Cirurgia plástica periodontal em paciente com erupção passiva alterada: relato de caso

Abstract

Gummy smile is na esthetic alteration relatively frequent, characterized by excessive gingival display during smile. Altered Passive Eruption (APE) is a condition that causes gummy smile. It is a condition difficult to be diagnosed, due to few specific signals, and then, frequently ignored and improperly treated by profissionals. It is characterized as an annormal development, in which soft tissues, more specifically gingiva, covers part of the dental crown, resulting in small clinical crown. The aim of this study was to report the diagnosis and clinical therapy proposed to APE. The patient L.V.P.B., 21 years old, male, sought for treatment in the Periodontics clinic from the Federal University of Juiz de Fora, in Governador Valadares campus, with the main complaint of excessive gingival display during smile. He was informed about the APE type 1A diagnosis and treatment plan proposed was gingivectomy followed by osteotomy and osteoplasty with bone drilling of the buccal plate and remodeling from crestal bone. Patient answered a questionnaire to quantify pain, discomfort and satisfaction with treatment. Along the first three days, data revealed a 31% postoperative reduction of pain, and a 32% descrease in discomfort. A 66% increase in sastifaction was observed, and a 52% in improvement in self-esteem.