Clinical crown augumentation by guided planning.
DOI:
https://doi.org/10.29166/odontologia.vol24.n2.2022-e3931Keywords:
Sonrisa gingival, gingivectomía, osteotomía, osteoplastia, guía quirúrgica, estética periodontalAbstract
Show the technique for surgical guide’s fabrication and their effectiveness in periodontal esthetic procedures. In this paper being discussed a case of a gummy smile caused by an altered passive eruption, where a gingivectomy, osteotomy and osteoplasty were performed using a surgical guide based in complementary exams, including tomography and digital models, that increase the predictability of the surgical procedure to contribute with information like exact measurements that allow respecting the biological distances in order to seek long-term stability. The stability of the tissues was evidenced in postoperative controls after 15 days and 6 months. Surgery guides increase the predictability of periodontal procedures the provide superlative security for their execution. Guides are important tools and make part of a good planification.Downloads
References
Miller PD, Allen EP. The development of periodontal plastic surgery. Periodontol 2000. 1996;11(1):7-17.
Weström Jl, Zucchelli G. Mucogingival therapy: periodontal plastic surgery. Oxford; 2008.
Stefanini M, Marzadori M, Aroca S, Felice P, Sangiorgi M, Zucchelli G. Decision making in root-coverage procedures for the esthetic outcome. Periodontol 2000. 2018;77(1):54-64.
Mostafa D. A successful management of sever gummy smile using gingivectomy and botulinum toxin injection: A case report. Int J Surg Case Rep. 2018;42:169-74.
Kahn satd. Sonrisa gingival: una visión multidisciplinaria. Sao Paulo; 2018.
Wei J, Herrler T, Xu H, Li Q, Dai C. Treatment of gummy smile: Nasal septum dysplasia as etiologic factor and therapeutic target. J Plast Reconstr Aesthetic Surg [Internet]. 2015;68(10):1338-43.
Diaspro A, Cavallini M, Patrizia P, Sito G. Gummy smile treatment: proposal for a novel corrective technique and a review of the literature. Aesthetic Surg J. 2018;38(12):1330-8.
Rossi R, Brunelli G, Piras V, Pilloni A. Altered passive eruption and familial trait: a preliminary investigation. Int J Dent. 2014.
Alpiste-Illueca F. Altered passive eruption (ape): A little known clinical situation. Med Oral Patol Oral Cir Bucal. 2011;16(1).
Arora R, Narula S, Sharma R, Tewari S. Supracrestal gingival tissue: assessing relation with periodontal biotypes in a healthy periodontium. Int J Periodontics Restorative Dent. 2013;33(6):763-71.
Eghbali A, De Rouck T, De Bruyn H, Cosyn J. The gingival biotype assessed by experienced and inexperienced clinicians. J Clin Periodontol. 2009;36(11):958- 63.
Januário AL, Barriviera M, Duarte WR. Soft tissue cone-beam computed tomography: a novel method for the measurement of gingival tissue and the dimensions of the dentogingival unit. J Esthet Restor Dent. 2008;20(6):366-73.
Livada R, Shiloah J. Gummy smile: could it be genetic? Hereditary gingival fibromatosis. J Mich Dent Assoc. 2012;94(12):40-3.
Andrade N, Moura G, Maska B, Kaigler D, Mendonça G, Wang H. Dual digitally guided crown lengthening in esthetic area compromised by disharmonic implant crown. Clin Adv Periodontics. 2021;00(0):1-6.
Passos L, Soares FP, Choi IGG, Cortes ARG. Full digital workflow for crown lengthening by using a single surgical guide. J Prosthet Dent [Internet]. 2020;124(3):257-61.
Malpartida-Carrillo V, Tinedo-López PL, Guerrero ME, Amaya-Pajares SP, Özcan M, Rösing CK. Periodontal phenotype: a review of historical and current classifications evaluating different methods and characteristics. J Esthet Restor Dent. 2021;33(3):432-45.
Dietrich T, Ower P, Tank M, West NX, Walter C, Needleman I, et al. Periodontal diagnosis in the context of the 2017 classification system of periodontal diseases and conditions. Implementation in clinical practice. Br Dent J [Internet]. 2019;226(1):16-22.
Chapple ILC, Mealey BL, Van Dyke TE, Bartold PM, Dommisch H, Eickholz P, et al. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Clin Periodontol. 2018;45(March):S68-77.
Bednarz-Tumidajewicz M, Sender-Janeczek A, Zborowski J, Gedrange T, Konopka T, Prylinska-Czyzewska A, et al. In vivo evaluation of periodontal phenotypes using cone-beam computed tomography, intraoral scanning by computer-aided design, and prosthetic-driven implant planning technology. Med Sci Monit. 2020;26:1-13.
Sanz M, Simion M. Surgical techniques on periodontal plastic surgery and soft tissue regeneration: Consensus Report of Group 3 of the 10th European Workshop on Periodontology. J Clin Periodontol. 2014;4:S92-7.
Alazmi SO. Three dimensional digitally designed surgical guides in esthetic crown lengthening: a clinical case report with 12 months follow Up. Clin Cosmet Investig Dent. 2022; 3;14:55-59.
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
