Aesthetic Periodontal Surgical Approach for Preparing Direct Veneer: A Case Report

Abstract

Background: Gingival enlargement is caused by cervical dental plaque accumulation and worsened by cervical caries. Gingivectomy, gingivoplasty and ablation procedures are the surgical techniques used to improve the aesthetics and physiologic functions of hyperpigmented fibrotic gingival tissues.


Objective: To provide aesthetic satisfaction to patients treated for direct veneer restoration.


Case Report: A 19-year-old male patient came to RSGM UNHAS with a chief complaint of caries on the right maxillary incisors, extending from labial to cervical sections, showing gingival enlargement of the teeth. Intraoral examination revealed caries and gingival enlargement with uneven gingival color. Gingivectomy, gingivoplasty and ablation were performed on the patient using a scalpel, then direct veneer restorations were performed.


Results: The two-week control period showed reduction in gingival enlargement and uniform gingival color.


Conclusion: A periodontal aesthetic surgy in the form of gingivectomy, gingivoplasty, and ablation maximizes esthetic results.


Keywords: ablation, direct veneer, gingivectomy, gingivoplasty

References
[1] Gupta G. Management of gingival hyperpigmentation by semiconductor diode laser. Journal of Cutaneous and Aesthetic Surgery. 2011;4(3):208. https://doi.org/10.4103/0974-2077.91256

[2] Korkut B. Smile makeover with direct composite veneers: A two-year follow- up report. Journal of Dental Research, Dental Clinics, Dental Prospects. 2018;12(2):146– 151. https://doi.org/10.15171/joddd.2018.023

[3] Newman M, Takei H, Klokkevold P, Carranza F. Carranza clinical periodontology. 13th ed. California:Elsevier Saunders; 2019.

[4] Reddy S. Essentials of clinical periodontology and periodontics. 3rd ed. New Delhi: Jaypee Brothers; 2011.

[5] Cohen ES. Cosmetic and periodontal. 3rd ed. Boston: BC Decker; 2007.

[6] Rateitschak K.H. Color atlas of periodontology-rateitschack. New York: Thieme ; 1985.

[7] Force J, Niemiec B. Gingivectomy and gingivoplasty for gingival enlargement. Journal of Veterinary Dentistry. 2009;26(2):132–137. https://doi.org/10.1177/089875640902600213

[8] Shankar BS, Ramadevi T, Neetha M S, Reddy PSK, Saritha G, Reddy JM. Chronic inflammatory gingival overgrowths: Laser gingivectomy & gingivoplasty. Journal of International Oral Health: JIOH. 2013;5(1):83–87.

[9] de Castro Pinto RCN, Chambrone L, Colombini BL, Ishikiriama KS, Britto IM, Romito GA. Minimally invasive esthetic therapy: A case report describing the advantages of a multidisciplinary approach. Quintessence International. 2013;44(5):385–391. https://doi.org/10.3290/j.qi.a29147

[10] Soares PV, Duarte L de Á, Moura GF, Zeola LF, Pereira AG, Machado AC. Esthetic rehabilitation with minimally invasive feldspathic ceramic veneers: 30 months of clinical follow-up. Bioscience Journal. 2016;32(5):1428–34.

[11] Thahir H, Setiawati D. Regenerative approach in the treatmen of grade II furcation: A case report. Journal of Dentomaxillofacial Science. 2019;4(1):39–43. https://doi.org/10.15562/jdmfs.v

[12] Thahir H, Irawaty A, Oktawati S, Adam M, Gani A, Rizki SS. Management of gingival enlargement caused by phenytoin used in epilepsy patients: A case report. Journal of International Dental and Medical Research. 2019;12:1189–95.

[13] Smith MM. Gingivectomy, gingivoplasty, and osteoplasty for mandibular canine tooth malocclusion. Journal of Veterinary Dentistry. 2013;30(3):184–197. https://doi.org/10.1177/089875641303000314