Crown lengthening using digital vs. traditional planning methods

Crown Lengthening in Aesthetic Anterior Sector by Means of Guided Digital Planning: 12-month Randomized Controlled Clinical Trial Comparing the Efficacy of Digital Versus Analog Protocol.

Not applicable Interventional Universidad Complutense de Madrid · NCT06633822

This study is testing whether using digital planning or traditional methods for crown lengthening can help people with gummy smiles get better results.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment44 (estimated)
Ages18 Years and up
SexAll
SponsorUniversidad Complutense de Madrid Academic / other
Locations1 site (Madrid, Madrid)
Trial IDNCT06633822 on ClinicalTrials.gov

What this trial studies

This clinical trial aims to compare the effectiveness of guided digital planning against conventional analog planning for crown lengthening procedures in patients with excessive gingival exposure, commonly referred to as a gummy smile. A total of 44 participants will be randomly assigned to either the digital methodology group or the analog methodology group. The digital approach involves creating a digital scan and using computed tomography to develop a surgical guide, while the analog method relies on traditional impressions and radiographs. Measurements will be taken at various intervals to assess outcomes and patient experiences.

Who should consider this trial

Good fit: Ideal candidates for this study are adults over 18 with specific dental conditions related to excessive gingival exposure and no significant attachment loss in the treatment area.

Not a fit: Patients who smoke, are pregnant or lactating, or have systemic conditions affecting gingival presentation may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could enhance the precision of crown lengthening procedures, leading to improved aesthetic outcomes for patients with gummy smiles.

How similar studies have performed: Previous studies have shown promising results with digital planning techniques in dental procedures, suggesting potential for success in this approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Over 18 years of age
* Presence of teeth in the second sextant (edentulous section of a single tooth with the presence of adjacent teeth on both sides of the absence is accepted).
* No sites with attachment loss (AL) \> 3 mm in the area to be treated (second sextant).
* Present full mouth plaque index (Ainamo and Bay, 1975) \<15%.
* Have bleeding on probing (BoP; Ainamo \& Bay 1975) \<15%.

Exclusion Criteria:

* pregnancy or lactation
* patients who smoke
* patients under treatment with antimicrobials and anti-inflammatory drugs in the last 2 months or with medications associated with changes in the gingival tissue (antiepileptics, calcium channel blockers, etc.)
* subjects with systemic conditions that alter the normal presentation of the gingival tissue (hereditary gingival fibromatosis) or those diagnosed with uncontrolled diabetes mellitus
* patients with severe dental malposition and/or presence of dental implants in the area to be treated
* use of orthodontic appliances
* all those who present a disability or mental disorders that make it difficult for the patient to understand or follow them during the study period. study period.

Where this trial is running

Madrid, Madrid

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Insufficient Clinical Crown LengthCrown lengthening
Last reviewed 2026-06-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.