Journal of Indian Society of Periodontology
Journal of Indian Society of Periodontology
Home | About JISP | Search | Accepted articles | Online Early | Current Issue | Archives | Instructions | SubmissionSubscribeLogin 
Users Online: 243  Home Print this page Email this page Small font size Default font size Increase font sizeWide layoutNarrow layoutFull screen layout
Ahead of Print

Periodontal esthetic surgery to improve a natural smile: Report case with 2-year follow-up

1 Department of Operative Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil
2 Department of Operative Dentistry, Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil

Correspondence Address:
Giana da Silveira Lima,
School of Dentistry, Federal University of Pelotas, Rua Gonçalves Chaves 457, 96015-560, Pelotas, RS
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jisp.jisp_477_18

The objective in this case report is to present a correction of excessive gingival exposure performed through periodontal esthetic surgery, using clinical crown lengthening and lip repositioning. The patient reported discomfort when smiling due to excessive gingival exposure, and clinical and photographic examinations of the patient showed vertical maxillary growth as the main diagnosis. In the digital smile design, the possibility of crown lengthening observed for teeth – upper left and right central incisors and upper left lateral incisor. A lip-repositioning procedure was also planned. An incision was performed at the mucogingival junction, and a parallel incision was realized at the top of the alveolar mucosa. Afterward, the incised gingival band was removed through vertical incisions in the planned border area. The muscular area was preserved. A simple suture was made, with the approach of the gingival margins around the surgical area. The crown-lengthening procedure was performed with the flapless technique. After 2-year follow-up, the periodontal esthetic surgery, comprising crown lengthening and lip repositioning, was noninvasive and can thus serve as an interesting alternative treatment for excessive exposure of the gingival smile, as it results in a harmonious and natural smile.

Print this article
  Search Pubmed for
    -  Boeira PO
    -  De Rossi A
    -  Caporossi LS
    -  Lima Gd
 Citation Manager
 Article Access Statistics
 Reader Comments
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded63    

Recommend this journal