Gummy Smile Treatment: Proposal for a Novel Corrective Technique and a Review of the Literature

Diaspro, Alberto; Cavallini, Maurizio; Piersini, Patrizia; Sito, Giuseppe

doi:10.1093/asj/sjy174

Cited by 48 publications

(53 citation statements)

References 28 publications

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“…27 Excessive gingival display, also known as gummy smile, is a common aesthetic complaint that can also be treated by botulinum toxin. 28 It may also prevent the need for more invasive surgical techniques. 28…”

Section: Botulinum Toxinmentioning

confidence: 99%

Tissue Modification in Nonsurgical Facelift Options

2020

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Nonsurgical facelifts are a term for a heterogeneous group of procedures used by physicians to improve facial rejuvenation without the use of operative techniques. Patients demand these services due to the reduced recovery time and generally lower risk. However, nonsurgical techniques, to be effective, must induce conformational change in the cells and tissues of the face. Therefore, these techniques are significant procedures that have associated risks. Understanding the tissue modifications and mechanisms of action of these techniques is vital to their safe and effective use. The purpose of this article is to provide a background of tissue modification in nonsurgical facelift options.

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Section: Botulinum Toxinmentioning

confidence: 99%

Tissue Modification in Nonsurgical Facelift Options

2020

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“…A harmonia do sorriso torna-se esteticamente agradável quando há um equilíbrio proporcional entre dentes, gengiva, lábios e uma limitação de até 3 milímetros de exposição gengival na movimentação dinâmica dos lábios [17][18][19] . A exposição gengival excessiva ou sorriso gengival é uma preocupação estética significativa na população, com dados de prevalência variando de 10,5-29% 20 afetando comumente as mulheres 19,20 .…”

Section: Introductionunclassified

Restauração estética de dentes conóides associada a recontorno gengival em paciente jovem: relato de caso

Oliveira

Miguel²,

Magalhães³

2021

Rev Odontol Bras Central

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A busca por tratamentos dentários por razões estéticas tem aumentado muito devido ao grande impacto do sorriso na autoestima e bem-estar dos pacientes em seu convívio social. No planejamento estético reabilitador critérios dento-faciais, labiais, periodontais e pessoais devem ser levados em consideração na indicação de qualquer tratamento. O objetivo deste artigo é relatar um caso de sorriso gengival e dentes conóides em paciente jovem, tratada com uma abordagem minimamente invasiva. No exame físico foi possível observar o sorriso gengival causado pela erupção passiva alterada e microdontia isolada nos incisivos laterais superiores, o que prejudicava a harmonia do sorriso. Foram propostos alguns planos de tratamento e diante do custo-benefício foram realizados aumento de coroa clínica estético sem retalho (“flapless”) dos incisivos centrais e laterais, e pré molares do lado direito superior, associada a clareamento dental caseiro supervisionado e restaurações diretas em resina composta sem preparo prévio da estrutura dentária. As restaurações foram guiadas por uma matriz de silicone obtida imediatamente e desgastada no tamanho final planejado com broca, sem a necessidade de enceramento diagnóstico. O resultado obtido com o tratamento proposto melhorou as proporções dento-faciais e gengivais, solucionando a queixa principal da paciente com preservação de estrutura dental sadia, restabelecendo estética e mantendo a função de forma adequada.

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“…A perfect smile is dictated by a balance between three parameters: teeth, gum, and lips. Excessive gingival display while smiling is a concern for many patients, affecting both esthetics and psychosocial behavior [1]. Excessive gingival display, also described as "gummy smile" (GS), has been observed in 7% of men and 14% of women in the age group 20-30 years [2].…”

Section: Introductionmentioning

confidence: 99%

“…An accurate differential diagnosis is crucial for proper therapeutic application, as the treatment of a gummy smile includes facial surgery, periodontal surgery, laser, and botulinum toxin injection. More recently, digital workflow and flapless surgery (piezosurgery), among others [1,6,7], have been associated with treatment planning.…”

Section: Introductionmentioning

confidence: 99%

Guided Periodontal Surgery: Association of Digital Workflow and Piezosurgery for the Correction of a Gummy Smile

Deliberador

Weiss

Neto

et al. 2020

Case Reports in Dentistry

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Digital flow has become a part of currently practiced dentistry. Virtual planning ensures predictable aesthetic and functional rehabilitation, painless postoperative recovery, and better communication with patients, thus meeting their expectations. The purpose of this case report is to demonstrate the digital planning for the correction of a gummy smile with a personalized preparation using a piezoelectric surgical guide (PerioGuide) for gingival contouring and flapless osteotomy. The guide was designed using Nemo Studio software, based on the patient’s facial aesthetic analysis, through photos, videos, and facial scanning. These images were aligned with the scan and placed over the cone beam computed gingival tomography for prediction of results, based not only on the distance from the cementoenamel junction to the bone crest but also on the best gingival margin contour according to virtual aesthetic planning. Digital planning, combined with the use of a piezoelectric device, allows for a flapless guided surgical technique for gingival contouring and osteotomy. As a result, the surgical procedure is safer, faster, and more predictable with better postoperative outcomes.

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Gummy Smile Treatment: Proposal for a Novel Corrective Technique and a Review of the Literature

Cited by 48 publications

References 28 publications

Tissue Modification in Nonsurgical Facelift Options

Tissue Modification in Nonsurgical Facelift Options

Restauração estética de dentes conóides associada a recontorno gengival em paciente jovem: relato de caso

Guided Periodontal Surgery: Association of Digital Workflow and Piezosurgery for the Correction of a Gummy Smile

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