Correction of gingival asymmetry using gingivectomy with minimally traumatic osteotomy
DOI:
https://doi.org/10.21270/archi.v10i6.4993Keywords:
Gingivectomy, Osteotomy, Esthetics, Dental, SmilingAbstract
Introduction: When there is disharmony or asymmetry in the teeth-gum-lips group, the individual's psychological and social status is impaired and some intervention is necessary to promote patient satisfaction and well-being. Objective: To report a case of correction of gingival asymmetry using the gingivectomy technique with minimally traumatic osteotomy. Case Report: A 22-year-old leucoderma female patient came to the clinic complaining of gingival asymmetry in the smile. After the clinical and periodontal evaluation, the need for gingivectomy surgery associated with minimally traumatic osteotomy (flapless) was seen. Initially, infiltrative terminal anesthesia was performed using the Mepivacaine anesthetic with vasoconstrictor, marking the points through the probe using the Williams periodontal probe in the buccal region of teeth 11, 12, 21 and 23, after which the removal of the gingival tissue was performed with a scalpel 15c and followed by osteotomy through the gingival sulcus using the Mini-Ochsenbein Chisel Nº2. During and after the procedure, the distance between the alveolar bone crest and the gingival margin, which must be 3mm, was observed . After osteotomy, gingivoplasty was performed with a diamond tip 3118 in high rotation. Finally, abundant irrigation with saline was performed; hemostasis; and postoperative guidelines, including the use of Punica granatum Linn (pomegranate) for mouthwash. Conclusion: When correctly indicated and performed, the gingivectomy technique with osteotomy only through the sulcular route using periodontal chisels, without flap elevation, is effective in correcting asymmetries of the anterior teeth.
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