Avaliação clínica do reparo após cirurgia periodontal em paciente com erupção passiva alterada tipo 1B: relato de caso com 12 semanas de acompanhamento

Abstract

Altered Passive Eruption (APE) is a developmental alteration that causes partial coverage of clinical crowns by periodontal tissues. The aim of this study was to describe a case of APE and the repair process over 12 weeks. The female patient, 30 years old, sought care with a complaint of excessive gingival display. The diagnosis was EPA 1B, and the treatment included surgery with gingivoplasty, osteotomy and osteoplasty in the buccal area of teeth 13 to 23. Questionnaires were applied to assess pain and discomfort in the first three days. Satisfaction with aesthetics and self-esteem, in addition to periogram data were collected at baseline and 12 weeks later. The evolution of the repair was evaluated using intraoral photographs taken after 1, 2 and 3 days; 1, 2, 3, 4 and 12 weeks. Thus, the height of the clinical crowns increased (1.0±0.5mm), while the keratinized mucosal band decreased (-1.5±0.5mm), both significantly; there were no reports of postoperative pain, the discomfort was mild (score 1, Visual Analog Scale 0-10); satisfaction and self-esteem reached scores of 8.2 and 10 respectively. Wound repair evolved significantly, from a score of 32 at day 1 to 64 at week 12 (scale 13-65, adapted from Landry et al., 1988). In the clinical case described, periodontal surgery was efficient in increasing the height of the clinical crowns, did not cause pain, caused mild discomfort, improved satisfaction with smile and self-esteem, resulting in a predominantly excellent repair pattern, at the end of 12 weeks of follow-up.