Treatment Process for Anterior Tooth Fracture and Gum Inflammation: Laminate Prosthetic Treatment at a Magok-dong Dental Clinic

Hello,

I’m Yeo Sangho, the director of a dental clinic in Magok-dong.

Have you ever experienced a tooth breaking or your gums (gingiva) swelling due to a small impact or accident in daily life?

In particular, when trauma occurs in the front teeth area, it leads not only to functional problems but also to esthetic concerns.

The topic I’ll introduce this time is the treatment process when the front teeth (anterior teeth) are fractured due to trauma and periodontitis and gingival enlargement occur at the same time.

Through this case, it may be helpful to look at the process of restoring the broken tooth and arranging the gum height and line.

1. Examination

This post was written by a dental clinic in Magok-dong to provide medical information.

Through the intraoral photos taken, the following features were identified.

First,

overall gum inflammation and enlargement

The gingival margin was swollen and appeared reddish.

This seemed to be a state of inflammatory hyperplasia, caused not only by poor oral hygiene but also by irritation after trauma.

Second,

tooth fracture due to trauma in the anterior teeth area

In particular, a portion of the crown was observed to be fractured in the upper front tooth (central incisor) area.

This is a condition in which the enamel has been damaged by a strong impact,

and in some cases, there is also a risk that the pulp may be exposed.

When such problems occur, if treatment is approached only by simply trimming and adding material,

it becomes easy to overlook gingival enlargement or inflammation, making it difficult to restore overall esthetics and function.

Therefore, in this case, a comprehensive approach was needed that considered both gingival treatment and improvement of the natural tooth shape.

2. Treatment Plan

Even when the shape of the natural teeth is neatly arranged, if something still looks awkward, one reason is ratio.

At the dental clinic in Magok-dong, we explain that just as a person’s face looks harmonious when the left-right proportions and the balance of the eyes, nose, and mouth are aligned,

natural teeth also look harmonious only when the balance between width and length, and the differences in width among the teeth, are in harmony.

From the front,

based on the central incisor (front tooth), which serves as the reference,

the width of the lateral incisor is about 62%,

the canine about 38%,

and the first premolar about 24%.

In addition,

when viewed individually,

the width-to-length ratio should be close to about 80% to look visually harmonious and beautiful.

Therefore, a prosthetic plan that takes tooth proportions into account is not simply about making things “pretty,”

but can be seen as a factor that restores harmony with the entire face.

3. Gingivectomy Process

Gingivectomy is

a type of gum contouring,

a surgical procedure that trims abnormally thickened or uneven gingival lines.

In a case like this, where inflammatory hyperplasia is present,

improvement is difficult with brushing or scaling alone, so surgical removal is necessary.

This is carried out in the following order.

📌 Control inflammation through periodontal treatment

📌 Design the shape and height

📌 Excise the excessively protruding periodontal tissue

Through this process, the teeth appear longer,

and while swelling and inflammation decrease,

the esthetic impression also improves.

In particular, the front teeth are visible when smiling,

so if the gingival heights are not aligned,

the overall impression can easily look awkward.

In addition, during this treatment, the dental clinic in Magok-dong helped restore the area with resin and temporary teeth so that daily life would not be inconvenient.

5. Laminate Restoration Process

At the dental clinic in Magok-dong, once the gingiva had recovered,

we proceeded with the full laminate restoration.

Using a method that involves minimal tooth reduction and bonding ceramic veneers,

we carried out treatment with the goal of improving shade, surface texture, and shape while preserving the original appearance of the natural teeth.

The process was as follows.

First, after minimally reducing the tooth surface,

the surface is finished after laminate bonding.

Before fabricating the ceramic laminate,

a mock-up design was created, and then

after etching and bonding, the laminate is attached,

the unnecessary cement is removed, and it is bonded with light curing.

As confirmed in the later photos,

the fractured teeth were improved

and the gum line was also refined.

📌 Important points to consider before gingivectomy and laminate procedures!

Such combined procedures

cannot be performed for everyone,

so the decision to proceed should be made only after a thorough evaluation of the individual’s oral health condition, the thickness of the gingival tissue, and the degree of inflammation.

In addition, before proceeding with laminates,

it is necessary to comprehensively assess the occlusion, bruxism, tooth position and angulation, and the presence of existing prosthetics.

No matter how well the procedure is done,

if aftercare is insufficient, the results will not last,

so the dental clinic in Magok-dong explains that regular checkups and thorough hygiene management must always go hand in hand.

I would like to conclude by saying that even tooth fracture and gum swelling caused by a minor accident can be transformed, through precise diagnosis and planning, into a healthy and beautiful smile that harmonizes well with the face.

This has been Yeo Sangho, director of the dental clinic in Magok-dong.

Thank you for reading this long post.

Treatment period: 2025.01.10~2025.02.14