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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! https://youtu.be/No-8hjFsWNs Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive 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. “Don'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.” - Dr. Reena Wadia In this episode, we discussed: Bone 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) Check out Dr.Reeda Wadia’s Perio School Check out Reena's Crown Lengthening Live course on a Sunday in London! If you liked this episode, you might also enjoy How to Save ‘Hopeless’ Teeth with the Surgical Extrusion Technique  Click here for Full Episode Transcription: Opening Snippet: Yes and then you suture. so there's different types of suture. I have to just say whatever works in your hands. I use vicryl usually five or six. So but you know whatever works in your hands or whatever technique you can even just do simple interrupted. It's just got to be good suturing and get the soft tissue in the correct place. Mattress sutures are good as well. And then if you need to put a dressing on, if it's restorative probably might wanna use some COE-PAK... Jaz's Introduction: 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. Number 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 dent student, she qualified and she's always been a mentor to me. In fact I've mentioned Reena's name in the previous episodes as you know what Reena taught me this or Reena taught me that. So she's such a great giving clinician, she's a specialist periodontist. I know you will love her and today's episode is talking about just crown lengthening surgery where it comes to aesthetic crown lengthening. IE 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're actually doing crown lengthening to allow you to get more of a Ferrule so you can actually restore a tooth.