# Interdisciplinary Management of Supracrestal Tissue Attachment Violation: A 5‐Year Follow‐Up Case Report

**Authors:** Elyan Al Machot, Ioannis Konstantinidis, Barbara Noack

PMC · DOI: 10.1155/crid/6266425 · 2026-02-13

## TL;DR

This case report shows how interdisciplinary dental treatment restored tissue and smile aesthetics with long-term success.

## Contribution

A 5-year follow-up of an interdisciplinary approach to restore supracrestal tissue attachment and smile aesthetics.

## Key findings

- Replacing inappropriate crowns with provisional ones allowed periodontal tissue maturation.
- Porcelain-veneered zirconia crowns provided stable esthetic and functional outcomes over five years.

## Abstract

This clinical report describes an interdisciplinary approach adopted to treat esthetic and biological issues caused by violation of the supracrestal tissue attachment (SCTA). For the reestablishment of the SCTA and the improvement of the smile line, the surgical procedure was prosthetically driven and based on the desired outcome. The inappropriate crowns were replaced with provisional crowns until the maturation of the periodontal tissue was ensured. The final rehabilitation was completed with porcelain‐veneered zirconia single crowns. The 5‐year follow‐up demonstrated a stable esthetic and functional outcome.

## Full-text entities

- **Chemicals:** zirconia (MESH:C028541)

## Figures

21 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12903799/full.md

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Source: https://tomesphere.com/paper/PMC12903799