Digital planning for aesthetic clinical crown increase surgery – case report
DOI:
https://doi.org/10.5335/rfo.v25i3.11669Keywords:
digital planning, periodontal surgery, altered passive eruptionAbstract
Excessive gum exposure during a smile is called a gum smile. The etiologic factor of this alteration is varied, the identification is essential to create an effective treatment plan. Clinical planning can be performed using a dynamic and digital smile approach. Therefore, software, imaging tests, 3D virtual model and the surgical guide increase thequality and precision of the treatment thus bringing numerous benefits to the patient. Objective: this case report aims to demonstrate the importance of digital flow in smile planning and correction of a gum smile. Case report: the patient presented complaints regarding tooth size and excessive
gum exposure during the smile. After the clinical and radiographic examination, the etiological factor was diagnosed as an altered passive eruption (APE). The treatment of choice was the gingival contour associated with osteotomy and osteoplasty. For the precision of the treatment, a double surgical guide was made. After the procedure the patient was guided and medicated. Conclusion: the digital smile approach favored an accurate, effective and satisfactory surgical treatment for the patient thus restoring the tooth-gingival-facial harmony.
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References
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Periodontol 2014; 41(10):958-71.
25. De Rouck T, Eghbali R, Collys K, De Bruyn H, Cosyn J. The
gingival biotype revisited: transparency of the periodontal
probe through the gingival margin as a method to dis
criminate thin from thick gingiva. J Clin Periodontol 2009;
36(5):428-33.
26. Faria GJ, Barra SG, Vieira TR, de Oliveira PAD. A importância
do planejamento multidiscipilinar para correção do
sorriso gengival: relato de caso clínico. Faculdade Odontol
Lins/Unimep 2015; 25(1):61-5.
a “Gummy Smile”. Dent Clin North Am 2020; 64(2):341-9.
2. Diaspro A, Cavallini M, Piersini P, Sito G. Gummy Smile
Treatment: Proposal for a Novel Corrective Technique and a
Review of the Literature. Aesthet Surg J 2018; 38(12):1330-8.
3. Nasr MW, Jabbour SF, Sidaoui JA, Haber RN, Kechichian
EG. Botulinum Toxin for the Treatment of Excessive Gingival
Display: A Systematic Review. Aesthet Surg J 2016;
36(1):82-8.
4. Hsien-Li Peng P, Peng JH. Treating the Gummy Smile
With Hyaluronic Acid Filler Injection. Dermatol Surg 2019;
45(3):478-80.
5. Tawfik OK, El-Nahass HE, Shipman P, Looney SW, Cutler
CW, Brunner M. Lip repositioning for the treatment of excess
gingival display: A systematic review. J Esthet Restor
Dent 2018; 30(2):101-12.
6. Chagas TF, Almeida NV, Lisboa CO, Ferreira DMTP, Mattos
CT, Mucha JN. Duration of effectiveness of Botulinum toxin
type A in excessive gingival display: a systematic review and
meta-analysis. Braz Oral Res 2018; 32:e30.
7. Batista EL Jr., Moreira CC, Batista FC, de Oliveira RR, Pereira
KK. Altered passive eruption diagnosis and treatment:
a cone beam computed tomography-based reappraisal of the
condition. J Clin Periodontol 2012; 39(11):1089-96.
8. Schertel Cassiano L, Barriviera M, Suzuki S, Giacomelli
Nascimento G, Lourenço Januario A, Hilgert LA, et al. Soft
tissue cone beam computed tomography (ST-CBCT) or the
planning of esthetic crown lengthening procedures. Int J Esthet
Dent 2016; 11(4):482-93.
9. Ferreira Júnior CD, Reis MMGC, Barboza ESP. Recuperação
do espaço biológico: uma discussão sobre as medidas utilizadas
nas cirurgias de aumento da coroa clínica com osteotomia.
RGO Rev Gaúch Odontol 2013; 61(0):519-22.
10. Nautiyal A, Gujjari S, Kumar V. Aesthetic Crown Lengthening
Using Chu Aesthetic Gauges and Evaluation of Biologic
Width Healing. J Clin Diagn Res: JCDR 2016; 10(1):ZC51-5.
11. Brown GB, Currier GF, Kadioglu O, Kierl JP. Accuracy of
3-dimensional printed dental models reconstructed from
digital intraoral impressions. Am J Orthod Dentofac 2018;
154(5):733-9.
12. Coachman C, Ricci A, Calamita M, Yoshinaga LG. Desenho
digital do sorriso: do plano de tratamento à realidade clínica.
In: Paolucci B. Visagismo: a arte de personalizar o desenho
do sorriso. São Paulo: Vm Cultural; 2011. p. 147-62.
13. Coachman C, Calamita M. Digital smile design: A tool for
treatment planning and communication in esthetic dentistry.
Quintessence Dent Technol 2012; 35:103-11.
14. Okida RC, Moura AP, Franco LM, Salomão FM, Rahal V,
Machado LS, et al. A The use of DSD (Digital Smile Design)
for theoptimizationofthe dental esthetics. Rev Odontol 2017;
38(3):9-14.
15. Scott JD, English JD, Cozad BE, Borders CL, Harris LM,
Moon AL, et al. Comparison of automated grading of digital
orthodontic models and hand grading of 3-dimensionally
printed models. Am J Orthod Dentofacial Orthop 2019;
155(6):886-90.
16. Stanley M, Paz AG, Miguel I, Coachman C. Fully digital
workflow, integrating dental scan, smile design and CADCAM:
case report. BMC Oral Health 2018; 18(1):134.
17. Alpiste-Illueca F. Altered passive eruption (APE): A little
-known clinical situation. Med Oral Patol Oral Cir Bucal
2011; 1;16(1):e100-4.
18. Rossi R, Brunelli G, Piras V, Pilloni A. Altered passive eruption
and familial trait: a preliminary investigation. Int J
Dent 2014; 2014:874092.
19. Mele M, Felice P, Sharma P, Mazzotti C, Bellone P, Zucchelli
G. Esthetic treatment of altered passive eruption. Periodontol
2000 2018; 77(1):65-83.
20. Coslet GJ, Vanarsdall R, Weisgold A. Diagnosis and classification
of delayed passive eruption of the dentogingivaljunction
in the adult. Alpha Omegan 1977; 10:24-8.
21. Al-Harbi F, Ahmad I. A guide to minimally invasive crown
lengthening and tooth preparation for rehabilitating pink
and white aesthetics. BDJ 2018; 224(4):228-34.
22. Pontoriero R, Carnevale G. Surgical crown lengthening: a
12-month clinical wound healing study. J Periodontol 2001;
72(7):841â€8.
23. Nart J, Carrió N, Valles C, Solís-Moreno C, Nart M, Reñé R,
et al. Prevalence of Altered Passive Eruption in Orthodontically
Treated and Untreated Patients. J Periodontol 2014;
85(11):e348-e53.
24. Zweers J, Thomas RZ, Slot DE, Weisgold AS, Van der Weijden
FG. Characteristicsof periodontal biotype, its dimensions,
associationsandprevalence: a systematicreview. J Clin
Periodontol 2014; 41(10):958-71.
25. De Rouck T, Eghbali R, Collys K, De Bruyn H, Cosyn J. The
gingival biotype revisited: transparency of the periodontal
probe through the gingival margin as a method to dis
criminate thin from thick gingiva. J Clin Periodontol 2009;
36(5):428-33.
26. Faria GJ, Barra SG, Vieira TR, de Oliveira PAD. A importância
do planejamento multidiscipilinar para correção do
sorriso gengival: relato de caso clínico. Faculdade Odontol
Lins/Unimep 2015; 25(1):61-5.
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2021-09-30
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How to Cite
Digital planning for aesthetic clinical crown increase surgery – case report. (2021). Revista Da Faculdade De Odontologia - UPF, 25(3), 396-403. https://doi.org/10.5335/rfo.v25i3.11669
