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Cirurgia periodontal sem elevação de retalho para tratamento de sorriso gengival

RESUMO

O objetivo deste relato de caso foi apresentar o manejo clínico de uma paciente com sorriso gengival por erupção passiva alterada (EPA), associando técnicas cirúrgicas periodontais com o aumento dental por meio de facetas diretas em resina composta. A paciente compareceu ao Centro de Ensino e Pesquisa em Implantes Dentários (Cepid), no departamento de Odontologia da Universidade Federal de Santa Catarina (UFSC), mostrando insatisfação com a aparência do seu sorriso, por este mostrar demais a gengiva e os dentes parecerem pequenos. Após o diagnóstico de EPA, o caso foi planejado e a paciente foi submetida a procedimento cirúrgico para aumento da exposição das coroas dentais, por meio de gengivectomia e osteoplastia sem elevação de retalho. Aproximadamente oito meses depois da cirurgia, a paciente modificou o tamanho e forma dos dentes por meio de facetas. No controle pós-cirúrgico de 18 meses, os tecidos moles mostravam-se adequadamente cicatrizados e a paciente declarava-se satisfeita com o resultado. Concluiu-se que a cirurgia plástica periodontal associada ao uso de facetas diretas em resina pode ser uma opção de tratamento eficaz para minimizar a exposição gengival e alcançar resultados estéticos harmoniosos.

Palavras-chave – Periodontia; Periodonto; Erupção dentária; Cirurgia odontológica; Sorriso.

ABSTRACT

The aim of this case report was to present the clinical management of a patient with excessive gingival display associated with altered passive eruption (APS). A periodontal surgical approach together with direct composite resin veneers to increase the length of the teeth was proposed. The patient attended the Center for Education and Research on Dental Implants (Cepid), at the Department of Dentistry of the Federal University of Santa Catarina (UFSC), reporting dissatisfaction with the appearance of her smile due to excessive gingival display and small size of her teeth. After APS diagnosis, the case was planned and the patient was submitted to a surgical procedure to increase dental exposure by means of gingivectomy and osteoplasty. Approximately eight months after surgery, the patient modified size and shape of her teeth with resin restorations. In the postoperative control of 18 months, the soft tissues were adequately healed and the patient was satisfied with the result. It can be conclued that periodontal plastic surgery associated with dental restorations may be an eff ective treatment to minimize gummy smile and achieve harmonious aesthetic results.

Key words – Periodontics; Periodontium; Dental eruption; Oral surgical procedures; Smile.

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