O uso do cimento ortopédico no tratamento da exposição gengival excessiva: relato de caso com um ano de acompanhamento

Abstract

The objective of this study was to report and analyze a clinical case involving the use of orthopedic cement for the correction of a gummy smile, evaluating the aesthetic changes in the patient. The case report involved a 46-year-old female patient with the initials M. A. F., a brown woman, complaining of short clinical crowns, protruding gingiva, and dissatisfaction with the aesthetics of her smile. The patient underwent a surgical technique to lengthen the clinical crown with gingivoplasty and osteoplasty combined with the use of polymethylmethacrylate (PMMA)-based orthopedic cement. This cement, available in powder/liquid form, was manipulated, adapted to the bone under copious saline irrigation, trimmed, and stabilized in the subnasal cavity of the maxilla with two stainless steel screws. The follow-up period demonstrated no complications and high patient satisfaction. Twelve months after the surgical procedure, the patient demonstrated healthy gums, with no signs of gingival recession. It was concluded in the case presented that the use of orthopedic surgical cement, in association with gingivoplasty and osteotomy, can be considered a promising and effective approach in correcting excessive gingival exposure, improving the support and positioning of the upper lip, which resulted in a more harmonious and satisfactory smile.