Creating A New Smile With Gingivectomy After Fixed Orthodontic Treatment: A Case Report

Objective: An aesthetic smile can be achieved by the perfect harmony of teeth, the gingiva and lips. In this case, a new smile design which was created with combining the crown lengthening and the orthodontic anomalies corrected by orthodontic treatment was presented. Case Report: A 17-year-old female patient, who had completed orthodontic treatment, was admitted to our clinic with chief complaints of short crown lengths and excessive appearance of the gingiva during smiling. After Phase-I periodontal treatment, surgical planning was performed considering the aesthetic expectations of the patient. Under the local anesthesia, the gingivectomy line was first identified with the help of a pocket marker in the region between the upper right and left 1.st premolar teeth. Because of depths of pockets were sufficient to not require osteoplasty for maintaining the biological width, the crown lengthening was performed via only gingivectomy. Adjustment of the zenith points of teeth was done. The labial frenulum was eliminated by frenectomy (using 5-0 resorbable suture [Pegelak, Doğsan]). The periodontal surgical pat (Coe-Pak, GC America INC) was covered for healing. After 7 days sutures and surgical pat was removed. The patient was seen at the 7th day and the 1st month to check for wound healing and gingival contours and the clinical records were taken. Conclusion: There were no complications observed in terms of soft tissue healing. The patient was satisfied with the newly created smile line. As in this case, it is seen that the design of the smile with the crown lengthening gives very successful aesthetic results especially at right indications.