口腔医学研究 ›› 2025, Vol. 41 ›› Issue (9): 824-828.DOI: 10.13701/j.cnki.kqyxyj.2025.09.016

• 研究生病例精粹——牙周病系列(9) • 上一篇    

露龈笑美学牙冠延长术1例

周春香1,2, 曹正国1,3*, 张慧慧1,3*   

  1. 1.口颌系统重建与再生全国重点实验室,口腔生物医学教育部重点实验室,口腔医学湖北省重点实验室,武汉大学口腔医学院 湖北 武汉 430079;
    2.贵阳市口腔医院牙周科 贵州 贵阳 550005;
    3.武汉大学口腔医院牙周科 湖北 武汉 430079
  • 收稿日期:2025-08-26 出版日期:2025-09-28 发布日期:2025-09-24
  • 通讯作者: * 曹正国,E-mail:caozhengguo@whu.edu.cn;张慧慧,E-mail:kqstone@whu.edu.cn
  • 作者简介:周春香(1992~ ),女,贵阳人,硕士,主治医师,研究方向:牙周病学。

Aesthetic Crown Lengthening for Gummy Smile: A Case Report

ZHOU Chunxiang1,2, CAO Zhengguo1,3*, ZHANG Huihui1,3*   

  1. 1. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    2. Department of Periodontology, Guiyang Hospital of Stomatology, Guiyang 550005, China;
    3. Department of Periodontology, Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2025-08-26 Online:2025-09-28 Published:2025-09-24

摘要: 本文报道1例因被动萌出不足而导致牙冠形态过短、牙龈缘位置异常,伴有明显的露龈笑的病例问题。通过牙冠延长术,成功恢复了正常的生物学宽度,改善了牙冠-牙龈的美学比例关系。术后6个月随访,获得了令人满意的美学效果。

关键词: 被动萌出不足, 牙冠延长术, 手术治疗

Abstract: This article reports a case of altered passive eruption (APE) characterized by short clinical crowns, aberrant gingival margin positions, and noticeable excessive gingival display (gummy smile). A crown lengthening procedure was performed to reestablish the biological width and improve the crown-to-gingiva aesthetic proportions. A 6-month follow-up confirmed a clinically satisfactory and aesthetically pleasing outcome.

Key words: altered passive eruption, crown lengthening, surgical treatment