Inter-relação periodontia/dentística na correção de sorriso gengival: relato de caso clínico.

Abstract

The search for periodontal plastic surgeries by patients who report excessive gingiva when smiling has been more constant in dental practice. For proper treatment, a correct diagnosis and planning of the case is necessary, besides the choice of the surgical technique to be employed. The objective of this study was to report a clinical case of gingival smile planning and correction through periodontal plastic surgery and direct composite resin facets. The study included the patient R.S.M., 25 years old, female, reporting as main complaint aesthetic dissatisfaction, crowns of very short upper anterior teeth and excessive gingival exposure. After clinical and periodontal evaluation, it was observed that the patient presented thick biotype, altered passive eruption and gingival smile of 5 mm in the canines and central incisors and 5.5 mm in the lateral incisors. The altered passive eruption was corrected by means of periodontal plastic surgery of the gingivectomy type with internal bevel and osteotomy, in order to restore the periodontal biological distances and increase the clinical coronal of the elements, consequently reducing the gingival exposure range of the patient to the smile. After the surgical procedure and complete repair of the periodontal tissue, it was planned to make direct facets of elements 13 to 23. After the restorative procedure, the finishing and polishing of the direct facets were performed. The result was satisfactory regarding the reduction of the gingival smile and the correction of the dental aesthetic, providing a greater exposure of the clinical crowns of the teeth. The planning of the smile aesthetic rehabilitation allowed the choice of the technique and the appropriate procedures to carry out an effective treatment. The interrelation of dental specialties in smile rehabilitation met the patient's expectations, showing satisfactory aesthetic and functional results.