MONTEIRO, M. M. G.; MONTEIRO, Maria Monaliza Gomes.
Abstract:
Introduction: The gingival smile is one of the most common complaints related
to aesthetics, having a varied etiology, its most common cause being altered
passive eruption. To achieve better results, prior planning is required using
photographs, plaster models, diagnostic waxing, allowing anticipation of the
results without performing surgery. Objective: to report a clinical case of
gingival smile correction through gingivectomy and osteotomy without flap
displacement, assisted by a surgical guide, to assess the degree of
postoperative pain and the impact of this treatment on the quality of life of the
patient. Case report: A female patient presented a flat, thick periodontal biotype
with a wide range of keratinized mucosa, short and square clinical crowns, a flat
cervical line and gingival exposures greater than 3.0 mm, with no loss of
insertion, establishing a ratio of 80% in the width / length ratio of crowns to their
surgical planning. Results: After 60 days of surgery, the increase of the
elements was as planned, and the periodontal tissues presented regular
contours, cervical line of the convex smile, zinith of the canines and central
incisors positioned more apically and distal to the lateral incisors. Conclusion:
The surgical correction of the gingival smile by the gingivectomy technique with
osteotomy without flap displacement had a positive impact on the quality of life
of the patients in this study.
