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Does Biological Width, apparently now known as 'Supra-crestal tissue attachment' confuse you? Or would you like an introduction or a refresher on the clinical stages of Crown Lengthening? Fear not, I twisted specialist Periodontist Reena Wadia's arm and finally got her on the show to teach us!\n\n\n\n\nhttps://youtu.be/No-8hjFsWNs\nCheck out this full episode on YouTube\n\n\n\nNeed to Read it? Check out the Full Episode Transcript below!\n\n\n\nProtrusive Dental Pearl: How to find out what kind of biotype you're dealing with: Use a ball ended Perio probe and use the ball-end/tip (sometimes it's coloured) and probe in to the sulcus - if you can see the tip of the probe shining through the gingiva then that's a THIN biotype. and if you can't see the tip of the probe then that is a THICK biotype.\n\n\n\n\u201cDon't complicate things, if something works in your hands and you're doing it well, keep things simple, don't have too many variations because then it just starts getting unpredictable. So test everything out, go on courses, and then see what works in your hand and then stick with that.\u201d - Dr. Reena Wadia\n\n\n\nIn this episode, we discussed:\n\n\n\nBone sounding (10:35)Aesthetic crown lengthening (13:06) and Functional crown lengthening (18:02)Altered passive eruption and active eruption (14:21)Fundamental difference between the two types of crown lengthening (20:06)Biology of keratinised tissue (24:13)Steps involved in crown lengthening surgery (26:32)Using dental stents as a guide (29:44)Post-op management for flaps (30:35)Pre- and Post-operative care (33:05)Ideal case for beginner Dentists (35:19)Placement of sutures (36:28)\n\n\n\nCheck out Dr.Reeda Wadia\u2019s Perio School\n\n\n\nCheck out Reena's Crown Lengthening Live course on a Sunday in London!\n\n\n\nIf you liked this episode, you might also enjoy How to Save \u2018Hopeless\u2019 Teeth with the Surgical Extrusion Technique\xa0\n\n\n\n\n\n\n\nClick here for Full Episode Transcription:\n\n\n\nOpening Snippet: When you start taking on more complex restorative cases or you start doing smile design cases. These kind of cases you tend to appreciate that there are two other types of disciplines or too hard skills that really benefit a lot of these patients. \n\n\n\nJaz\u2019s Introduction:\xa0Number one is orthodontics like a lot of my restorative patients, they will really benefit from pre restorative orthodontics and that makes sense. Okay?With ortho you can actually intrude teeth get the gingival levels even you can actually make your dentistry less invasive, less prep by getting the teeth in the right position. But the second one is actually soft tissue related more and more and more to get the gum lines even or what we call aesthetic crown lengthening. There is a huge role in the Perio.So, this episode is focusing on that THIS with Reena Wadia. Reena Wadia is someone who has really inspired me so many years and when I was a dental student, she qualified, and she\u2019s always been a mentor to me. In fact, I\u2019ve mentioned Reena\u2019s name in the previous episodes as you know what Reena taught me this or Reena taught me that. So, she\u2019s such a great giving clinician, she\u2019s a specialist periodontist.I know you will love her, and today\u2019s episode is talking about just CROWN LENGTHENING SURGERY where it comes to aesthetic crown lengthening. i.e. doing some sort of surgery to make the gum lines or gingival zeniths more even and presentable or functional crown lengthening. This is when you\u2019re actually doing crown lengthening to allow you to get more of a Ferrule so you can actually restore a tooth. We\u2019re going to talk differences how to plan for each one. What\u2019s a post op advice to give and many more gems.Protrusive Dental Pearl:The Protrusive Dental Pearl I have for you is how to find out what KIND of BIO TYPE you\u2019re dealing with. And the classic way to do is use a ball ended perio probe and use the perio probe has like a black ball, right? So, it\u2019s like a black painted ball, and then you put it inside the sulcus. Okay?