Harmonização cirúrgica da assimetria periodontal em paciente com sorriso gengival decorrente de erupção passiva alterada

RESUMO

O sorriso gengival é causa frequente de insatisfação e desconforto estético por parte de alguns pacientes. Diversos fatores podem estar relacionados a essa condição clínica, sendo a erupção passiva alterada uma das mais frequentes. A consequente aparência de coroas clínicas curtas associadas à posição do zênite e a harmonia do contorno gengival assumem grande relevância no planejamento estético e são consideradas elementos-chaves para um sorriso agradável. Ademais, também pode influenciar e restringir determinados tratamentos restauradores. A principal forma de tratamento da erupção passiva alterada é cirúrgica, através de procedimentos de gengivectomia/gengivoplastia ou com retalhos de espessura total, com ou sem osteotomias, possibilitando o aumento da coroa clínica dos dentes, alteração do posicionamento dos zênites e harmonização da assimetria do sorriso. O objetivo do presente trabalho foi relatar o tratamento em uma paciente com diagnóstico de erupção passiva alterada com resultante sorriso gengival, por meio de cirurgia periodontal para aumento de coroa clínica.

Palavras-chave – Sorriso gengival; Erupção passiva alterada; Tratamento.

ABSTRACT

Gingival smile is a frequent cause of dissatisfaction and aesthetic discomfort for some patients. Several factors may be related to this clinical condition; with passive eruption being altered one of the most frequent. The appearance of short clinical crowns associated with the zenith position and the harmony of the gingival contour assume great relevance in aesthetic planning and are considered key elements for a pleasant smile. Furthermore, it can also influence and restrict certain restorative treatments. The main form of treatment for altered passive eruption is surgical, through gingivectomy/gingivoplasty procedures or with full-thickness flaps with or without osteotomies, allowing for an increase in the clinical crown of the teeth, alteration of the zenith positioning and harmonization of the smile asymmetry. The objective of this study was to report a treatment in a patient diagnosed with altered passive eruption with resulting gingival smile, through periodontal surgery.

Key words – Gingival smile; Altered passive eruption; Treatment.

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