Alawa Dima, Karkoutly Mawia, Milly Hussam
Department of Cosmetic Dentistry Dental Institute Damascus University, Damascus, Syria.
Department of Pediatric Dentistry Damascus University, Damascus, Syria.
Case Rep Dent. 2024 Jun 28;2024:6620612. doi: 10.1155/2024/6620612. eCollection 2024.
A 45-year-old female patient was referred to the Department of Cosmetic Dentistry, Damascus University, seeking to improve dental aesthetics. The clinical examination showed a low smile line and microdontia in the maxillary arch. The treatment plan consisted of applying no-prep veneers with gingival modification, which is described in the biologically oriented preparation technique (BOPT) as a gingitage technique. The gingitage of the sulcus was performed using a yellow ring diamond flame with an inclination of 45 degrees, which causes it to bleed and creates a space between the internal wall of the sulcus and the axial wall of the tooth. After a 12-month follow-up, the gingiva was free of inflammation, recession, and plaque, and there was no increase in probing depth, according to the modified gingival index (MGI), gingival recession index (GRI), Silness-Loe plaque index (PI), and the community periodontal index of treatment needs (CPITN), respectively. The porcelain veneers were intact, with no chippings, cracks, and marginal discoloration. The patient was satisfied with her new smile.
一名45岁女性患者转诊至大马士革大学美容牙科，希望改善牙齿美观。临床检查显示微笑线较低，上颌牙弓存在过小牙。治疗方案包括应用不磨牙贴面并进行牙龈修整，这在生物导向预备技术（BOPT）中被描述为牙龈成形技术。使用倾斜45度的黄色环形金刚砂火焰进行龈沟成形，这会导致龈沟出血并在龈沟内壁与牙轴壁之间形成间隙。经过12个月的随访，根据改良牙龈指数（MGI）、牙龈退缩指数（GRI）、Silness-Loe菌斑指数（PI）和社区牙周治疗需求指数（CPITN），牙龈无炎症、退缩和菌斑，探诊深度也未增加。瓷贴面完好无损，无崩瓷、裂纹和边缘变色。患者对她的新笑容很满意。
