Vol. 12 – Number 45 – 2020
COLUMN JACQUES
Page 34-39
Aesthetic crown lengthening flapless – minimally invasive approach
Flavia Sukekava1
Julia Helena Luiz2
Paloma Palma3
Jaques Luiz4
Abstract
Gummy smile is a characteristic in which the patient exposes more than 2 mm of keratinized gingiva in forced smile. With a multifactorial cause, its correct planning depends directly on the correct diagnosis. Usually, the procedures that involve manipulation and the enlargement of the aesthetical crown lengthening are surgical. The objective of this case series was to show the advantages of surgical crown augmentation surgery in aesthetic areas with minimally invasive techniques. Three cases of gummy smile were presented, with different treatment plans and techniques for execution. In the 3 cases, bone removal was performed with piezoelectric ultrasound, which made the postoperative more comfortable for patients. These cases illustrate the use of technology to reduce morbidity in patients who need to undergo bone removal to treat gingival smile.
Descriptors: Crown lengthening, gingival overgrowth, smiling.
1 Esp., Me., Dr.ª and Pós Doutora – FOUSP-SP.
2 General Clinic, Postgraduate student in Periodontics – IOA-Curitiba.
3 Esp. in Implantology.
4 Me. and Dr. in implantodontics – SLMandic.