A 45-year-old female patient was referred to the Department of Cosmetic Dentistry, Damascus University, seeking to improve dental aesthetics. The clinical examination showed a low smile line and microdontia in the maxillary arch. The treatment plan consisted of applying no-prep veneers with gingival modification, which is described in the biologically oriented preparation technique (BOPT) as a gingitage technique.
The gingitage of the sulcus was performed using a yellow ring diamond flame with an inclination of 45 degrees, which causes it to bleed and creates a space between the internal wall of the sulcus and the axial wall of the tooth. After a 12-month follow-up, the gingiva was free of inflammation, recession, and plaque, and there was no increase in probing depth, according to the modified gingival index (MGI), gingival recession index (GRI), Silness-Loe plaque index (PI), and the community periodontal index of treatment needs (CPITN), respectively. The porcelain veneers were intact, with no chippings, cracks, and marginal discoloration. The patient was satisfied with her new smile.
Introduction
A smile is the most powerful communication approach between humans, and an attractive smile is a smile that looks natural and healthy. Conservative cosmetic treatment options are more favorable, which contributed to the minimally invasive dentistry approach. Recently, the new biomimetic ceramic materials required reduced thickness, which led to a noticeable reduction of preparation invasiveness and optimal preservation of tooth structure. No-prep veneers are the best treatment option due to the maximum preservation of tooth structure. However, they have several limitations, including esthetic and periodontal complications because of overcontoured restoration that could alter the emergence profile. The apical migration of the gingival margins is the main shortcoming of fixed prosthodontics, which compromises the esthetic aspects.
The biologically oriented preparation technique (BOPT) was proposed as an alternative, which results in optimal symmetry and better management of periodontal tissue when applying ceramic veneers. In addition, it offers multiple biological advantages, such as repositioning the emergence profiles and increasing the thickness of the gingiva and the gingival margin stability.
The aim of induced bleeding BOPT is to facilitate the access of immature connective tissue cells and epithelial stem cells and stimulate cell differentiation, which leads to the formation of new periodontal tissue. This case report presents the case of a patient with multiple diastemas who was treated with no-prep veneers with the gingitage technique.
Authors: Dima Alawa, Mawia Karkoutly, Hussam Milly
Source: https://onlinelibrary.wiley.com/
Products 29 September 2025
Alien Multi-Layer 2.0 is the latest evolution in multi-colored, multi-yttria zirconia—now available as a 98 mm disc for in-house milling. Engineered for both beauty and durability, it features an...
Products 15 September 2025
Oral surgery 08 May 2025
Biomaterial sciences are major fields of research in the current era of tissue engineering and regenerative medicine strategies, and these new developments define the new Frontier in many medical...
Ensuring clinical success begins with a careful discussion of treatment planning, comprehensively covering all variables in simple to complex cases.
Implantology 19 December 2024
Aesthetics in Oral Implantology: Biological, Clinical, Surgical, and Prosthetic Aspects
The aim of this study was to identify a correct clinical, surgical, and prosthetic management of endosseous implants replacing missing teeth in the anterior maxilla, achieving predictable aesthetic...
Oral Hygiene & Prevention 03 October 2025
Dental treatment planning and management for the mouth cancer patient
The need to deliver cancer treatment promptly often requires modification of ideal dental treatment plans.
Editorials 03 October 2025
To help stock the Filling Station, a food pantry open to anyone in our ASOD family who is experiencing food insecurity or needs help making ends meet, Adams School of Dentistry is holding a food...
Products 03 October 2025
From Scan to Smile: Aidite’s EZPRINT-P1 and Rapid 3 Deliver a Complete Digital Workflow
Digital dentistry thrives on precision, efficiency, and integration. Aidite has long been a leader in advancing these principles. With the introduction of the EZPRINT-P1 3D Printer, the company now...
Products 03 October 2025
Dentalhitec Americas recently announced the official U.S. launch of QuickSleeper5, following FDA clearance. Even prior to its American debut, demand from dentists for the QuickSleeper5.
News 03 October 2025
Excel Endodontics, a new specialty dental practice founded by endodontist Dr. Rachel Halpern, is proud to announce its official opening in Marlboro, New Jersey, along with the launch of its new...