Integração perio-dentística para harmonização do sorriso em dentes anteriores: relato de caso clínico.

Abstract

With the advancement of periodontal surgical techniques and dental materials and their improved techniques, it is possible to treat aesthetic cases and obtain excellent results. Patients have increasingly demanded aesthetic dentistry solutions for cases of smile disharmony, such as changes in color, shape and size. It is up to the dentist to choose a treatment that returns health and function beyond esthetics. Objective: To describe a clinical case of Periodontal Surgery for correction of gingival smile and cosmetic adjustment through dental bleaching in the office and direct restorations in composite resin to increase incisal edges. Case report: A gingivectomy was performed with flapless osteotomy (Flaplees technique), providing aesthetic balance between the zenith gingival. After 30 postoperative days, dental bleaching was performed in the office of the upper and lower elements (15 to 25 and 35 to 45) in a single session. Later, dental reanatomizations were performed to increase incisal edges by the direct technique in composite resin, allowing better aesthetics in the vertical length of the teeth. The composite resin was chosen because it is more financially feasible in relation to the ceramics, to have simpler execution, to require little or no wear and also to be reversible. Conclusion: It was fundamental the interdisciplinary work between Periodontics and Dentistry that, through a good planning, adequate execution of the techniques, besides the periodic control and maintenance and collaboration of the patient which provided aesthetic dentistry within the standards so valued today.