Affiliation:
1. Latin American Oral Health Association LAOHA São Paulo Brazil
2. School of Dentistry, Special Laboratory of Laser in Dentistry (LELO) University of Sao Paulo São Paulo Brazil
3. Multidisciplinary Clinic Division, School of Dentistry University of São Paulo São Paulo Brazil
Abstract
AbstractObjectiveTo explore the feasibility of the usage of digital guides in combination with low‐ and high‐power lasers for the treatment of excessive gingival display, also known as “gummy smile”.Clinical ConsiderationsExcessive gingival display due to altered passive eruption can affect patient's perception of their own esthetics and consequently have an impact on self‐confidence. Therefore, the management of this condition should offer a predictable and stable long‐lasting solution. To attain these objectives, digital planning emerges as a tool in optimizing the outcomes of crown lengthening surgery for this condition by enhancing precision through the use of surgical guides. Additionally, the usage of high‐ and low‐powered lasers can provide a safe approach because of their tissue selective removal properties.ConclusionsThe technique described showed satisfactory clinical results in the short‐ and long‐term follow‐up, leading to an improvement in patients' self‐esteem. This approach integrates digital and laser technologies to deliver a surgical treatment characterized by precision, efficiency, and safety.Clinical SignificanceDigital dentistry has contributed to innovative dental procedures, as personalizing surgical guides for patients, assisting and guiding incisions of the gingival margins, as well as the extension of the osteotomy, during the procedures for increasing the clinical crown. Furthermore, smile esthetics are directly related to an individual's improved emotional and social quality of life.