Seio maxilar. Complicações. Implantes. Maxila atrófica transformação de sorriso envolvendo cirurgia plástica periodontal e facetas em resina composta: relato de caso clínico

Abstract

INTRODUCTION: Gingival smile is defined by the excessive exposure of the maxillary gingiva during the smile. The gummy smile etiology is varied and its correct identification is essential for the creation of an effective treatment plan. In cases of large gingival exposure, clinical crown augmentation surgery is a treatment option, providing esthetic balance between facial structures and gingival teeth. Often, to achieve the ideal esthetic result, restorative treatment is necessary after gingival surgery, for which it is extremely important to have multidisciplinary planning and interaction between professionals from different specialties. OBJECTIVES: Often, in order to achieve the ideal aesthetic result, restorative treatment is necessary after gingival surgery, for which multidisciplinary planning and interaction between professionals in different specialties is extremely important. METHODOLOGY: A female patient sought dental treatment dissatisfied with her smile, which showed large gingival exposure when smiling, irregularities in the gingival contour, short clinical crowns on the anterior teeth and deficient composite resin restorations. Despite the possibility of orthognathic surgery to correct the vertical excess of the maxilla, the patient chose not to undergo surgical treatment. After digital planning to obtain the ideal measurements for the size of the teeth, gingivoplasty surgery involving osteotomy and frenectomy was performed. Ninety days after periodontal surgery, tooth whitening and restorative treatment with composite resin veneers was performed on teeth 15 to 25. RESULTS: The resolution of this case had a great impact on the patient's self-esteem and quality of life. Obtaining teeth with ideal proportions for the patient's smile and face was allowed due to periodontal surgery and restoration in composite resins, providing an aesthetic, harmonious smile with adequate function. FINAL CONSIDERATIONS: The multidisciplinary approach between periodontics, dentistry and orofacial harmonization provided an ideal result that has longevity.