The goal in this case is the alteration of the anterior aesthetics through crown lengthening. Crown lengthening involves the apical extension of the tooth crown through the controlled local removal of the alveolar bone and gingiva. In the present case the bone and gum reduction are performed in two different sessions.

In the first operation shown in this video, Professor Hannes Wachtel (Munich) lengthens the crown surgically focusing on the bone volume. To begin with, a marginal incision is performed to create a full thickness flap. After careful alveolar bone reduction and recontouring, the full flap is replaced in its original position and secured with double sling sutures.

Following healing over a three-month period including checkups and professional teeth cleaning, Professor Wachtel performs a second operation in this area conducting a simple gingivectomy in order to remove excess gingiva and shape the marginal area (see Part II). The result of the crown lengthening procedure is aesthetically pleasing for the patient.