INFORMATION AND TECHNOLOGY COLUMN – Surgical crown lengthening and direct composite venners guided by mock-up.

Vol. 12 – Number 45 – 2020 INFORMATION AND TECHNOLOGY COLUMN Page 24-33 Surgical crown lengthening and direct composite venners guided by mock-up. Fábio Shiniti Mizutani1 Atila de Freitas2 Adriano Sapata3 Claudio Sato4 ABSTRACT Keeping in mind the final result is the basis of any type of treatment, especially those in which the morphology, size and proportion of the anterior teeth will be changed. This is where a good treatment plan based on a diagnostic wax-up tested with a mock-up and approved by the patient becomes crucial. This case report aims to exemplify how to transfer the diagnostic information to the patient’s mouth and direct it not only to the restorative dentistry, but also to the surgeon when performing the crown length. Diagnostic waxing was performed by the laboratory technician, obeying anterior posterior incisal and gingival criteria and curvatures, which were transported to an aesthetic guide through mock up to mark the surgical points. Then, surgery to increase the clinical crown with bone access and after healing, direct venners in composite resin also guided by waxing. In conclusion, a workflow can be established using the wax-up / mock-up that serves as a guide for the periodontist in the approach to surgical lengthening of the crown and for the rehabilitator who uses it to produce changes in the shape of dental dimensions. Descriptors: Gingivoplasty, gummy smile, crown lengthning, mock-up, direct venners, composite resin. 1 Me. And Dr. in Implantology – SLMandic, Prof. Master’s Degree in Periodontics – SLMandic. 2 Esp. and Master’s student in Periodontics – SLMandic, Prof. Periodontics – SIMPLE Courses and Specializations. 3 Me. In Restorative Dentistry – UNG, Prof. of Dental Aesthetics and Dentistry – SIMPLE Courses and Specializations. 4 Me. In Dental Materials – USP, Dr. in Biotechnology – UMC, Prof. of Dentistry Operatória – Universidade Braz Cubas and SIMPLE Courses and Specializations.