Avaliação da satisfação e desconforto de pacientes com erupção passiva alterada submetidos a cirurgia plástica periodontal: série de sete casos clínicos

Abstract

Introduction: Altered Passive Eruption (APE) is an alteration that my cause gummy smile. Objective: This study aimed to evaluate postoperative satisfaction and discomfort from subjects diagnosed with APE, that were submitted to gingivoplasty and osteoplasty in upper anterior maxilla. Methods: Seven individuals (25,6 ± 7,6 years-old, 1 man / 6 women) diagnosed with APE were selected and photographed before and after surgical procedure. They responded to a questionnaire to collect information about satisfaction with esthetics, and self- esteem, evaluated by means of the Analogic Visual Scale (scale from zero to ten), and additional questions about postoperative sensation, including intensity of pain and discomfort, need for rest, and professional follow-up due to post- surgical complications. Data was evaluated statistically. Results: After surgery, satisfaction with smile increased from 2.3 ± 0.9 to 9.4 ± 1.1 (p < 0.0001, t test); and self-esteem from 4.0 ± 1.5 to 9.7 ± 0.6 (p < 0.0001, t test). During the first three postoperative days, pain values significantly decreased from 6.5 ± 1.6 to 2.6 ± 1.8 (p = 0.002, ANOVA test); and values of discomfort decreased from 7.8 ± 1.6 to 3.6 ± 1.7 (p = 0.003, ANOVA test). Three patients needed additional doses of anesthetic; three patients needed to rest, none patient looked for professional assistance due to postsurgical complications. Conclusion: Within the limits of this study, it may be concluded that surgery for APE correction with gingivoplasty and osteoplasty significantly improved self-esteem and satisfaction of the patients with the esthetics of the smile; despite postoperative pain and discomfort, which were detected, but significantly decreased along the first three days.