprehension. Results achieved with laser are promising and clinically successful.