Reabilitação cerâmica após cirurgia periodontal estética: quanto tempo aguardar?

Abstract

INTRODUCTION: Given the high demand for cosmetic procedures in dentistry, techniques were improved and materials were developed, providing the patient with a healthy, aesthetic, functional and long-lasting result. In addition, the speed of dental treatments and speed for results has been increasingly requested. In view of this, the reduction of waiting time for oral rehabilitation of patients after periodontal surgical procedures has been requested. OBJECTIVE: To report a case of gingival smile correction and diastema closure through the installation of ceramic veneers, 30 days after periodontal surgery. METHODOLOGY: Initially, radiographs and photos were taken for diagnosis and planning of the case. With the photos and measurement of the interpupillary distance, it was possible to obtain a digital plan with the ideal measures for the smile. Aesthetic periodontal surgery with gingivoplasty and osteotomy/plasty was performed to promote adequate height for the teeth and restore the distances of the supracrestal insertion tissues. The restorative step started with a minimally invasive dental preparation, providing enough wear to eliminate retentions and for the correct insertion axis for the prosthetic parts. Subsequently, a digital scanning of the preparations for making veneers with vitreous ceramic reinforced with lithium disilicate (e.max) was performed. After testing and adjusting the facets, they were cemented 30 days after periodontal surgery. In the end, occlusal polishing and adjustment, and whitening of the lower arch were performed. RESULTS: In 30 days, he achieved a harmonious smile between teeth and gums, absence of gingival inflammation and adequate proportions of height and width of teeth These results remained in 01 year and 09 months after, combining function, health and esthetics in reduced rehabilitation time. CONCLUSION: Aesthetic rehabilitation in cases of gingival smile takes a longer time in the treatment due to periodontal healing, but rehabilitation in a reduced time in a healthy patient with good oral hygiene was able to achieve ideal results, providing a good prognosis, in short and long follow-up, in less treatment time.