Interdisciplinary treatment of patient with gummy smile. Case report

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Cintia Villaseñor Espín
María del Carmen López Buendía

Resumen

Introduction: A comprehensive, inter-disciplinary treatment ofthe mouth involves the following aspects: assessment of facialcharacteristics and muscle activity as well as existing relationshipbetween visible dentition and soft tissues to improve patients´aesthetics and function. There are some physiological and/orpathological conditions which result in excessive exposition ofthe gums. This causes a negative appearance and limits facialexpression. Altered or delayed eruption is one of the main causesof gummy smile. In restorative procedures, crown elongation isconsidered a very valuable surgical technique. This techniquehas the aim of lengthening the size of the clinical crown. As partof an inter-disciplinary treatment, dental implants represent anoption in cases where there are missing teeth. Clinical case: 56year old female patient attended the Implantology and PeriodonticsDepartment complaining of not liking the appearance of her teethand smile. Clinical exploration disclosed thick biotype, irregulargingival margins, short and uneven clinical crowns, missing teeth aswell as decreased vertical dimension. X ray assessment revealedbony margin at the level of enamel and cement junction. Emitteddiagnosis was: Altered Passive Eruption. Based on diagnostic waxupand after consultation with the Oral Prosthesis Department,treatment selected was crown elongation with bone surgery in upperand lower front teeth, implant placement in areas of teeth 36 and46 as well as rehabilitation following the Captek system. Results:Results were favorable. Dentofacial and dental-periodontal harmonywere achieved, as well as function, aesthetics and the patient’ssatisfaction.

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Cómo citar
Villaseñor Espín, C., & López Buendía, M. del C. (2013). Interdisciplinary treatment of patient with gummy smile. Case report. Revista Odontológica Mexicana Órgano Oficial De La Facultad De Odontología UNAM, 17(1). https://doi.org/10.22201/fo.1870199xp.2013.17.1-ING.37122
Biografía del autor/a

Cintia Villaseñor Espín

Coordinación de publicaciones.

Editora de la Revista Ódontológica Mexicana. Órgano Oficial de la Facultad de Odontología, UNAM.