Santos Felipe Rychuv, Kamarowski Stephanie Felice, Lopez Camilo Andres Villabona, Storrer Carmen Lucia Mueller, Neto Alexandre Teixeira, Deliberador Tatiana Miranda
Department of Dentistry, Positivo University, PR, Brazil.
Department of Dentistry, SLMANDIC, Curitiba, PR, Brazil.
Dent Res J (Isfahan). 2017 Mar-Apr;14(2):158-161.
Periodontal surgery associated with prior waxing, mock-up, and the use of digital tools to design the smile is the current trend of reverse planning in periodontal plastic surgery. The objective of this study is to report a surgical resolution of the gummy smile using a prior esthetic design with the use of digital tools. A digital smile design and mock-up were used for performing gingival recontouring surgery. The relationship between the facial and dental measures and the incisal plane with the horizontal facial plane of reference were evaluated. The relative dental height x width was measured, and the dental contour drawing was inserted. Complementary lines are drawn such as the gingival zenith, joining lines of the gingival and incisal battlements. The periodontal esthetic was improved according to the established design digital smile pattern. These results demonstrate the importance of surgical techniques and are well accepted by patients and are easy to perform for the professional. When properly planned, they provide the desired expectations. Periodontal Surgical procedures associated with the design digital smile facilitate the communication between the patient and the professional. It is, therefore, essential to demonstrate the reverse planning of the smile and periodontal parameters with approval by the patient to solve the esthetic problem.
牙周手术结合术前蜡型制作、试戴以及使用数字工具来设计微笑，是目前牙周整形手术逆向规划的趋势。本研究的目的是报告一种使用数字工具进行术前美学设计来解决露龈笑的手术方法。采用数字微笑设计和试戴来进行牙龈轮廓修整手术。评估了面部与牙齿测量值以及切平面与水平面部参考平面之间的关系。测量了相对牙高与牙宽，并插入了牙齿轮廓图。绘制了诸如牙龈顶点、牙龈与切缘嵴连线等辅助线。根据既定的数字化微笑设计模式改善了牙周美学效果。这些结果证明了手术技术的重要性，并且患者易于接受，专业人员操作也很简便。如果规划得当，它们能达到预期效果。与数字化微笑设计相关的牙周外科手术有助于患者与专业人员之间的沟通。因此，必须向患者展示经其认可的微笑和牙周参数的逆向规划，以解决美学问题。
