{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T05:43:13Z","timestamp":1773466993213,"version":"3.50.1"},"reference-count":52,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T00:00:00Z","timestamp":1719187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: An accurate determination of the biological width and the relationship of the cemento-enamel junction with the border of the alveolar bone is crucial during a clinical crown-lengthening (CCL) procedure. The aim of this study was to present a technical note about the retraction techniques in cone beam computed tomography (CBCT) prior to CCL, highlighting the significant enhancement in procedural accuracy and predictability that these techniques offer. Methods: Clinical and radiological examinations should be performed before a CCL procedure. It is necessary to determine the length of the tooth crowns, the periodontal pockets\u2019 depth, and the phenotype of the gingiva. The ideal CBCT examination should be performed with soft tissue retraction. This can be achieved using retractors or cotton rolls. Results: Retraction of the lips, cheeks, and tongue allows one to assess the marginal gingiva, the cemento-enamel junction, and the alveolar bone. A detailed plan of the CCL procedure, which involves retraction, ensures both the aesthetic appeal and the achievement of a newly defined gingival zenith, enhancing the overall visual harmony.\u00a0Conclusions: Compared with conventional radiographic imaging, the soft tissue retraction maneuver in CBCT prior to CCL surgery offers an effective approach to the evaluation and diagnosis of soft and hard tissue. This is because of the detailed planning of the aesthetic CCL procedure. Such an approach leads to superior aesthetic outcomes in dentistry, contributing to the advancement of aesthetic dentistry through a harmonious blend of art and science.<\/jats:p>","DOI":"10.3390\/jcm13133668","type":"journal-article","created":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T06:59:58Z","timestamp":1719212398000},"page":"3668","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Soft Tissue Retraction Maneuver in Cone Beam Computed Tomography Prior to Crown-Lengthening Procedure\u2014A Technical Note"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0514-4997","authenticated-orcid":false,"given":"Paulina","family":"Adamska","sequence":"first","affiliation":[{"name":"Division of Oral Surgery, Faculty of Medicine, Medical University of Gda\u0144sk, 7 D\u0119binki Street, 80-211 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5112-6322","authenticated-orcid":false,"given":"Marcin","family":"Stasiak","sequence":"additional","affiliation":[{"name":"Division of Orthodontics, Faculty of Medicine, Medical University of Gda\u0144sk, 42c Aleja Zwyci\u0119stwa, 80-210 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2066-4309","authenticated-orcid":false,"given":"Wojciech","family":"D\u0105browski","sequence":"additional","affiliation":[{"name":"Department of Dental Prosthetics, Faculty of Medicine, Medical University of Gda\u0144sk, 18 Orzeszkowej Street, 80-204 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorota","family":"Pyli\u0144ska-D\u0105browska","sequence":"additional","affiliation":[{"name":"Department of Dental Prosthetics, Faculty of Medicine, Medical University of Gda\u0144sk, 18 Orzeszkowej Street, 80-204 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u0141ukasz Jan","family":"Adamski","sequence":"additional","affiliation":[{"name":"Private Dental Practice \u0141ukasz Adamski, 3B Stawiska, 83-431 Stary Bukowiec, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Zedler","sequence":"additional","affiliation":[{"name":"Division of Oral Surgery, Faculty of Medicine, Medical University of Gda\u0144sk, 7 D\u0119binki Street, 80-211 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6021-2855","authenticated-orcid":false,"given":"Ewa","family":"Koz\u0142owska","sequence":"additional","affiliation":[{"name":"Institute of Manufacturing and Materials Technology, Faculty of Mechanical Engineering and Ship Technology, Gda\u0144sk University of Technology, 11\/12 Gabriela Narutowicza Street, 80-233 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Micha\u0142","family":"Studniarek","sequence":"additional","affiliation":[{"name":"Department of Radiology, Faculty of Medicine, Medical University of Gda\u0144sk, 17 Smoluchowskiego Street, 80-214 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1111\/j.1708-8240.1999.tb00414.x","article-title":"Comparing the perception of dentists and lay people to altered dental esthetics","volume":"11","author":"Kokich","year":"1999","journal-title":"J. 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