GUMMY SMİLE VE DİASTEMA TEDAVİSİNDE MULTİDİSİPLİNER BİR YAKLAŞIM: VAKA SUNUMU

Yıl 2019, Cilt: 29 Sayı: 4, 647 - 651, 15.10.2019

Hüseyin Tort , Elif Aybala Oktay Serpil Karaoğlanoğlu Fulya Toksoy Topçu

https://doi.org/10.17567/ataunidfd.425886

Öz

Amaç: Gülme sırasında diş
etinin fazla görünmesi olarak adlandırılan gummy smile hastalar açısından
estetik problem yaratmaktadır. Bu vaka paylaşımında güncel ve teknolojik
tedaviler ışığında kısa kuron boyu ve diasteması olan hastanın estetik
sıkıntılarının multidisipliner bir yaklaşımla giderilmesi anlatılmaktadır.

Materyal-Metot: 40 yaşındaki bayan
hasta, gülme sırasında diş etlerinin fazla görünmesi ve dişleri arasındaki
boşluklardan rahatsız olduğunu belirterek kliniğimize başvurdu. Hastanın
yapılan klinik ve radyolojik muayeneleri sonucu sistemik ve periodontal olarak
bir hastalık bulgusu saptanmadı. Kuron boyu yükseltme ve porselen laminate
yapımı prosedürlerini kabul eden hastanın tedavi planlaması yapıldı. Kuron
boylarını ideal yüksekliğe getirmek için apikale pozisyone flap, kemik
rezeksiyonu ve frenektomi işlemleri yapıldı. Dişetlerinin iyileşmesini takiben
anterior dişler porselen laminate yapımı için minimal girişimsel yaklaşımla
hazırlandı. CAD/CAM teknolojisi kullanılarak üretilen laminate venerler dual
sertleşen rezin ile simante edilerek hastanın tedavisi bitirildi.

Tartışma: Gummy smile
tedavisinde apikale pozisyone flap, uzun tedavi süresi gerektiren ortodontik
tedaviye ya da daha zor işlem prosedürleri plan ortognatik cerrahiye  alternatif olarak tercih edilebilir. Laminate
venerler ise uygun endikasyonlarda daha estetik ve minimal preperasyonla daha
konservatif tedavi seçeneği sunmaktadır.

Sonuç: Gummy smile ve
diastema vakalarında farklı tedavi seçenekleri vardır. Hastanın beklentileri de
göz önüne alınarak buna göre bir tedavi planı yapılması başarıda önemli rol
oynamaktadır.

Anahtar kelimeler: Gummy smile, dental
laminate, CAD/CAM

A MULTI-DISCIPLINARY APPROACH IN GUMMY SMILE AND DIASTEMA TREATMENT: CASE
PRESENTATION

ABSTRACT

Purpose: Gummy smile, which is the name
given to the over-visibility of the gums while smiling, causes problems for
patients from the aesthetic perspective. This case presentation explains the
elimination of the aesthetic problems of a patient, who has short crown length
and diastema, using a multi-disciplinary approach in light of the contemporary
and technological treatments.

Material-Method: A 40-year old female
patient has applied at our clinic stating that she was disturbed with the
over-visibility of her gums and the gaps between her teeth when she smiled. Any
systemic or periodontal disease was not identified as a result of the patient’s
clinical and radiological examinations. The patient accepted the crown length
extension and porcelain laminate procedures and her treatment was planned.
Apically positioned flap, bone resection and frenectomy procedures were carried
out in order to bring the crown lengths to the ideal height. Following the
recovery of the gums, the anterior teeth were prepared with a minimal invasive
approach for porcelain laminate application. The patient’s treatment was
completed after the laminate veneers produced using the CAD/CAM technology were
cemented using dual-cure resin.

Discussion: The apically positioned
flap method used in gummy smile treatment may be preferred as an alternative to
orthodontic treatment, which requires a long time, or orthognathic surgery,
which necessities more difficult treatment procedures. And, laminate veneers
offer a more aesthetic and more conservative treatment approach with minimal
preparation, in patients with compatible indications.

Conclusion: There are different
treatment options in gummy smile and diastema cases. Preparing a treatment plan
considering the patient’s expectations play a key role in the success of the
treatment.

Key Words: Gummy smile, dental
laminate, CAD/CAM

Anahtar Kelimeler

Gummy smile, dental laminate

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