Abordagem multidisciplinar para reabilitação estética do sorriso: gengivectomia e restauração adesiva direta

Abstract

Aesthetic procedures aimed at obtaining a more harmonious smile have been widely sought after in several specialties, often in a well-indicated manner, but sometimes indiscriminately. Aesthetic smile remodeling is one of these procedures. It is known that, for some patients, the smile becomes a reason for introspection and isolation. Therefore, this study aims to report a clinical case of remodeling in composite resin (CR) for diastema closure and gingivectomy and gingivoplasty for the correction of gummy smile. A female patient sought care dissatisfied with the spacing of the maxillary anterior teeth and excessive gingival exposure when smiling. For diagnostic purposes, clinical and photographic examinations were carried out in which dental shape changes were noted, diastema between teeth 11 and 21, gingival overgrowth in the upper incisors and canines. The treatment plan indicated was gingivectomy with an external bevel incision to recontour the gingival margins and composite resin reconstruction after periodontal healing. For this, molding was performed for diagnostic wax-up, manufacture of silicone matrix, remodeling in composite resin, finishing and polishing. In this case, the gingival architecture, the size of the clinical crown and the shape and color of the teeth were some of the parameters that, after the treatment, came to be in accordance with current esthetic references. The multidisciplinary approach involving periodontal surgery to increase the clinical crown and dental remodeling with adhesive restorations to close the diastema were effective in returning the patient to a harmonious and satisfactory smile.