Use of red and white aesthetic principles in the correction of gummy smiles

case report

Authors

DOI:

https://doi.org/10.36557/2674-8169.2024v6n8p2137-2153

Keywords:

Gummy smile, Gingivoplasty, Veneers

Abstract

Gummy smile is a term used to describe a smile in which a significant part of the gum is exposed when someone smiles. This can happen for a number of reasons. The degree of gum exposure varies from case to case; it is not necessarily a health problem. However, some people may feel uncomfortable or insecure about their smile and seek cosmetic treatment. There are various treatment options for correcting gummy smiles; the choice of treatment depends on the cause of the gummy smile and the patient's preferences. This paper aims to demonstrate the clinical resolution achieved by using the principles of white and red aesthetics to correct a gummy smile, characterized by excess bone tissue volume and altered passive eruption. This study explored the complex interaction between the gingival smile and the aesthetic aspects of the white and red region of the oral cavity. During this analysis, the importance of dental and periodontal aesthetics for patients' quality of life and self-esteem was highlighted.

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Author Biographies

Pinto, Brazilian Dental Association (ABO-MA).

Specialist in dentistry and periodontics.

Dias, Maranhão University Center

Graduated in dentistry.

de Azevedo, Union of Dental Surgeons of Maranhão (SINCIDEMA).

Specialist in dental prosthetics.

Verde, Dom Bosco University Center Higher Education Unit

Graduated in dentistry.

Gomes, Federal University of Maranhao

Graduated in dentistry and doing residency.

References

Jurado CA, Parachuru V, Villalobos Tinoco J, Guzman-Perez G, Tsujimoto A, Javvadi R, Afrashtehfar KI. Diagnostic Mock-Up as a Surgical Reduction Guide for Crown Lengthening: Technique Description and Case Report. Medicina (Kaunas). 2022 Sep 28;58(10):1360. doi: 10.3390/medicina58101360. PMID: 36295521; PMCID: PMC9608665.

Arcuri T, da Costa MFP, Ribeiro IM, Barreto BD Júnior, Lyra eSilva JP. Labial repositioning using polymethylmethracylate (PMMA)-based cement for esthetic smile rehabilitation-A case report. Int J Surg Case Rep. 2018;49:194-204. doi: 10.1016/j.ijscr.2018.07.008. Epub 2018 Jul 17. PMID: 30029078; PMCID: PMC6077168.

Alpiste-Illueca F. Altered passive eruption (APE): A little known clinical situation. Med Oral Cir Bucal 2011 Jan; 16 (1): 100-4.

Ferreira CF, Magalhães EB, Zini B. Esthetic Crown Lengthening and Minimally Invasive Laminate Veneers to Resolve Altered Passive Eruption. Case Rep Dent. 2024 May 24;2024:8882326. doi: 10.1155/2024/8882326. PMID: 38884010; PMCID: PMC11178395.

Arash Khojasteh, Sadra Mohaghegh, Orthognathic Surgery for Management of Gummy Smile, Dental Clinics of North America, Volume 66, Issue 3, 2022, Pages 385-398, ISSN 0011-8532, ISBN 9780323987158, https://doi.org/10.1016/j.cden.2022.02.003.

Seixas MR, Pinto RAC, Araujo TM. Checklist dos aspectos estéticos a serem considerados no diagnostico e tratamento do sorriso gengival. Dental Press of J Orthod 2011 Mar-Apr;16 (2): 131-57.

Arcuri T, da Costa MFP, Ribeiro IM, Barreto BD Júnior, Lyra eSilva JP. Labial repositioning using polymethylmethracylate (PMMA)-based cement for esthetic smile rehabilitation-A case report. Int J Surg Case Rep. 2018;49:194-204. doi: 10.1016/j.ijscr.2018.07.008. Epub 2018 Jul 17. PMID: 30029078; PMCID: PMC6077168.

Mantovani MB, Souza EC, Marson FC, Corrêa GO, Progiante PS, Silva CO. Use of modified lip repositioning technique associated with esthetic crown lengthening for treatment of excessive gingival display: A case report of multiple etiologies. J Indian Soc Periodontol 2016; 20(1): 82-87. 5 - Majzoub ZAK, Romanos A, Cordioli G. Crown lengthening procedures: A literature Review. Semin Orthod 2014; 20:188–207.

Harry Dym, Robert Pierre, Diagnosis and Treatment Approaches to a "Gummy Smile", Dental Clinics of North America, Volume 64, Issue 2, 2020, Pages 341-349, ISSN 0011-8532, ISBN 9780323713368, https://doi.org/10.1016/j.cden.2019.12.003.

Jairo A. Bastidas, Surgical Correction of the “Gummy Smile”, Oral and Maxillofacial Surgery Clinics of North America, Volume 33, Issue 2, 2021, Pages 197-209, ISSN 1042-3699, ISBN 9780323793292,https://doi.org/10.1016/j.coms.2021.01.005.

Ishida LH. São Paulo. Estudo das alterações do sorriso em pacientes submetidos a alongamento do lábio superior associado à miotomia do músculo levantador do lábio superior. Tese [Doutoramento em Ciências] – Faculdade de Medicina da Universidade de São Paulo; 2012.

Allen EP. Use of mucogingival surgical procedures to enhance esthetics. Dent Clin North Am. 1988 Apr;32(2):307-30. PMID: 3163980.

Abou-Arraj RV, Souccar NM. Periodontal treatment of excessive gingival display. Seminars in Orthodontics 2013 Dez; 119 (4): 267-278.

Majzoub ZAK, Romanos A, Cordioli G. Crown lengthening procedures: A literature Review. Semin Orthod 2014; 20:188-207.

Rossi R; Brunelli G, Piras V, Pilloni A. Altered Passive Eruption and Familial Trait: A Preliminary Investigation. Int J Dent 2014.

Arcuri T, da Costa MFP, Ribeiro IM, Barreto BD Júnior, Lyra eSilva JP. Labial repositioning using polymethylmethracylate (PMMA)-based cement for esthetic smile rehabilitation-A case report. Int J Surg Case Rep. 2018;49:194-204. doi: 10.1016/j.ijscr.2018.07.008. Epub 2018 Jul 17. PMID: 30029078; PMCID: PMC6077168.

Almilhatti HJ et al. Marginal leakage study on esthetic veneers for fixed dentures. PGR – Pós- Grad Rev Fac Odontol São José dos Campos, São José dos Campos, v.5, n.1, Jan./Abr. 2002.

Rotoli BT et al. Porcelain Veneers as an Alternative for Esthetic Treatment: Clinical Report. Operative Dentistry, v.38, n.5, p.459-466, 2013.

Martins ALO, Oliveira LF, Dias KSPA. Cirurgia plástica periodontal para correção de sorriso gengival associada a facetas em resina composta: caso clinico. Recima 21 2023 v.4,n.6.

Panossian AJ, Block MS. Evaluation of the Smile: Facial and Dental Considerations. J Oral Maxillofac Surg 2010; 68: 547-554.

Sousa CP, Garzon ACM, Sampaio JEC. Estética Periodontal: Relato de um Caso. Rev Brasileira de cirurgia e periodontia. 2003;1(4):262-7.

Souza EM et al. Facetas estéticas indiretas em porcelana. JBD, Curitiba, v.1, n.3, p. 256 – 262, Jul./Set. 2002.

Deas DE, Moritz AJ, McDonnell HT, Powell CA, Mealey BL. Osseous surgery for crown lengthening: a 6-month clinical study. J Periodontol. 2004 Sep;75(9):1288-94. doi: 10.1902/jop.2004.75.9.1288. PMID: 15515347.

Takei HH, Bevilacqua F, Cooney J. Surgical crown lengthening of the maxillary anterior dentition: aesthetic considerations. Pract Periodontics Aesthet Dent. 1999 Jun-Jul;11(5):639-44; quiz 646. PMID: 10635248.

Mantovani MB, Souza EC, Marson FC, Corrêa GO, Progiante PS, Silva CO. Use of modified lip repositioning technique associated with esthetic crown lengthening for treatment of excessive gingival display: A case report of multiple etiologies. J Indian Soc Periodontol. 2016 Jan-Feb;20(1):82-7. doi: 10.4103/0972-124X.164746. PMID: 27041845; PMCID: PMC4795143.

Afroz S, Rathi S, Rajput G, Rahman SA. Dental esthetics and its impact on psycho-social well-being and dental self confidence: a campus based survey of north Indian university students. J Indian Prosthodont Soc. 2013 Dec;13(4):455-60. doi: 10.1007/s13191-012-0247-1. Epub 2013 Jan 5. PMID: 24431775; PMCID: PMC3792334.

Chu SJ. A biometric approach to predictable treatment of clinical crown discrepancies. Pract Proced Aesthet Dent. 2007 Aug;19(7):401-9; quiz 410. PMID: 17929681.

Published

2024-08-15

How to Cite

Pinto, V. A. D. B. M., Dias, E. A. F., de Azevedo, T. C. S., Verde, C. F., Gomes, A. A., & Lima Júnior, D. A. de. (2024). Use of red and white aesthetic principles in the correction of gummy smiles: case report. Brazilian Journal of Implantology and Health Sciences, 6(8), 2137–2153. https://doi.org/10.36557/2674-8169.2024v6n8p2137-2153