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1.
Int J Esthet Dent ; 17(3): 296-307, 2022 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-36047887

RESUMO

Through the use of the application of a mathematical proportion and a digital golden ratio compass associated with computer software, Digital Smile Planning (DSP) can assist clinicians to achieve the fundamentals of esthetic treatment. The present clinical report describes the application of this technique to propose an alternative and more conservative treatment for a patient who refused the option of orthognathic surgery. To address the diagnosis of a gingival smile with vertical maxillary excess, the alternative treatment comprised crown lengthening surgery, ceramic veneers on the maxillary teeth, and the application of botulinum toxin to reduce lip hyperactivity. Considering the successful resolution of the patient's situation from the perspective of both the dentist and the patient, the application of DSP was considered to be useful to achieve predictable harmony between the face and the dental structures.


Assuntos
Estética Dentária , Sorriso , Cerâmica , Gengiva/cirurgia , Humanos
2.
Comput Math Methods Med ; 2022: 3759337, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35832125

RESUMO

Objective: Using a digital model, evaluate the changes in the soft tissue following rapid restoration of anterior teeth and analyze the factors impacting implant absorption. Methods: A retrospective analysis was performed on 84 patients who received immediate implant restoration for a single anterior tooth in the department of Stomatology of our hospital from April 2020 to August 2021. According to different surgical methods, they were divided into the study group (n = 42) and control group (n = 42). Immediate implant repair was given to the research group, while delayed implant restoration was given to the control group. The influence of the two surgical techniques on the alterations of soft tissues around implants was studied using a 3Shape oral scan and a digital model before and 1, 3, and 5 months after the operation, respectively. Patients in the study group were divided into the excellent group (n = 26) and poor group (n = 16) according to the test results of implant bone absorption, and the risk factors of poor implant absorption after immediate restoration of anterior teeth were analyzed by univariate and multivariate analyses. Results: The levels of 1 mm and 3 mm below the gum mucosa margin in the two groups increased gradually with the time, and the gingival level and soft tissue thickness at the lip of the baseline implant also increased gradually. However, the changes of soft tissue in the study group were better than those in the control group at 3 and 6 months after surgery (P < 0.05). The PES score was significantly improved in both groups after treatment, and the aesthetic score was higher in the study group than in the control group (P < 0.05). Univariate and binary logistic multifactor regression showed that smoking and poor implant health were the related factors affecting implant absorption (P < 0.05). Conclusion: Immediate anterior tooth implantation and pharyngeal implant restoration can better restore the soft tissue and aesthetic degree of patients, but immediate implant restoration can more effectively restore the soft tissue, and controlling smoking and keeping clean around the implant after surgery is conducive to implant absorption.


Assuntos
Implantes Dentários para Um Único Dente , Maxila , Implantação Dentária Endóssea , Gengiva/cirurgia , Humanos , Maxila/cirurgia , Estudos Retrospectivos , Fumar , Resultado do Tratamento
3.
Int J Periodontics Restorative Dent ; 42(4): e103-e112, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35830315

RESUMO

The present study introduces a novel "anatomic recession ratio" (ARR) and evaluates the clinical outcomes of using a tunnel technique (TUN) with a connective tissue graft (CTG) for root coverage (RC). Sixteen systemically healthy patients contributing a total of 33 recession types 1 and 2 were treated with TUN + CTG. The predictive value of a panel of baseline clinical parameters (ARR) on RC was evaluated 12 months postoperatively. At 12 months, mean recession depth decreased from 2.74 ± 0.22 mm to 0.46 ± 0.13 mm (P < .0001); 19 sites (58%) showed complete RC, and the mean RC rate was 88.85% ± 2.73%. The mean ARR value was 0.74 ± 0.3, revealing a positive correlation with RC (r2: 0.73, P < .0001). The 12-month esthetic evaluation resulted in a score of 8.52 ± 1.75 using the root coverage esthetic score. TUN + CTG is effective in reducing recession depth and obtaining good esthetic outcomes. Within the limits of the present study, it may be suggested that ARR has potential as an analytical baseline parameter for RC outcomes with TUN + CTG.


Assuntos
Retração Gengival , Tecido Conjuntivo/transplante , Gengiva/cirurgia , Retração Gengival/cirurgia , Humanos , Raiz Dentária/cirurgia , Resultado do Tratamento
4.
J Int Med Res ; 50(7): 3000605221113408, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35883281

RESUMO

Hepatocellular carcinoma (HCC) is one of the most common malignant tumors worldwide; however, cases with metastasis to the oral cavity are extremely rare. Herein, we report a 68-year-old man who was diagnosed with HCC. Ten months after surgical removal of the right half of his liver, the patient developed gingival metastasis. Unfortunately, the patient died 4 months after the diagnosis. We discuss treatment options, pathological results, and disease prognosis. When a mandibular gingival mass is found, metastatic tumors should be considered in the differential diagnosis. In this regard, the patient's medical history and physical examination are valuable indicators for the diagnosis of mandibular gingival metastasis. This case provides a basis for the clinical diagnosis of metastatic HCC involving the oral cavity.


Assuntos
Carcinoma Hepatocelular , Neoplasias Hepáticas , Abdome/patologia , Idoso , Carcinoma Hepatocelular/patologia , Diagnóstico Diferencial , Gengiva/patologia , Gengiva/cirurgia , Humanos , Neoplasias Hepáticas/patologia , Masculino
5.
Folia Med (Plovdiv) ; 64(2): 321-326, 2022 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-35851787

RESUMO

INTRODUCTION: The main goal of root coverage procedure is complete coverage of the recession defect with good esthetic results related to the adjacent soft tissues and minimal probing depth after the healing process.


Assuntos
Retração Gengival , Tecido Conjuntivo/transplante , Gengiva/cirurgia , Retração Gengival/cirurgia , Humanos , Retalhos Cirúrgicos , Resultado do Tratamento
6.
J Contemp Dent Pract ; 23(2): 232-236, 2022 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-35748455

RESUMO

AIM: The clinical case series presents a minimally invasive modified tunnel procedure with autogenous connective tissue graft (CTG) using a V-reverse sutures to treat multiple gingival recessions. BACKGROUND: In periodontal and peri-implant plastic procedures, proper graft and flap stabilization are crucial in the outcomes. The coronally advanced flap allows for better access with the possibility of suturing the graft to the de-epithelialized papillae of the periosteum; there is little evidence with using the V-reverse sutures technique in stabilizing the graft and the flap when performing tunnel techniques (TUN). The following case series presents a minimally invasive modified tunnel procedure with autogenous CTG using V-reverse sutures to treat gingival recessions. CASE DESCRIPTION: Three patients with Miller Class I maxillary buccal gingival recessions defects were selected for this study. All subjects were treated with the minimally invasive modified tunnel technique with autogenous subepithelial CTG. V-reverse sutures technique was performed to further improve the stability of the graft at the recipient site. Clinical parameters, including mean recession depth and root coverage esthetic score (RES), were recorded at baseline, 1 week, 2 weeks, 1 month, 3 months, 6 months, and 1-year postoperative follow-up visits. CONCLUSION: At the 1-year follow-up, complete root coverage was achieved in multiple gingival recessions defect sites. In conclusion, this technique represents an alternative treatment for Miller Class I gingival recessions defects with clinical and esthetically satisfactory outcomes. CLINICAL SIGNIFICANCE: Combining the advantages of V-reverse sutures and CTG in the treatment of gingival recessions is feasible and noninvasive.


Assuntos
Retração Gengival , Tecido Conjuntivo , Estética Dentária , Gengiva/cirurgia , Retração Gengival/cirurgia , Humanos , Suturas , Raiz Dentária/cirurgia , Resultado do Tratamento
7.
Dent Clin North Am ; 66(3): 361-372, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35738732

RESUMO

Dental aesthetics are a fundamental treatment goal in dentistry, in which even minute deviations from the ideal may necessitate corrective treatment or constitute a suboptimal clinical outcome. A well-defined protocol that adheres to sound biological and surgical principles is necessary to harmoniously integrate the dental and periodontal components. This article reviews clinical and aesthetic guidelines based on these principles for clinical crown lengthening.


Assuntos
Aumento da Coroa Clínica , Dente , Aumento da Coroa Clínica/métodos , Estética Dentária , Gengiva/cirurgia , Gengivoplastia , Humanos
8.
Dent Clin North Am ; 66(3): 385-398, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35738734

RESUMO

Excessive gingival show is mainly caused by hypermobility of the upper lip, altered passive eruption, gingival hyperplasia, and bony maxillary vertical excess. Orthognathic surgery is the optimal treatment option for patients with moderate and severe vertical maxillary excess. Surrounding anatomic structures and soft tissue changes such as alternation in the nasal morphology confine the amount of impaction. Therefore, Le Fort 1 may be performed in conjunction with horseshoe osteotomy or partial turbinectomy. The possible necessity of further mandibular orthognathic surgeries and chin repositioning has to be considered. No common major complication and long-term relapse have been reported for maxillary impaction.


Assuntos
Cirurgia Ortognática , Estética Dentária , Gengiva/cirurgia , Humanos , Maxila/cirurgia , Sorriso
9.
Dent Clin North Am ; 66(3): 399-417, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35738735

RESUMO

Excessive gingival display (EGD) is the extensive exposure of the gingiva during a smile. It is a common concern among patients, which may compromise the esthetic outcome of the dental treatment. Dental lasers demonstrate several advantages for soft tissue dental surgery compared with conventional surgical methods related to their technical characteristics. Owing to the excellent coagulation, especially of the surgical lasers, reduced to no need of anesthesia or suturing and faster healing, they demonstrate optimal clinical results. Nevertheless, good knowledge of laser-tissue interaction is required to obtain the best predictable results without gingival recession or bone tissue damage.


Assuntos
Gengivectomia , Sorriso , Estética Dentária , Gengiva/cirurgia , Humanos , Lasers
10.
BMC Oral Health ; 22(1): 202, 2022 05 24.
Artigo em Inglês | MEDLINE | ID: mdl-35610702

RESUMO

BACKGROUND: The aim of this study was to evaluate the effects of photobiomodulation (PBM) on wound healing, pain, and discomfort at free gingival graft (FGG) donor sites. METHODS: Sixteen patients in need of bilateral FGG were selected for this randomized, controlled, triple-blinded, and split mouth clinical trial. The FGG donor sites in test group were treated with LLLT GaAlAs 940 nm, 5 J/cm2 immediately after surgery and every other day within the following ten days. The control group received sham irradiation. Remaining Wound Area (RWA), Epithelialization and color match were evaluated on the day of surgery and 7, 14, 21, 28, and 60 days after surgery. A questionnaire was administered to measure pain and bleeding in the first ten days after surgery. RESULTS: RWA was significantly smaller in the test than control group on the days 7 (p < 0.001) and 14 (p = 0.048) after the surgery. Bleeding was higher in the test group than in the control group on the day of surgery (p = 0.046). Pain and discomfort at the palatal donor site, however, had no significant difference between laser and control group during 11 days after the surgery (p > 0.05), nor did the Color match scores on the 28th and 60th days after the surgery (p > 0.05). CONCLUSIONS: It can be concluded that PBM enhances FGG donor site wound healing one and two weeks after the surgery. Trial registration IRCT2017092036203N2, registered 01.11.2017.


Assuntos
Gengiva , Procedimentos Cirúrgicos Bucais , Gengiva/cirurgia , Humanos , Dor , Palato , Cicatrização
11.
Ned Tijdschr Tandheelkd ; 129(4): 169-173, 2022 Apr.
Artigo em Holandês | MEDLINE | ID: mdl-35420274

RESUMO

While abroad, a healthy 36-year-old woman slammed head-on into a rock wall at high speed, resulting in significant facial trauma. The initial trauma care and first aid took place abroad. In the Netherlands, the woman was referred to the Department of Oral and Maxillofacial Surgery (OMFS) for reconstruction of her face and alveolar processes, gingiva and dentition. In view of the seriousness of the injuries, a 3D treatment plan was drawn up in a multidisciplinary collaboration with an OMF surgeon, an implantologist, dentist and dental technician. By making a digital setup of both the top and bottom front in advance, it was possible to work predictably. The first step consisted of bone augmentation by means of an iliac crest graft to reconstruct the major bone defects of the superior and inferior alveolar processes. Implants were then placed in the upper and lower jaws in the ideal position for the suprastructure by means of drill jigs. Within 10 months after the trauma, the implant bridges could be placed on individual zirconia frameworks to optimally restore oral function and aesthetics, completing the reconstruction.


Assuntos
Implantes Dentários , Adulto , Processo Alveolar , Transplante Ósseo/métodos , Implantação Dentária Endóssea/métodos , Feminino , Gengiva/cirurgia , Humanos , Mandíbula/cirurgia
12.
Clin Implant Dent Relat Res ; 24(3): 329-338, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35389559

RESUMO

BACKGROUND: The prosthetic emergence profile design might be an important factor in postsurgical mucosal recession etiology. Therefore, a restorative buccal emergence profile designed correctly might reduce gingival margin recession. PURPOSE: To compare the marginal gingival level and the width/height (W/H) ratio between two profile configurations of single implant-supported restorations at molar sites. MATERIALS AND METHODS: Twenty-one patients requiring a single mandibular molar tooth replacement with supracrestal mucosal thickness ≥2 mm were recruited and randomly assigned to a prosthesis buccal emergence profile design based on the buccal mucosal W/H ratio (Test Group) or maintained the original emergence profile of the healing abutment (Control Group). Assessments were made before delivery of the definitive restoration (T0), at prosthesis placement (T1), one (T2), and 12 (T3) months after loading. The gingival margin level change (△GM), initial emergence angle, buccal mucosal W/H ratio, marginal bone loss (MBL), implant failure, and complications were assessed. RESULTS: The gingival recession in the test group (0.13 ± 0.32 mm) was significantly lower than in the control group (0.63 ± 0.38 mm) at T3 (p = 0.006). The initial emergence angle in the test group (31.4 ± 7.22 degrees) was significantly lower than the control group (40.0 ± 7.60 degrees) (p = 0.025). The W/H ratio in the test group at T2 was significantly higher than at T0 but remained stable thereafter. The W/H ratio presented a continued rising trend in the control group. CONCLUSIONS: When the initial supracrestal soft tissue thickness was ≥2 mm, a restorative emergence profile based on the W/H ratio significantly reduced gingival margin recession. An emergence angle of 32.4 degrees showed better behavior in maintaining the gingival margin than 40 degrees. CLINICAL TRIAL REGISTRATION NUMBER: ChiCTR190002210.


Assuntos
Implantes Dentários para Um Único Dente , Implantes Dentários , Retração Gengival , Gengiva/cirurgia , Retração Gengival/etiologia , Humanos , Dente Molar , Mucosa Bucal/cirurgia
14.
Artigo em Inglês | MEDLINE | ID: mdl-35353082

RESUMO

Maintaining or creating adequate papillary form is a challenge when placing implants in the esthetic zone. Often, outcomes of procedures designed to maintain or enhance papillae at implant sites yield unsatisfactory results and require secondary microsurgical interventions. This article describes a surgical technique to augment interdental papillae between implants and teeth. The technique uses pedicle flaps from the palate combined with tunneling and is capable of creating a substantial papilla augmentation utilizing vascularized grafts. The surgical technique and requirements for success are presented with a case report.


Assuntos
Implantes Dentários , Dente , Gengiva/cirurgia , Gengivoplastia/métodos , Humanos , Retalhos Cirúrgicos
15.
Sensors (Basel) ; 22(6)2022 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-35336433

RESUMO

This case report is aimed to demonstrate the synergetic effects of λ940 nm laser photobiomodulation (PBM) therapy in augmenting the advantages of high-level-laser treatment (HLLT)-mediated reaction orthodontic periodontal interface management. Materials and Methods: A 32-year-old female who presented with a persistent gummy smile of upper incisors and low upper midline frenum attachment post-orthodontic treatment, was seeking a better smile appearance. She had a history of delayed wound healing without underlying medical conditions; otherwise, she was fit and healthy. She underwent laser ablation of the upper midline frenum and gingivoplasty of the upper incisors region with λ940 nm and λ2780, respectively, as well as transcutaneous PBM therapy (λ940 nm) to accelerate wound healing. The laser protocols were as follows: λ2780 nm: power output-2 W, pulse width-60 µs, free running pulse (FRP), spot area-0.0016 cm2, pulse repetition rate-25 pulses per second (s), 80 mJ/pulse, 90 s, λ940 nm: 1.2 W, continuous wave (CW) emission mode, 300 µm, 60 s; whereas the adjunctive λ940 nm induced-PBM parameters were as follows: power output-1.4 W, CW-120 s, single application, spot area-2.8 cm2. An acceleration of the wound healing was observed on the 4th day of treatment with no immediate or post-operative complications. The results showed no functional or aesthetic relapses at a long-term follow-up of 6 months. The authors concluded that λ940 nm laser-PBM can provide a synergetic effect to HLLT in accelerating wound healing and offering a precision smile with minimal to none post-operative complications. It is safe and justifiable to utilise dual therapy over the conventional methods, which serves our patients' needs in our daily practice and in various clinical indications. The concept and laser protocols of this clinical case report can pave the roadmap for future extensive studies.


Assuntos
Terapia com Luz de Baixa Intensidade , Adulto , Estética Dentária , Feminino , Gengiva/cirurgia , Humanos , Lasers , Terapia com Luz de Baixa Intensidade/métodos , Sorriso
16.
Mater Horiz ; 9(5): 1387-1411, 2022 05 10.
Artigo em Inglês | MEDLINE | ID: mdl-35293401

RESUMO

Anatomically, the human tooth has structures both embedded within and forming part of the exterior surface of the human body. When a tooth is lost, it is often replaced by a dental implant, to facilitate the chewing of food and for esthetic purposes. For successful substitution of the lost tooth, hard tissue should be integrated into the implant surface. The microtopography and chemistry of the implant surface have been explored with the aim of enhancing osseointegration. Additionally, clinical implant success is dependent on ensuring that a barrier, comprising strong gingival attachment to an abutment, does not allow the infiltration of oral bacteria into the bone-integrated surface. Epithelial and connective tissue cells respond to the abutment surface, depending on its surface characteristics and the materials from which it is made. In particular, the biomechanics of the implant-abutment connection structure (i.e., the biomechanics of the interface between implant and abutment surfaces, and the screw mechanics of the implant-abutment assembly) are critical for both the soft tissue seal and hard tissue integration. Herein, we discuss the clinical importance of these three interfaces: bone-implant, gingiva-abutment, and implant-abutment.


Assuntos
Implantes Dentários , Gengiva/cirurgia , Humanos , Osseointegração , Propriedades de Superfície , Extração Dentária
17.
Periodontol 2000 ; 88(1): 116-129, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-35103320

RESUMO

The management and prevention of soft tissue complications is of key importance in modern implant dentistry and influences biologic and esthetic outcomes. The assessment of the soft tissue conditions from a quantitative and qualitative perspective should, therefore, be part of the overall treatment plan. Such an assessment dictates a potential indication as well as an ideal time point for additional soft tissue management. A proper risk assessment and management of the soft tissues at the planned implant site are of key importance prior to any implant-related surgery. Cases with peri-implant soft tissue complications generally involve: (a) a lack of attached and keratinized mucosa; (b) insufficient volume; (c) development of mucosal dehiscences; or (d) a combination of (a), (b), and (c). In case of soft tissue deficiencies, these should be addressed as early as possible to increase the predictability of the surgical interventions. This article reviews the main causes for peri-implant soft tissue complications and presents different therapeutic options for the management of various clinical scenarios.


Assuntos
Implantes Dentários , Implantes Dentários/efeitos adversos , Gengiva/cirurgia , Humanos
18.
Periodontol 2000 ; 88(1): 73-85, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-35103323

RESUMO

Esthetic complications in implant dentistry have become a significant consideration for patients and practitioners. This review presents an appraisal on the current knowledge of the physiological peri-implant soft-tissue dimensions and factors that may compromise peri-implant tissue esthetics. Factors such as papilla fill adjacent to the implant and midfacial mucosal height are critical parameters that determine the esthetic success of implant-supported restorations. Papilla fill adjacent to a single dental implant appears to depend upon the clinical attachment level of the neighboring tooth. A horizontal inter-implant distance of at least 3 mm is necessary to ensure optimal interproximal mucosal embrasure between two adjacent implants in the anterior maxilla. In cases where implants cannot be placed at least 3 mm apart, a single implant with a cantilever bridge should be considered. Buccolingual implant positioning plays a major role in midfacial mucosal height. Soft-tissue volume grafting following immediate implant placement in the presence of a thin soft-tissue phenotype or simultaneous to surgical peri-implantitis therapy might help to overcome facial mucosa recession.


Assuntos
Implantes Dentários para Um Único Dente , Dente , Implantação Dentária Endóssea/métodos , Estética Dentária , Gengiva/cirurgia , Humanos , Maxila/cirurgia
19.
Int J Esthet Dent ; 17(1): 14-26, 2022 Feb 17.
Artigo em Inglês | MEDLINE | ID: mdl-35175005

RESUMO

BACKGROUND AND AIM: The coronally advanced flap (CAF) and the tunnel technique (TUN) are the most performed surgical approaches for treating gingival recessions (GRs). Nonetheless, these two approaches have commonly been regarded as substitutes for one another, and clinicians are often faced with the choice of performing only one during root coverage procedures. The aim of the present article is to describe a surgical design in which the benefits of both the CAF and the TUN are combined for the treatment of isolated type 2 (RT2) GRs with deficient papilla. MATERIALS AND METHODS: Ten patients with isolated RT2 GRs were treated using the tunneled coronally advanced flap (TCAF) + connective tissue graft (CTG) technique. RESULTS: The healing was uneventful, and patients consistently reported minimal discomfort. After 6 months, the TCAF + CTG resulted in an average mean root coverage of 86.5%, with six sites showing complete root coverage (60%). The mean increases in keratinized tissue width and gingival thickness were 1.40 and 0.92 mm, respectively. All the treated GRs showed an increased soft tissue phenotype. No significant changes were observed for midfacial probing depth, while a mean midfacial clinical attachment level gain of 3.05 mm was obtained after 6 months. The professional esthetic evaluation, according to the root coverage esthetic score, was 7.90 ± 1.66. CONCLUSIONS: The present article suggests that the TCAF + CTG is a suitable technique for treating isolated RT2 GRs. The newly introduced technique may have the potential to enhance flap blood supply and graft vascularization and improve clinical-, esthetic-, and patient-reported outcomes of RT2 GRs with deficient papilla. Future studies with larger sample sizes and comparative groups are needed to support these preliminary results.


Assuntos
Retração Gengival , Tecido Conjuntivo/transplante , Gengiva/cirurgia , Retração Gengival/cirurgia , Humanos , Raiz Dentária/cirurgia , Resultado do Tratamento
20.
Lasers Med Sci ; 37(5): 2449-2455, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35083533

RESUMO

This clinical trial assessed patient comfort, satisfaction, and the achievement and maintenance of ideal gingival margin levels using laser compared to conventional surgery in sculpting the soft tissues during esthetic crown lengthening. Eighteen patients with altered passive eruption were treated in a randomized split-mouth design by laser or scalpel crown-lengthening surgery. Patients were evaluated for intra- and postoperative pain and bleeding at 3 and 7 days. Clinical parameters including clinical crown length, probing depth, plaque index, bleeding on probing, and clinical attachment level were recorded at baseline, 3 and 6 months postoperatively. A gradual reduction in postoperative pain was recorded for both sides with no statistically significant difference at 3 (scalpel: 4.4 ± 1.33, laser: 4.8 ± 1.34; p = 0.088) and 7 days (scalpel: 1.8 ± 0.94, laser: 1.8 ± 1.10; p = 0.655). A statistically significant gain of coronal tooth structure was observed at 1, 3, and 6 months. Stability in the post-crown-lengthening level of the gingival margin was achieved one month following the procedure with no significant changes in the following months. All patients reflected acceptable results based on clinical evaluation and patient-reported outcomes. The diode laser can be used effectively as an alternative to the scalpel for the management of altered gingival contour. CLINICAL SIGNIFICANCE : This study demonstrated that a diode laser is an effective tool for the management of cases with altered passive eruption. In addition, it gives insight to practitioners regarding the timing of esthetic restorative procedures and emphasizes the preservation of the gingival complex dimensions.


Assuntos
Aumento da Coroa Clínica , Lasers Semicondutores , Aumento da Coroa Clínica/métodos , Estética , Gengiva/cirurgia , Humanos , Lasers Semicondutores/uso terapêutico , Dor Pós-Operatória/etiologia
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