Crown Lengthening in the Aesthetic Zone Dr. Meizi Eliezer’s Protocol for Preventative Papilla Loss
Introduction
Achieving optimal aesthetic outcomes in crown lengthening requires precision, the right tools, and a deep understanding of tissue preservation. Dr. Meizi Eliezer, a leading expert at Periohome, has developed a refined protocol that enhances healing while preventing papilla loss—a key concern in aesthetic dentistry.
By integrating PerioKit2 and cross-linked hyaluronic acid, Dr. Eliezer has devised an approach that not only ensures better wound closure but also promotes long-term tissue stability.
👉 Watch Dr. Meizi Eliezer’s full video to see the protocol in action!
https://youtu.be/_iUHjEIDj30Text content
Before image of a patient's gum line before crown lengthening in the aesthetic zone, showing excessive gingival tissue and uneven contours before treatment with PerioKit2 and cross-linked hyaluronic acid.
After image of a patient's gum line following crown lengthening in the aesthetic zone, with improved gingival symmetry, preserved papilla, and enhanced aesthetic results using PerioKit2 and cross-linked hyaluronic acid
The Importance of Crown Lengthening in the Aesthetic Zone
Crown lengthening is often necessary for restorative or cosmetic dental procedures. In the aesthetic zone—where the gums and teeth are most visible—meticulous technique is required to avoid complications such as papilla loss or excessive gingival recession.
Dr. Eliezer’s protocol is specifically designed to:
Ensure precise tissue removal
Maintain papilla height
Promote rapid healing with minimal scarring
Enhance the overall aesthetic outcome
Dr. Meizi Eliezer’s Step-by-Step Protocol
1. Initial Measurements and Marking
Using a Cho gauge, Dr. Eliezer measures the available tissue and determines the necessary amount of gingival reduction. She marks the target areas with a periodontal probe to establish accurate incision points.
2. Precise Incision Techniques
Dr. Eliezer employs a 15C blade to make precise incisions:
Starting at the marked tip of the middle of the tooth
Extending towards the mesial and distal sides
Mirroring the process on the palatal side using a 69 blade
Performing intracircular incisions for optimal tissue removal
3. Flap Elevation and Tissue Removal
A fine slip elevator is used to gently raise the tissue.
Interproximal papilla are carefully elevated to preserve vascular integrity.
Remnant tissue is meticulously removed using a curette.
4. Osseous Contouring with PerioKit2
PerioKit2, developed by Dr. Eliezer, includes specialized burs designed for:
Precise bone contouring with high-speed burs
Controlled osseous reduction while preserving root integrity
Shaping bone to facilitate soft tissue adaptation
5. Application of Cross-Linked Hyaluronic Acid
Hyaluronic acid is applied to:
Enhance wound healing
Reduce scar formation
Maintain tissue volume for better aesthetic outcomes
6. Suturing for Optimal Papilla Preservation
Using resorbable sutures, Dr. Eliezer carefully:
Repositions the papilla to its original placement
Ensures tight adaptation of the flap
Prevents recession by maintaining the blood supply
Benefits of This Protocol
By integrating PerioKit2 and cross-linked hyaluronic acid, this protocol significantly improves:
Healing time and patient comfort
Soft tissue stability
Aesthetic outcomes with preserved papilla
Conclusion
Crown lengthening in the aesthetic zone is a highly technique-sensitive procedure, but with Dr. Meizi Eliezer’s refined protocol, dentists can achieve superior results. By utilizing PerioKit2 and cross-linked hyaluronic acid, practitioners can prevent papilla loss and enhance wound healing, ensuring a seamless, natural smile for their patients.
