Two Year Soft Tissue Retrospective
Management of the soft tissue in large anterior cosmetic cases is critical to the success of the case; it is far more important than the artistic beauty of the ceramics. The patient presented two and a half years ago requesting replacement of her 5 year old restorations. The patient had excessive gingival display, a lack of symmetry of soft tissue contours and unesthetic porcelain. After I performed a Direct Resin Mockup, the patient accepted treatment for esthetic crown root lengthening and 10 ceramic restorations. I presented this case on the Forum 6 months after completion of the case and I thought it would be interesting to see how the soft tissue fared with CRL and new restorations. The soft tissue matured quite well and has remained consistent even with a frenum attachment adjacent to the margins of the centrals. The success of the case is significantly determined by the contours of the restorations. There is some slight gingival inflammation (#7) which can be attributed to oral hygiene or an endocrine issue.