Periodontal plastic surgery to improve aesthetics in patients with altered passive eruption/gummy smile: a case series study.
Altered passive eruption/gummy smile is a common challenge in patients requiring aesthetic treatment. A specific surgical protocol was designed and tested in patients with altered passive eruption. Standardized preoperative X-rays were used to assess crown length at baseline and to place submarginal incisions. Osseous respective therapy was performed to achieve biological width. Clinical outcomes were recorded 6 months after surgery. Eleven patients with a total of 58 teeth were treated with flap surgery and osseous resective therapy at upper anterior natural teeth. At the last followup, a significant and stable improvement of crown length was obtained when compared to the baseline (P < 0.0001). All patients rated as satisfactory in the final outcomes (final VAS value = 86.6). In conclusion, this study showed that periodontal plastic surgery including osseous resection leads to predictable outcomes in the treatment of altered passive eruption/gummy smile: A careful preoperative planning avoids unpleasant complications and enhances postsurgical stability of the gingival margin.
Department of Periodontology and Implant Dentistry, Tuscan School of Dental Medicine, University of Florence-Siena, 50121 Florence, Italy.
Francesco
F
Cairo
Filippo
F
Graziani
Lorenzo
L
Franchi
Efisio
E
Defraia
Giovan Paolo
GP
Pini Prato