![]() In next week’s posts I will look at determining gingival position using tooth proportion and incisal edge, fabricating a snap on composite guide and correcting the gingival position. This process always starts with looking at incisal edge position relative to the face. Once the diagnosis is made, the next step is to look at the best way to treat if the patient is interested. It is estimated that this occurs in about 12% of the population. What does APE mean APE stands for Altered Passive Eruption (also. Abbreviation is mostly used in categories: Dentistry Dental Medical. Stage 4, the epithelial attachment lies totally on the cementum, the base of the sulcus is on the cementum, and a portion of the root may be clinically exposed.Īltered passive eruption is the failure of the gingival tissue to migrate apically past stage 2 and expose the entire clinical crown and obtain a normal position of the base of the sulcus relative to the CEJ. APE abbreviation stands for Altered Passive Eruption.Stage 3, the junctional epithelium lies totally on the cementum with the base of the sulcus at the CEJ.Keywords : Altered passive eruption, Esthetic, Gummy smile, Surgical treatment. Stage 2, the epithelial attachment rests partly on the enamel and partly on the cementum apical to the CEJ. Altered passive eruption (APE) is a genetic condition characterized by a.Stage 1, the teeth reach the plane of occlusion and the junctional epithelium is on the enamel.The migration of the gingival tissues happens in four stages. ![]() Passive eruption is the exposure of the crown of the tooth due ot apical migration of the gingival tissues. Active eruption is the movement of the tooth down out of the alveolar bone into position on the occlusal/incisal plane. This clinical scenario is also easy to treat with fabulous esthetic results for the patient.Įruption occurs in two phases, active and passive. In my practice, altered passive eruption, is a very common diagnosis. My diagnosis after reviewing all of these exam findings is altered passive eruption. The periodontal exam revealed very little plaque and no bleeding on probing. Radiographs of the anterior teeth show bone levels are in the correct position relative to the CEJ. The sulcus depths on the facial range from 4mm to 6mm and the CEJ can not be found with an explorer in the sulcus. The clinical exam revealed no wear on the maxillary incisor teeth. Orthodontic treatment was recently completed and she is routinely wearing her retainers. I had the pleasure today of seeing a young woman whose chief concern was short square teeth.
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