MESSAGE BOARD 1 A Trio of Crown-Lengthening Discussions Townies share tips and advice across three unique crown cases Crown Lengthening/Bad Outcome Fondcombe Post: 1 of 14 1/16/2023 Did a crown lengthening on #5 five days ago. Patient is back to remove stitches. Patient was in a lot of pain last weekend. Do you think I did something wrong? I removed 1.5-2 mm of palatal bone. n Giacomo_Tarquini_DDS Post: 5 of 14 thinned palatal flap. The thinned palatal flap consists of a series of scalloped para-marginal incisions: 1. Running from the distal line angle of the most distal tooth to the mesial line angle of the most mesial one; a short vertical releasing incision. 2. Should be made at this point. Para-marginal incisions cross at every interdental space, thus creating triangular surgical papillae. 3. The distance between the scalloped para-marginal incisions and the gingival margin is dictated by the extent of required lengthening and the shape of the hard palate. Hope this helps. n 1/16/2023 First of all, it's very rare that the access flap is limited to the involved tooth. In this case, you should have done a vomer6 Post: 6 of 14 Nice picture. Now I'll know what to do when I do crown lengthening 4-13 (15-25) on the maxillary arch tomorrow. As to the OP, that area is necrotic, which may happen at the margin if it is beaten up or handled roughly. n MAY 2023 | 24 | DENTALTOWN.COM 1/16/2023http://www.DENTALTOWN.COM