Dişeti Gülümsemesi ve Papil Kaybına Sahip Bir Olgunun Tedavisinde Multidisipliner Yaklaşım: Olgu Sunumu
Abstract
Dişetinin fazla göründüğü dişeti gülümsemesi estetik algıyı olumsuz yönde etkileyen multi-faktöriyel bir durumdur. Bu olgu sunumunda dişeti gülümsemesi ve papil kaybı olan bir hastanın multidisipliner bir yaklaşımla tedavisi sunulmuştur. Otuz yaşında kadın hasta gülme sırasında diş etlerinin fazla görünmesi ve üst ön dişleri arasındaki diş eti görünümünden rahatsız olduğunu belirterek kliniğimize başvurdu. Hastadan alınan teşhis ölçüleri, fotoğraflar ve kapanış kayıtları sonrası wax-up model ve dijital gülüş tasarımı ışığında bir periodontal rehber plak hazırlandı ve 15-25 numaralı dişler arasındaki bölgeye gingivektomi ve gingivoplasti işlemleri uygulanarak kuron boyu uzatma işlemi yapıldı. 11-21 numaralı dişler arasındaki papil kaybının düzeltilmesinde ise palatinal bölgeden alınan serbest diş eti grefti kullanıldı. Üç haftalık iyileşme sürecinin ardından, 15-25 numaralı dişler arası bölge, feldspatik seramik veneer restorasyonlarla rehabilite edildi. Multidisipliner yaklaşım, karmaşık tedavi olgularının görsel, fiziksel modelleme teknikleri kullanılarak planlanması ve rehberlikli olarak yürütülmesi klinik başarı ve öngörülebilir sonuçlar elde edebilmek için son derece önemlidir.
Keywords
Dişeti gülümsemesi papil kaybı dijital gülüş tasarımı wax-up rehberlikli cerrahi kron boyu uzatma seramik veneer
References
- 1. Mostafa D. A successful management of sever gummy smile using gingivectomy and botulinum toxin injection: A case report. Int J Surg Case Rep 2018;42:169-174.
- 2. Sönmezateş M, Akarken S, Deni̇z A, Ozakar Ilday N. Polidiastema vakasının multidisipliner yaklaşımla direkt olarak rehabilitasyonu. J Int Dent Sci 2019;2:29-33.
- 3. Trushkowsky R, Arias DM, David S. Digital Smile Design concept delineates the final potential result of crown lengthening and porcelain veneers to correct a gummy smile. Int J Esthet Dent 2016;11:338-354.
- 4. Farias-Neto A, Gomes EM, Sánchez-Ayala A, Sánchez-Ayala A, Vilanova LS. Esthetic Rehabilitation of the Smile with No-Prep Porcelain Laminates and Partial Veneers. Case Rep Dent 2015;2015:452765.
- 5. Tort H, Oktay E, Karaoğlanoğlu S, Toksoy Topçu F. Gummy smile ve diastema tedavisinde multidisipliner bir yaklaşim: Vaka sunumu. Ata Diş Hek Fak Derg 2019;29: 647-651.
- 6. Prato GP, Rotundo R, Cortellini P, Tinti C, Azzi R. Interdental papilla management: a review and classification of the therapeutic approaches. Int J Periodontics Restorative Dent 2004;24:246-55.
- 7. Gómez-Meda R, Torres-Sanchez C, Mareque-Bueno S, Zufía-González J, Torres-Lagares D, Gutierrez-Pérez JL. Papilla and pontic area regeneration in patient with gingival smile: A clinical case. J Clin Exp Dent 2018;10:e507-512.
- 8. Kokich VO Jr, Kiyak HA, Shapiro PA. Comparing the perception of dentists and lay people to altered dental esthetics. J Esthet Dent 1999;11:311-324.
- 9. Garber DA, Salama MA. The aesthetic smile: diagnosis and treatment. Periodontol 2000 1996;11:18-28.
- 10. Silberberg N, Goldstein M, Smidt A. Excessive gingival display–etiology, diagnosis, and treatment modalities. Quintessence Int 2009;40:809–818.
- 11. Gurrea J, Bruguera A. Wax-up and mock-up. A guide for anterior periodontal and restorative treatments. Int J Esthet Dent 2014;9:146-162.
- 12. Malament KA, Nevins ML, Singh T. Interdisciplinary solutions for esthetic periodontal prosthodontic rehabilitation. Compend Contin Educ Dent 2011;32:33–40.
- 13. Clavijo VRG, Carvalho PFM, Silva RC, Joly JC, Ferreira LA, Flores VHO. Achieving excellence in smile rehabilitation using ultraconservative esthetic treatment: a multidisciplinary vision. Quintessence DentTechnol 2012;35:103–111.
- 14. Farias-Neto A, Gomes EM, Sánchez-Ayala A, Sánchez-Ayala A, Vilanova LS. Esthetic Rehabilitation of the Smile with No-Prep Porcelain Laminates and Partial Veneers. Case Rep Dent 2015;2015:452765.
Abstract
The gummy smile is a multifactorial condition that the gingiva appears too much and negatively affects the aesthetic appearance. The aim of this case report was to present a multidisciplinary treatment approach of a patient with gummy smile and loss of papilla.
A 30-year-old female patient admitted to our clinic with the complaint of the excessive gingival display during laughing and the appearance of gingiva between her upper central incisors. After achieving the diagnostic impressions, photographs, and occlusal records, a periodontal guide plate was fabricated according to the wax-up model and digital smile design. Then the plaque-guided gingivectomy and gingivoplasty surgical procedures were performed between 15-25 numbered teeth. A free gingival graft was taken from the palatinal area and used to correct the loss of papilla between 11-21 numbered teeth. The following three-week healing period, the 15-25 numbered teeth were rehabilitated by feldspathic ceramic veneer restorations.
The planning and practice of the multidisciplinary and complex treatment using visual and actual modeling techniques are very important for clinical success rates and predictable results.
Keywords
Gummy smile loss of papılla digital smile design wax-up guided surgery crown lengthening ceramic veneer
References
- 1. Mostafa D. A successful management of sever gummy smile using gingivectomy and botulinum toxin injection: A case report. Int J Surg Case Rep 2018;42:169-174.
- 2. Sönmezateş M, Akarken S, Deni̇z A, Ozakar Ilday N. Polidiastema vakasının multidisipliner yaklaşımla direkt olarak rehabilitasyonu. J Int Dent Sci 2019;2:29-33.
- 3. Trushkowsky R, Arias DM, David S. Digital Smile Design concept delineates the final potential result of crown lengthening and porcelain veneers to correct a gummy smile. Int J Esthet Dent 2016;11:338-354.
- 4. Farias-Neto A, Gomes EM, Sánchez-Ayala A, Sánchez-Ayala A, Vilanova LS. Esthetic Rehabilitation of the Smile with No-Prep Porcelain Laminates and Partial Veneers. Case Rep Dent 2015;2015:452765.
- 5. Tort H, Oktay E, Karaoğlanoğlu S, Toksoy Topçu F. Gummy smile ve diastema tedavisinde multidisipliner bir yaklaşim: Vaka sunumu. Ata Diş Hek Fak Derg 2019;29: 647-651.
- 6. Prato GP, Rotundo R, Cortellini P, Tinti C, Azzi R. Interdental papilla management: a review and classification of the therapeutic approaches. Int J Periodontics Restorative Dent 2004;24:246-55.
- 7. Gómez-Meda R, Torres-Sanchez C, Mareque-Bueno S, Zufía-González J, Torres-Lagares D, Gutierrez-Pérez JL. Papilla and pontic area regeneration in patient with gingival smile: A clinical case. J Clin Exp Dent 2018;10:e507-512.
- 8. Kokich VO Jr, Kiyak HA, Shapiro PA. Comparing the perception of dentists and lay people to altered dental esthetics. J Esthet Dent 1999;11:311-324.
- 9. Garber DA, Salama MA. The aesthetic smile: diagnosis and treatment. Periodontol 2000 1996;11:18-28.
- 10. Silberberg N, Goldstein M, Smidt A. Excessive gingival display–etiology, diagnosis, and treatment modalities. Quintessence Int 2009;40:809–818.
- 11. Gurrea J, Bruguera A. Wax-up and mock-up. A guide for anterior periodontal and restorative treatments. Int J Esthet Dent 2014;9:146-162.
- 12. Malament KA, Nevins ML, Singh T. Interdisciplinary solutions for esthetic periodontal prosthodontic rehabilitation. Compend Contin Educ Dent 2011;32:33–40.
- 13. Clavijo VRG, Carvalho PFM, Silva RC, Joly JC, Ferreira LA, Flores VHO. Achieving excellence in smile rehabilitation using ultraconservative esthetic treatment: a multidisciplinary vision. Quintessence DentTechnol 2012;35:103–111.
- 14. Farias-Neto A, Gomes EM, Sánchez-Ayala A, Sánchez-Ayala A, Vilanova LS. Esthetic Rehabilitation of the Smile with No-Prep Porcelain Laminates and Partial Veneers. Case Rep Dent 2015;2015:452765.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Dentistry |
| Journal Section | Case Report |
| Authors | |
| Publication Date | August 26, 2020 |
| Acceptance Date | September 2, 2020 |
| Published in Issue | Year 2020 Volume: 6 Issue: 2 |
Cite
It is aimed that the Journal of International Dentistry Sciences be included in the Ulakbim TR Dizin. Necessary preparations are continuing for the issues to be published in 2020 in the TR Dizin.