Storrer Carmen Lucia Mueller, de Oliveira Naylin Danyele, Deliberador Tatiana Miranda, Ori Luana Toledo, Guerrero Sara Moncada, Santos Felipe Rychuv, Osternack Fernando Henrique Puppel
Universidade Positivo, Curitiba, Parana, Brazil.
J Int Acad Periodontol. 2017 Apr 1;19(2):51-56.
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.
矫正露龈笑有多种方法，从牙龈切除术等技术到正颌手术等更复杂且侵入性更强的手术。露龈笑是寻求美观笑容的患者最常见的诉求之一。本文描述了可用于唇部重新定位和改善笑容美观度的替代治疗方法，并介绍了一名露龈笑患者在接受牙龈重塑（GR）手术技术并结合唇部重新定位及修复性美学治疗后的临床过程。所施行的手术纠正了上颌前牙被动萌出异常，延长了上唇提肌外侧束和鼻翼，并用缝线固定，减少了露龈笑。术后，明显可见高笑线已成功矫正，且未影响唇部协调性。患者对治疗表示高度满意。本研究中提出的手术技术可能是实现笑容协调性的唇部重新定位的一种治疗选择。
