Report outlines diode laser gingivectomy aiding maxillary incisor restoration, suggesting effective prosthodontic methods.
Extensive coronal destruction following trauma or caries presents a recurring challenge in prosthodontic rehabilitation, particularly in the esthetic zone. A multidisciplinary approach combining traditional post‐core systems with contemporary surgical adjuncts ensures optimal long‐term outcomes. This paper reports the management of a grossly fractured maxillary central incisor using a Richmond crown following diode laser‐assisted crown lengthening. A 21‐year‐old male patient presented with pulpal necrosis and apical periodontitis in tooth 21. After nonsurgical endodontic therapy, post space preparation was performed while preserving a 5 mm apical seal. Diode laser gingivectomy allowed for biological width preservation and adequate ferrule creation. An indirectly fabricated Richmond crown was luted using glass ionomer cement. Six‐month follow‐up confirmed the restoration's stability, periodontal health, and patient satisfaction. This report highlights the relevance of combining historically proven techniques like the Richmond crown with minimally invasive adjuncts, offering a conservative, cost‐effective, and esthetically superior alternative to implants. It emphasizes the need for clinicians to revisit classical restorative methods, especially in cases with significant structural compromise.
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Swetha et al. (2025) studied this question.
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