29/10/2025
A female patient came to us to correct her upper front tooth so that they look esthetically more pleasing.
On clinical examination we found that the interdental papilla was not in a good shape between the two central incisors. She had some kind of restoration or veneering done to close the midline diastema which she had. There was a high frenum pull which also affected the contour of the papilla as well.
After proper periodontal and esthetic evaluation, we proceeded with an esthetic CLP in the upper central incisors with gingivectomy only using scalpel and final recontouring of the gingival margin was done using a soft tissue diode LASER to establish the proper gingival zeniths.
Frenectomy of maxillary labial frenum was done using LASER.
The old restorative materials were removed and crown preparation was done followed by temporization. The patient was recalled after 2 weeks to evaluate the healing and to proceed with impression for the final crowns. During her follow up we noticed a properly healed gingival margin, a good height and contour of interdental papilla as well as a well established interdental col and the absence of frenum pull.
We evaluated the esthetics, took an impression and proceeded with the final crowns.
Small changes in your treatment plan and proper interdisciplinary approach can greatly improve the clinical outcome.
