GENGIVOPLASTIA ASSOCIADA À TÉCNICA FLAPLESS E TOXINA BOTULÍNICA PARA CORREÇÃO DO SORRISO GENGIVAL: RELATO DE CASO
GENGIVOPLASTIA ASSOCIADA À TÉCNICA FLAPLESS E TOXINA BOTULÍNICA PARA CORREÇÃO DO SORRISO GENGIVAL: RELATO DE CASO
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DOI: https://doi.org/10.22533/at.ed.2182408039
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Palavras-chave: Estética Dentária; Osteotomia; Gengivoplastia; Toxina Botulínica, Tipo A; Periodontia.
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Keywords: Esthetics Dental; Osteotomy; Gingivoplasty; Botulinum Toxins Type A; Periodontics.
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Abstract: A gummy smile is characterized by excessive exposure of gingival tissue, greater than 3mm during a smile. Currently, there are less invasive techniques to remove bone tissue when there is a need to adapt the space of the supracrestal tissues. The flapless technique is a technique used to perform osteotomy without the need to open flaps, ensuring lower morbidity and a more comfortable postoperative period for the patient. The etiology of gummy smile can be multifactorial, when there is involvement of muscular components, botulinum toxin can be used as an adjunct in correction, aiming to reduce gingival exposure. The objective of this study is to report the case of a patient who complained of severe gingival exposure, where multiple approaches were applied to resolve the case. Patient K.M.R.L., male, 24 years old, brown, with no reports of systemic problems, alcoholism or smoking, reported complaining of excessive gingival exposure when smiling. Gingival plastic surgery was performed on elements 15, 14, 13, 12, 11, 21, 22, 23. 24 and 25 using the flapless technique, association of botulinum toxin in the elevator muscles of the upper lip and nasal wing and depressor of the lower lip, being finished with in-office whitening. The procedures were carried out with an emphasis on improving the aesthetics of the case and total patient satisfaction. Therefore, it is observed that gingivoplasty, when associated with the flapless technique and orofacial harmonization, presents good results in correcting the gummy smile, ensuring harmony and restoring self-esteem.
- Thalwylla Reiler Morato dos Reis Moreira
- Mikaellen Mayara da Silva Viana
- Gustavo Cesar Feitosa Vidal
- Edson Philippe Bezerra Balbino
- Keyla Mizia de Barros Morais
- Laís Christina Pontes Espíndola