Resumo

PINTO, Rodrigo Carlos Nahás de Castro et al. Minimally invasive multidisciplinary approaches for red and white esthetics optimization. Rev. Assoc. Paul. Cir. Dent. [online]. 2013, vol.67, n.3, pp. 187-192. ISSN 0004-5276.

The treatment of esthetic areas represents an important challenge for the dental clinician since it may involve a complex decision-making process for the concomitant accomplishment of health, and harmony between dental and periodontal tissues. For such cases, the balance between 'red' and 'white' esthetics will be dependent on the clinician's skills, and knowledge on tissues' anatomy and morphology. One case with and one without loss of periodontal structures are reported in which a minimally invasive multidisciplinary approach combining periodontal surgery and porcelain laminate veneers (PLVs) was used to increase smile esthetics. A treatment plan combining hygiene instructions, scaling, root planning, tooth polishing, a minimally invasive/flapless crown lengthening procedure and PLVs was proposed to the patients. Following the periodontal basic procedures, initial photographs were taken and diagnostic casts were obtained. Diagnostic wax-up, a clinical mock-ups and acrylic surgical guides were made for each patient to permit a more predictable, less traumatic and invasive surgical procedure. For this case, incisions were made on teeth #7, #8, # 9, #10 and #11, and 1-2.5 mm-wide collars of gingiva were excised. No osseous surgery procedures were necessary. Ninety days after surgery, PLVs` procedures were performed. Minimally invasive multidisciplinary approaches provided minimal trauma to dental and periodontal tissues with a concomitant clinical enhancement in red and white esthetics one year after PLVs bonding.

Palavras-chave : esthetics; periodontal pocket; dental veneers; surgery; plastic.