scholarly journals AUMENTO DE COROA CLÍNICA PARA CORREÇÃO DO SORRISO GENGIVAL: RELATO DE CASO CLÍNICO

2020 ◽  
Vol 9 (11) ◽  
pp. 1-17
Author(s):  
Fernanda Rosa CARDOZO ◽  
Juliana Massuia MARTINS ◽  
Otávio Augusto Pacheco VITORIA ◽  
Vivian Cristina Noronha NOVAES
Keyword(s):  
Surgical Procedures ◽  
Alveolar Bone ◽  
Final Diagnosis ◽  
Care Clinic ◽  
The Aesthetic ◽  
One Year ◽  
High Level ◽  
Crown Lengthening ◽  
Gummy Smile

O sorriso gengival apresenta-se como uma exposição excessiva do tecido gengival, a qual influencia diretamente na estética do sorriso. O sorriso gengival apresenta uma variabilidade de fatores causais, dentre elas podemos mencionar a erupção passiva alterada, em que uma grande parte da coroa anatômica permanece recoberta pelo tecido gengival. Dessa forma, este estudo teve como objetivo relatar o caso de tratamento do sorriso gengival com procedimentos de cirurgia plástica periodontal. Paciente do gênero feminino, 20 anos de idade, compareceu ao atendimento da clínica de periodontia do Unifunec, queixando-se de dentes pequenos e excesso de gengiva ao sorrir. Após avaliação clínica e radiográfica, constatou-se que a margem gengival estava posicionada coronalmente, recobrindo parte da coroa clínica dos dentes e a crista óssea alveolar localizava-se próxima à junção cemento- esmalte, sendo que o diagnóstico definitivo foi de sorriso gengival, devido à erupção passiva alterada associada à erupção ativa alterada do tipo 1. A paciente foi submetida, posteriormente, a procedimentos de cirurgia para aumento de coroa clínica por gengivoplastia associada à osteotomia, com intuito de obter regularização dos tamanhos das coroas anatômicas e correta acomodação dos tecidos supracrestais dos dentes 15 a 25. Após um ano de acompanhamento, observou-se estabilidade da estética e completa satisfação da paciente. Podemos concluir que a cirurgia de gengivoplastia associada à osteotomia no tratamento do sorriso gengival decorrente da erupção passiva alterada com a erupção ativa alterada tipo 1 mostrou-se uma técnica previsível com alto grau de estabilidade das dimensões teciduais e satisfação estética por parte da paciente.   CLINICAL CROWN LENGTHENING FOR GUMMY SMILE CORRECTION: CLINICAL CASE REPORT   ABSTRACT The gummy smile is presented as an excessive exposition of the gum tissue, which directly influences the smile aesthetics. The gummy smile presents a number of causal factors, among them we can mention altered passive eruption, where a great portion of the anatomical crown remains covered by gum tissue. Accordingly, this paper aims to report a case of gummy smile treatment under periodontal plastic surgical procedures. A female patient, 20 years old, attended the periodontics care clinic at Unifunec, complaining of small teeth and excessive gum when smiling. After clinical and radiographic evaluations, it was found that the gingival margin was coronally positioned, covering part of the teeth crown and, the alveolar bone crest was positioned next to cementoenamel junction, leading to a final diagnosis of gummy smile, due to altered passive eruption type 1. Subsequently, the patient underwent gingivoplasty associated with osteotomy, crown lengthening surgical procedures, with a view to equalizing the anatomical crown sizes and the correct teeth supracrestal tissue positioning 15 to 25. After a one year follow-up period, it was observed the aesthetic stability and the patient was completely satisfied. We may conclude that gingivoplasty surgery associated with osteotomy for treating gummy smile caused by altered passive eruption with active eruption type 1 resulted in a predictable outcome with a high level of stability for tissue dimensions and the patient’s aesthetic satisfaction.   Keywords: Osteotomy. Gingivoplasty. Excessive Gum Growth.

Aesthetic Crown Lengthening for Gummy Smile Treatment Related to Altered Passive Eruption: A Case Report

2020 ◽  
Vol 23 (2) ◽  
pp. 28-33
Author(s):  
Indira Apriantika ◽  
Agung Krismariono
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Patient Treatment ◽  
Treatment Results ◽  
Dental Hospital ◽  
Proper Diagnosis ◽  
The Aesthetic ◽  
Smile Aesthetics ◽  
Crown Lengthening ◽  
Gummy Smile

A healthy and beautiful smile can affect appearance and confidence. One of the aesthetic problems in dentistry that is often complained of by patients is excessive gingival display (gummy smile). The excessive gingival display can be caused by several factors, one of which is altered passive eruption (APE). One of the treatments to correct gummy smile related to APE is crown lengthening. Crown lengthening can be with bone reduction (gingivectomy with bone reduction) or without bone reduction (gingivectomy). Crown Lengthening with bone reduction is a surgical procedure that aims to maintain the dentogingival complex and to improve smile aesthetics. The purpose of this case report is to determine the crown lengthening with bone reduction (gingivectomy with bone reduction) procedure as a gummy smile treatment related to APE .A23-year-old female patient, came to Dental Hospital of Universitas Airlangga with complaints of her upper gum which not in the same length and the teeth looked short, she considered her smile was less aesthetic. After conducting analyses relating to aesthetics and periodontal tissue, crown lengthening with bone reduction was chosen for this patient treatment. The treatment results are quite good, visible gingival margins that matched the gingival zenith and improved patient's smile profile. APE as the etiology of patient's gummy smile can be corrected. There are no post-surgical complications such as excessive pain and infection. A proper diagnosis, treatment plan, and good techniques can produce a harmonious smile on the patient.

Aumento de coroa estética sem elevação de retalho – abordagem minimamente invasiva

2020 ◽  
Vol 12 (45) ◽  
pp. 34-39
Author(s):  
Flavia Sukekava ◽  
Julia Helena Luiz ◽  
Paloma Palma ◽  
Jaques Luiz
Keyword(s):  
Minimally Invasive ◽  
Correct Diagnosis ◽  
Case Series ◽  
Minimally Invasive Techniques ◽  
Bone Removal ◽  
Use Of Technology ◽  
Treatment Plans ◽  
Invasive Techniques ◽  
Crown Lengthening ◽  
Gummy Smile

Gummy smile is a characteristic in which the patient exposes more than 2 mm of keratinized gingiva in forced smile. With a multifactorial cause, its correct planning depends directly on the correct diagnosis. Usually, the procedures that involve manipulation and the enlargement of the aesthetical crown lengthening are surgical. The objective of this case series was to show the advantages of surgical crown augmentation surgery in aesthetic areas with minimally invasive techniques. Three cases of gummy smile were presented, with different treatment plans and techniques for execution. In the 3 cases, bone removal was performed with piezoelectric ultrasound, which made the postoperative more comfortable for patients. These cases illustrate the use of technology to reduce morbidity in patients who need to undergo bone removal to treat gingival smile.

Clinical and epidemiological characteristics of chickenpox in the adult population at the present stage

2020 ◽  
pp. 17-24
Author(s):  
Ekaterina Peredelskaya ◽  
Tatyana Safyanova ◽  
Mikhail Druchanov
Keyword(s):  
Health Care ◽  
Adult Population ◽  
Final Diagnosis ◽  
Health Care Institution ◽  
Federal State ◽  
Economic Damage ◽  
Clinical Hospital ◽  
Care Institution ◽  
High Level ◽  
Epidemiological Characteristics

Chickenpox is an urgent problem, as it is widely spread with a high level of morbidity and an increasing share in the structure of the General infectious pathology with significant economic damage. The aim of the study is to study the epidemiological and clinical features of chickenpox in adults hospitalized in Krai government-owned publicy funded health care institution «City clinical hospital No. 5, Barnaul» for the period 2008‑2018. Content analysis included statistical reporting forms No. 2 of Federal state statistical supervision «Data on infectious and parasitic diseases» in the city of Barnaul during the period 2008‑2018 of medical archival documents adult infectious Department Krai government-owned publicy funded health care institution «City clinical hospital №5, Barnaul» for the same period. Data processing was performed using calculation of intensive and extensive indicators, calculation of the arithmetic mean (X) and standard error of the average (m). Calculations were made using the STATISTICA-10 program. Consistently high rates were recorded, with an average of 64.32 ± 3.46 per 100,000 population. The percentage of hospitalized adults averaged 18.5% during the study period. Adults aged 18‑30 were more likely to be admitted to the hospital (90.3%); 41.6% were students. Adults with moderate severity were hospitalized more often (70.6%); 7 patients (1.3%) had complications: aphthous stomatitis (3 cases), pustulosis (2 cases), and pneumonia (2 cases). Patients with severe severity of the disease accounted for 2.4%, the premorbid background was burdened in 48% (HIV infection, tuberculosis). In 35% of patients with severe severity, the final diagnosis of Herpes zoster was made, all patients older than 40 years, stayed in the hospital for 20‑25 days.

scholarly journals Treatment and Prognosis of Myocardial Infarction Outside Cardiology Departments

2020 ◽  
Vol 10 (1) ◽  
pp. 106
Author(s):  
Anton Gard ◽  
Bertil Lindahl ◽  
Nermin Hadziosmanovic ◽  
Tomasz Baron
Keyword(s):  
Myocardial Infarction ◽  
Coronary Intervention ◽  
Cardiology Department ◽  
Percutaneous Coronary ◽  
All Cause Mortality ◽  
Short And Long Term ◽  
Long Term Prognosis ◽  
One Year

Aim: Our aim was to investigate the characteristics, treatment and prognosis of patients with myocardial infarction (MI) treated outside a cardiology department (CD), compared with MI patients treated at a CD. Methods: A cohort of 1310 patients diagnosed with MI at eight Swedish hospitals in 2011 were included in this observational study. Patients were followed regarding all-cause mortality until 2018. Results: A total of 235 patients, exclusively treated outside CDs, were identified. These patients had more non-cardiac comorbidities, were older (mean age 83.7 vs. 73.1 years) and had less often type 1 MIs (33.2% vs. 74.2%), in comparison with the CD patients. Advanced age and an absence of chest pain were the strongest predictors of non-CD care. Only 3.8% of non-CD patients were investigated with coronary angiography and they were also prescribed secondary preventive pharmacological treatments to a lesser degree, with only 32.3% having statin therapy at discharge. The all-cause mortality was higher in non-CD patients, also after adjustment for baseline parameters, both at 30 days (hazard ratio (HR) 2.28; 95% confidence interval (CI) 1.62–3.22), one year (HR 1.82; 95% CI 1.39–2.36) and five years (HR 1.62; 95% CI 1.32–1.98). Conclusions: MI treatment outside CDs is associated with an adverse short- and long-term prognosis. An improved use of percutaneous coronary intervention (PCI) and secondary preventive pharmacological treatment might improve the long-term prognosis in these patients.

Renal function in type 1 diabetics one year after successful pancreas transplantation

2011 ◽  
Vol 25 (5) ◽  
pp. E509-E515 ◽  
Author(s):  
Nikolaos A. Chatzizacharias ◽  
Anil Vaidya ◽  
Sanjay Sinha ◽  
Richard Smith ◽  
Gareth Jones ◽  
...  
Keyword(s):  
Renal Function ◽  
Pancreas Transplantation ◽  
One Year
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