Aumento de coroa clínica estético: relato de casos

Abstract

The crown lengthening is indicated for aesthetic purposes, exposure of subgingival caries, coronary fractures or some combination of these, which can be characterized as aesthetic or functional, related to restorative indications, and restoration of biological width. Several factors need to be evaluated in the aesthetic planning for optimizing the smile, with the inclusion of an increase in the clinical crown, emphasizing the quality of the thin or thick periodontal phenotype, an adequate band of keratinized tissue and the size of the biological width. A correct diagnosis of the causes associated with a gummy smile, as well as an assessment of clinical characteristics and anatomical dimensions, is of fundamental importance prior to the patient's approach, to determine and guide decisions regarding the possibilities of treatment and prognosis of cases. The aim of this study was to report two cases of cosmetic periodontal surgery with techniques commonly used for this purpose: gingivectomy and flap surgery with osteotomy, that were satisfactory to crown lengthening and improving the aesthetic aspect of the individuals.