Different managements for surgical approaches in the aesthetic and functional treatment of type IB altered passive eruption

Aesthetics has been one of the most discussed and explored subjects in today’s dentistry. Therefore, the search for procedures aimed at facial harmonization has been more frequent in dental offices. The gingival smile is characterized by excessive gingival exposure to the smile being one of the main...

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Bibliographic Details
Published in:	Revista Sul-Brasileira de odontologia Vol. 20; no. 2; pp. 450 - 6
Main Authors:	Escobar, Karine Guedes, de Oliveira, Eduarda Cardoso, Chaves, Eduardo Trota, Damin, Gabriel Bittencout, Gomes, Edvin Walter Brito, Freitas, Bruna de Oliveira, Nunes, Edson Vargas, de Holanda, Thiago Azario, Martins, Thiago Marchi
Format:	Journal Article
Language:	English
Published:	Joinville Universidade da Região de Joinville - Univille, Revista RSBO 30-08-2023
Subjects:	Aesthetics Etiology Patients Periodontium
Online Access:	Get full text
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Summary:	Aesthetics has been one of the most discussed and explored subjects in today’s dentistry. Therefore, the search for procedures aimed at facial harmonization has been more frequent in dental offices. The gingival smile is characterized by excessive gingival exposure to the smile being one of the main complaints of the patients who seek a dental surgeon in order to obtain facial aesthetics, being able to present different causes. It is extremely important to correctly diagnose each case so that the correct etiology is stable and successful in the treatment to be performed. Objective: In the present paper, two clinical cases of patients with complaints of gingival smile and short teeth were reported in which the etiology of both was type IB altered passive eruption. Case report: Due to the individual characteristics of each patient, each case was solved with different surgical approaches. In the first case, the patient had a thick periodontium and therefore the clinical crown lenghtening procedure was performed through the internal bevel gingivoplasty with osteotomy and osteoplasty. In the second case, the patient had a thin periodontium, and it was possible to perform a clinical crown lenghtening using the flapless technique. Conclusion: Therefore, although both cases present the same etiology, different periodontal surgical techniques were used, which allowed for satisfactory results for the patients.
ISSN:	1984-5685 1806-7727 1984-5685
DOI:	10.21726/rsbo.v20i2.2125