It was concluded that gingivectomy associated with osteotomy is a safe and predictable technique capable of obtaining satisfactory and long-lasting results in the aesthetic treatment of patients with altered passive eruption. Altered passive eruption, Gummy smile, External bevel gingivectomy, Gingival overgrowth. Gingivectomy and osteotomy of tooth 15 to 25 were performed. These techniques, lead to stable results. Although these phases present with similar clinical manifestations, each has its own etiology, physiogenesis, and pathogenesis. This article compares and contrasts altered passive eruption (APE) and active secondary eruption (ASE). While the distinction is unequivocal, the mechanism is ambiguous. The altered passive eruption diagnosis was completed in the clinical examination supplemented with periapical radiography. The process of tooth eruption consists of two phases, active and passive. A 17-year-old female patient complained of short, square teeth and excessive gum exposure during the smile. The objective of this study is to discuss, through a clinical case report, the identification of altered passive eruption, surgical planning and the performance of the gingivectomy technique associated with osteotomy. Altered passive eruption (APE) is a genetic condition characterized by a coronary position of the gingiva on the enamel which results in short clinical crowns. Among the possibilities of treatment in the correction of this condition is the gingivectomy associated or not to the osteotomy. Increased maxillary vertical dimension, hypermobility of the upper lip, gingival growth caused by medications or by inflammatory processes and altered passive eruption are the etiologies of the gingival smile. Gingival smile is a term used for condition in which more than 3 mm of gums are exposed during spontaneous or forced smile. Altered Passive Eruption: Report on Management of Two Cases. Altered passive eruption is the condition in which the gingival unit fails to migrate. Based on the clinical findings and after ruling out other causes of gummy smile, the case was diagnosed as excessive gingival display due to type-1 altered passive eruption. How to cite this article Yadav SR, Madaan V, Kini VV, Padhye AM. Altered Passive Eruption (APE) When your permanent teeth come through, a process called 'passive eruption' occurs in which the bone retreats roughly 2mm below the area where the root meets the crown, and the gum moves with the bone to cover the tooth. It was found that distance between the CEJ and ABC was more than 1.5 mm. Gingivectomy, Osteotomy, Gingival hyperplasia Abstract This case report highlights the clinical presentation of alter passive eruption in two patients along with sequential approach for management of such condition. Lucas Monteiro de Vasconcelos Alves de Souza
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