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Aumento de coroa clínica estético associado ao uso de guia cirúrgico

RESUMO

A estética de um sorriso é um fator capaz de influenciar nas relações interpessoais, na expressão de sentimentos e na autoestima dos indivíduos. Nesse contexto, a exposição gengival excessiva, também conhecida como “sorriso gengival”, parece ser uma das principais características periodontais a afetar a estética. Dessa forma, o objetivo desse estudo foi relatar o caso clínico de uma paciente do sexo feminino com 31 anos, com queixa principal de sorriso gengival, detalhando possíveis condutas, técnicas cirúrgicas e manejo escolhido, além de discutir e destacar a vantagem da utilização do planejamento digital e de guias cirúrgicos em cirurgias de aumento de coroa clínica estético. Para resolução do caso, a técnica de aumento de coroa clínica estético foi escolhida por meio da incorporação de novas tecnologias, a fim de providenciar maior previsibilidade ao procedimento. Os resultados obtidos supriram as expectativas da paciente e seu sorriso passou a corresponder aos padrões estéticos desejados. A partir de um planejamento digital bem executado, análise de tomografia computadorizada de feixe cônico com afastamento de tecidos moles, escaneamento intraoral e do diálogo com a paciente, resultados altamente previsíveis, seguros e esteticamente naturais puderam ser alcançados.

Palavras-chave – Aumento da coroa clínica; Sorriso; Tomografia computadorizada de feixe cônico.


ABSTRACT

The aesthetics of a smile is a factor capable of influencing interpersonal relationships, the expression of feelings and self-esteem of individuals. In this context, excessive gingival exposure, also known as “gingival smile”, seems to be one of the main periodontal characteristics a ecting esthetics. Thus, the aim of this study was to report a clinical case of a female patient, 31 years old, with a chief complaint of gummy smile, detailing possible approaches, surgical techniques and the chosen management. As well as, discuss and highlight the advantage of using digital planning and surgical guides in aesthetic crown lengthening. To solve the case, the technique of lengthening of the esthetic clinical crown was chosen, through the incorporation of new technologies in order to provide greater predictability to the procedure. The results obtained met the patient’s expectations and her smile came to correspond to the desired aesthetic standards. From a well-executed digital planning, cone beam computed tomography analysis with soft tissue clearance, intraoral scanning and dialogue with the patient, highly predictable, safe and aesthetically natural results can be achieved.

Key words – Crown lengthening; Smiling; Cone beam computed tomography.

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