Treatment of combined etiology gingival smile: case report

Detalhes bibliográficos
Autor(a) principal: Smaniotto, Lilian Aline
Data de Publicação: 2023
Outros Autores: Moreno, Sandriane, Nuernberg, Marta Aparecida Alberton
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Uningá (Online)
DOI: 10.46311/2318-0579.60.eUJ4426
Texto Completo: https://revista.uninga.br/uninga/article/view/4426
Resumo: The smile’s aesthetics is the source of self-esteem and it has a fundamental role in society. Excessive gingival exposure when smiling is a recurring aesthetic complaint in the dentist’s office. Gummy smile is defined as gingival exposure greater than three mm from the gingival margin to the upper lip line during spontaneous smile. The gummy smile has several etiologies, which can be alone or in combination. The treatment to be used depends directly on the etiological factor. The present case report aims to present a therapeutic option for a gummy smile of combined etiology, resulting from vertical maxillary excess, upper lip hypermobility and altered passive eruption. The proposed treatment involves the application of botulinum toxin type A in the elevator lips superioris muscles and the clinical crown augmentation. The therapeutic approach of choice is a less invasive option with satisfactory results. The recognition of the etiology of gummy smile guides the choice of treatment method and it ensures an adequate clinical result, returning aesthetics and self-esteem to the patient.
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spelling Treatment of combined etiology gingival smile: case reportTratamento de sorriso gengival de etiologia combinada: relato de casoAumento de coroa clínicagengivoplastiatoxina botulínica tipo ABotulinum toxin type Aclinical crown augmentationgingivoplastyThe smile’s aesthetics is the source of self-esteem and it has a fundamental role in society. Excessive gingival exposure when smiling is a recurring aesthetic complaint in the dentist’s office. Gummy smile is defined as gingival exposure greater than three mm from the gingival margin to the upper lip line during spontaneous smile. The gummy smile has several etiologies, which can be alone or in combination. The treatment to be used depends directly on the etiological factor. The present case report aims to present a therapeutic option for a gummy smile of combined etiology, resulting from vertical maxillary excess, upper lip hypermobility and altered passive eruption. The proposed treatment involves the application of botulinum toxin type A in the elevator lips superioris muscles and the clinical crown augmentation. The therapeutic approach of choice is a less invasive option with satisfactory results. The recognition of the etiology of gummy smile guides the choice of treatment method and it ensures an adequate clinical result, returning aesthetics and self-esteem to the patient.A estética do sorriso é uma fonte da autoestima e possui um papel fundamental na sociedade. A exposição gengival excessiva ao sorrir é uma queixa estética recorrente no consultório odontológico. Considera-se sorriso gengival a exposição gengival maior que três mm da margem gengival até a linha do lábio superior durante o sorriso espontâneo. O sorriso gengival tem diversas etiologias e pode se apresentar isoladamente ou de forma combinada. O tratamento a ser empregado depende diretamente do fator etiológico. O presente relato de caso tem por objetivo apresentar uma opção terapêutica de um sorriso gengival de etiologia combinada, decorrente do excesso vertical de maxila, hipermobilidade do lábio superior e erupção passiva alterada. O tratamento proposto envolve a aplicação de toxina botulínica do tipo A nos músculos elevadores do lábio superior e o aumento de coroa clínica. A abordagem terapêutica de escolha é uma opção menos invasiva e de resultados satisfatórios. O reconhecimento da etiologia do sorriso gengival direciona a escolha do método de tratamento e garante um resultado clínico adequado, devolvendo ao paciente a estética e a autoestima.Editora Uningá2023-07-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionTextoinfo:eu-repo/semantics/otherapplication/pdfapplication/pdfhttps://revista.uninga.br/uninga/article/view/442610.46311/2318-0579.60.eUJ4426Revista Uningá; Vol. 60 (2023); eUJ4426Revista Uningá; v. 60 (2023); eUJ44262318-0579reponame:Revista Uningá (Online)instname:Centro Universitário Uningáinstacron:UNINGAporenghttps://revista.uninga.br/uninga/article/view/4426/2559https://revista.uninga.br/uninga/article/view/4426/2560Copyright (c) 2023 Revista Uningáhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSmaniotto, Lilian Aline Moreno, Sandriane Nuernberg, Marta Aparecida Alberton 2023-07-14T17:45:27Zoai:ojs.revista.uninga.br:article/4426Revistahttps://revista.uninga.br/uninga/indexPUBhttps://revista.uninga.br/uninga/oairevistauninga@uninga.edu.br2318-05792318-0579opendoar:2023-07-14T17:45:27Revista Uningá (Online) - Centro Universitário Uningáfalse
dc.title.none.fl_str_mv Treatment of combined etiology gingival smile: case report
Tratamento de sorriso gengival de etiologia combinada: relato de caso
title Treatment of combined etiology gingival smile: case report
spellingShingle Treatment of combined etiology gingival smile: case report
Treatment of combined etiology gingival smile: case report
Smaniotto, Lilian Aline
Aumento de coroa clínica
gengivoplastia
toxina botulínica tipo A
Botulinum toxin type A
clinical crown augmentation
gingivoplasty
Smaniotto, Lilian Aline
Aumento de coroa clínica
gengivoplastia
toxina botulínica tipo A
Botulinum toxin type A
clinical crown augmentation
gingivoplasty
title_short Treatment of combined etiology gingival smile: case report
title_full Treatment of combined etiology gingival smile: case report
title_fullStr Treatment of combined etiology gingival smile: case report
Treatment of combined etiology gingival smile: case report
title_full_unstemmed Treatment of combined etiology gingival smile: case report
Treatment of combined etiology gingival smile: case report
title_sort Treatment of combined etiology gingival smile: case report
author Smaniotto, Lilian Aline
author_facet Smaniotto, Lilian Aline
Smaniotto, Lilian Aline
Moreno, Sandriane
Nuernberg, Marta Aparecida Alberton
Moreno, Sandriane
Nuernberg, Marta Aparecida Alberton
author_role author
author2 Moreno, Sandriane
Nuernberg, Marta Aparecida Alberton
author2_role author
author
dc.contributor.author.fl_str_mv Smaniotto, Lilian Aline
Moreno, Sandriane
Nuernberg, Marta Aparecida Alberton
dc.subject.por.fl_str_mv Aumento de coroa clínica
gengivoplastia
toxina botulínica tipo A
Botulinum toxin type A
clinical crown augmentation
gingivoplasty
topic Aumento de coroa clínica
gengivoplastia
toxina botulínica tipo A
Botulinum toxin type A
clinical crown augmentation
gingivoplasty
description The smile’s aesthetics is the source of self-esteem and it has a fundamental role in society. Excessive gingival exposure when smiling is a recurring aesthetic complaint in the dentist’s office. Gummy smile is defined as gingival exposure greater than three mm from the gingival margin to the upper lip line during spontaneous smile. The gummy smile has several etiologies, which can be alone or in combination. The treatment to be used depends directly on the etiological factor. The present case report aims to present a therapeutic option for a gummy smile of combined etiology, resulting from vertical maxillary excess, upper lip hypermobility and altered passive eruption. The proposed treatment involves the application of botulinum toxin type A in the elevator lips superioris muscles and the clinical crown augmentation. The therapeutic approach of choice is a less invasive option with satisfactory results. The recognition of the etiology of gummy smile guides the choice of treatment method and it ensures an adequate clinical result, returning aesthetics and self-esteem to the patient.
publishDate 2023
dc.date.none.fl_str_mv 2023-07-14
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Texto
info:eu-repo/semantics/other
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revista.uninga.br/uninga/article/view/4426
10.46311/2318-0579.60.eUJ4426
url https://revista.uninga.br/uninga/article/view/4426
identifier_str_mv 10.46311/2318-0579.60.eUJ4426
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://revista.uninga.br/uninga/article/view/4426/2559
https://revista.uninga.br/uninga/article/view/4426/2560
dc.rights.driver.fl_str_mv Copyright (c) 2023 Revista Uningá
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Revista Uningá
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Editora Uningá
publisher.none.fl_str_mv Editora Uningá
dc.source.none.fl_str_mv Revista Uningá; Vol. 60 (2023); eUJ4426
Revista Uningá; v. 60 (2023); eUJ4426
2318-0579
reponame:Revista Uningá (Online)
instname:Centro Universitário Uningá
instacron:UNINGA
instname_str Centro Universitário Uningá
instacron_str UNINGA
institution UNINGA
reponame_str Revista Uningá (Online)
collection Revista Uningá (Online)
repository.name.fl_str_mv Revista Uningá (Online) - Centro Universitário Uningá
repository.mail.fl_str_mv revistauninga@uninga.edu.br
_version_ 1822182051410870272
dc.identifier.doi.none.fl_str_mv 10.46311/2318-0579.60.eUJ4426

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