Surgical lengthening of the clinical crown: a periodontal concept for reconstructive dentistry

This review presents the various techniques, the indications and contraindications for surgical lengthening of the clinical crown. Based on the concept of biologic width of the dento-gingival complex, the aim of surgical modifications in this region is to create a distance of approximately 3 mm between the foreseeable marginal area of a reconstruction and the crest of the alveolar bone. Studies on wound healing suggest that stability of the soft tissues following such surgical procedures is obtained after a healing period of 6 months. In order to obtain optimal aesthetic treatment outcomes of restorations, the duration of the healing period should be respected.