LONGEVITY OF CLINICAL CROWN INCREASE WITH OSTEOTOMY: A CASE REPORT

Abstract

This article sought to analyze the longevity of the treatment of clinical crown lengthening with osteotomy, analyzing whether there was tooth mobility due to the treatment. A report was carried out at the Inapós teaching clinic, with a review of bibliographic literature, carried out through virtual searches, articles indexed in the scientific databases: SciELO and PubMed, to have scientific basis. Teeth with subgingival caries, cases of crown fractures, are cases that prevent these teeth from receiving a restoration, as there are not enough structures to retain a restoration in position. In these cases, clinical crown lengthening is indicated, which can be with or without osteotomy. A 53-year-old female patient sought the Inapós teaching clinic to undergo endodontic treatment of tooth 26, which has a class II subgingival carious lesion. Indicating a crown lengthening with osteotomy, on the day of surgery, the restoration was performed in an open field. To analyze the longevity of the treatment, the patient is monitored clinically and radiographically every six months. It was concluded that crown lengthening treatment with osteotomy, when performed using the correct technique, has longevity, keeping the tooth in the mouth without mobility and allowing accessory procedures to be performed such as fixed prosthesis and subgingival restorations.