Aplicaciones del cianoacrilato en periodoncia: serie de casos / Applications of cyanoacrylate in periodontics: a series of cases

Introducción: Actualmente el uso de adhesivos tisulares como el cianoacrilato ha sido beneficioso en el área odontológica, reduciendo el tiempo del acto quirúrgico, disminuyendo el tiempo de cicatrización y la cicatriz postoperatoria, así también el dolor postoperatorio. Objetivo: El objetivo de este artículo es reportar diversas aplicaciones del cianoacrilato en tratamientos quirúrgicos periodontales, como recontorneo estético, gingivectomía, colgajo posicionado apical y preservación alveolar. Materiales y métodos/Presentación de casos: Los protocolos de tratamiento utilizados fueron los tradicionales para cada caso en particular más la adición de tres capas de cianoacrilato, con lapso de aplicación de 30 segundos entre cada capa. Conclusión: Los resultados clínicos de los casos presentados muestran una eficacia en la cicatrización al utilizar cianoacrilato, sin embargo, no sustituye los métodos tradicionales de los protocolos de cada tratamiento (AU)

Introduction: Currently, the use of tissue adhesives such as cyanoacrylate has been beneficial in the dental area, reducing the time of the surgical act, decreasing the time of healing and the postoperative scar, as well as the postoperative pain. Objective: The objective of this article is to report various applications of cyanoacrylate in periodontal surgical treatments, such as aesthetic crown lengthening, gingivectomy, apically positioned flap, and alveolar preservation. Materials and methods/Case presentation: The treatment protocols were the traditional ones for each particular case plus the addition of three layers of cyanoacrylate, with application time of 30 seconds between each layer. Conclusion: The clinical results of the presented cases show an efficacy in the cicatrization when using cyanoacrylate adhesives, nevertheless it does not substitute the traditional methods of the protocols of each treatment (AU)

Treatment of Gingival Smile: A Case Report.

There are various alternatives for correcting a gingival smile, ranging from techniques such as gingivectomy to more complex and invasive procedures such as orthognathic surgery. Gingival smile is one of the most common complaints of patients seeking an aesthetic smile. This article describes the alternative treatments available for lip repositioning and improving smile aesthetics, and presents the clinical course of a gingival smile patient after undergoing the surgical technique of gingival recontouring (GR) associated with lip repositioning with restorative aesthetic treatment. The surgery performed corrected altered passive eruption of the maxillary anterior teeth and lengthened the lateral beam of the elevator muscle of the upper lip and wing of the nose, and achieved containment with sutures, reducing the gingival smile. After surgery, it was apparent that the high smile line had been successfully corrected without compromising labial harmony. The patient expressed high satisfaction with the treatment. The surgical technique proposed in this study may be a therapeutic option for lip repositioning to achieve smile harmony.

Diseño multidisciplinario de sonrisa: caso clínico

El DSD (Digital Smile Design) es una herramienta que se utiliza durante la planificación para un tratamiento dental. Permite al paciente relacionarse con el especialista dental durante la planeación, compartiendo y expresando sus deseos y expectativas. Además, ayuda al paciente a visualizar el resultado final del tratamiento. Este artículo explica un caso donde se diseñó multidisciplinariamente la sonrisa de una paciente de 50 años. Para obtener un resultado estético, fue necesario realizar un recontorneo gingival en la zona anterosuperior; tres meses después de la cirugía la paciente está lista para continuar con el tratamiento y, finalmente, cementar 5 carillas de porcelana feldespática y 1 corona de disilicato de lítio.

The Digital Smile Design (DSD) is a tool used to plan and perform a dental treatment. It allows the patient to involve with the dental specialist during the planning, by sharing and expressing their desires and expectations. This tool also helps the patient visualize the final results of their treatment. This article explains a clinical case where a smile of a 50 years old female patient was design in a multidisciplinary way. To obtain an aesthetic result, it was necessary to perform a gingival recontouring of the upper anterior area, 3 months after the surgery the patient was ready to continue with the treatment, and finally cement 5 feldespathic porcelain veneers and 1 lithium disilicate crown.

Treatment of gummy smile: Gingival recontouring with the containment of the elevator muscle of the upper lip and wing of nose. A surgery innovation technique.

The containment of the elevator muscle of the upper lip and wing of nose was used for the treatment of patients with gummy smile. This technique had corrected esthetic alterations of smile, reducing the upper lip elevation, which results in a smaller gingival display. An upper lip lengthening as well as a reduction in the upper lip shortening when the patient smiled could be observed. The high smile line was corrected without compromising the labial harmony. This study presents an innovative and effective therapeutic option to obtain a natural and harmonious smile. The patient expressed a high degree of satisfaction.