*Corresponding Author: Dr. Nancy Saxena, Postgraduate, Department of Periodontology & Implantology, Subharti Dental College & Hospital, Swami Vivekanand Subharti University, Meerut, Uttar Pradesh - 250005, India. Email: drnancysaxena15@gmail.com
Excessive gingival display is a common esthetic concern requiring precise diagnosis and treatment planning for predictable outcomes. This case report describes the management of a gummy smile using an articulator-guided esthetic crown lengthening approach. Prosthodontic planning on an articulator was used to determine ideal tooth proportions and gingival margins, which were accurately transferred clinically using an acrylic surgical guide. Guided electrosurgical gingival recontouring allowed precise soft-tissue management with effective hemostasis while preserving periodontal health. The approach resulted in improved smile esthetics, well-contoured gingival margins, and favorable periodontal response, highlighting the effectiveness of an interdisciplinary prosthodontic–periodontal technique.
Keywords: Crown lengthening, electrosurgery, acrylic guide, gummy smile, prostho-perio approach.
How to cite this article: Tomar N, Saxena N, Ramuka P, Kaushik M. From articulator to operatory: electrosurgery-assisted esthetic crown lengthening using an acrylic guide. Int J Drug Deliv Technol. 2026;16(4s): 245-250; DOI: 10.25258/ijddt.16.4s.30
Source of support: Nil.
Conflict of interest: None