SURGICAL CORRECTION OF ALTERED PASSIVE ERUPTION WITH RESTORATION OF THE DENTOGENGIVAL COMPLEX: CASE REPORT
DOI:
https://doi.org/10.56238/levv16n55-053Keywords:
Cosmetic Dentistry, Gingivoplasty, OsteotomyAbstract
The smile plays a fundamental role in facial aesthetics and social perception, and changes in its harmony have received increasing attention in contemporary dentistry. Excessive exposure of the gums when smiling, known as a “gummy smile,” is usually diagnosed when the gum display exceeds 3 mm, which can compromise aesthetics. Its etiology is multifactorial, including altered passive eruption (APE), genetic factors, and drug-induced changes. The aim of this study was to report the clinical-surgical management of a case of type I, subtype B APE, treated by aesthetic clinical crown lengthening associated with osteotomy and osteoplasty. The surgical procedure involved an internal bevel incision to remove the gingival collar, preservation of the interdental papillae, and elevation of the mucoperiosteal flap by sulcular incision, allowing access to the bone tissue to restore the biological distance of 3 mm. The clinical outcome demonstrated an excellent aesthetic and functional response, reinforcing the importance of accurate diagnosis, adequate surgical planning, and careful technical execution to achieve predictable healing and minimize complications.
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References
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