Deliberador Tatiana Miranda, Weiss Suyany Gabriely, Neto Alexandre Teixeira Domingues, Zetola Isabela Zago, Prix Maria Eduarda Santana, Júnior Darlan Rigo, Martins Heloysa Hoffman, Storrer Carmen Lucia Mueller
School of Health Sciences, Positivo University, 5300 Professor Pedro Viriato Parigot de Souza Street, Campo Comprido, Curitiba, PR, Brazil 81280-330.
Case Rep Dent. 2020 Apr 8;2020:7923842. doi: 10.1155/2020/7923842. eCollection 2020.
Digital flow has become a part of currently practiced dentistry. Virtual planning ensures predictable aesthetic and functional rehabilitation, painless postoperative recovery, and better communication with patients, thus meeting their expectations. The purpose of this case report is to demonstrate the digital planning for the correction of a gummy smile with a personalized preparation using a piezoelectric surgical guide (PerioGuide) for gingival contouring and flapless osteotomy. The guide was designed using Nemo Studio software, based on the patient's facial aesthetic analysis, through photos, videos, and facial scanning. These images were aligned with the scan and placed over the cone beam computed gingival tomography for prediction of results, based not only on the distance from the cementoenamel junction to the bone crest but also on the best gingival margin contour according to virtual aesthetic planning. Digital planning, combined with the use of a piezoelectric device, allows for a flapless guided surgical technique for gingival contouring and osteotomy. As a result, the surgical procedure is safer, faster, and more predictable with better postoperative outcomes.
数字化流程已成为当前牙科实践的一部分。虚拟规划可确保可预测的美学和功能修复、无痛的术后恢复以及与患者更好的沟通，从而满足他们的期望。本病例报告的目的是展示使用压电手术导板（PerioGuide）进行个性化准备以矫正露龈笑的数字化规划，该导板用于牙龈轮廓修整和无瓣截骨术。该导板使用Nemo Studio软件，基于患者的面部美学分析，通过照片、视频和面部扫描设计而成。这些图像与扫描结果对齐，并放置在锥形束计算机牙龈断层扫描上，不仅根据从牙骨质釉质界到牙槽嵴的距离，还根据虚拟美学规划确定的最佳牙龈边缘轮廓来预测结果。数字化规划与压电设备的使用相结合，可实现用于牙龈轮廓修整和截骨术的无瓣引导手术技术。因此，手术过程更安全、更快且更可预测，术后效果更好。
