RESUMO
Excessive gingival display (EGD) is a common esthetic concern. Lip repositioning surgery (LRS) was introduced as one of the treatment options to manage EGD. LRS can be used for skeletally and/or muscularly induced EGD. The present case series applied LRS using an Er,Cr:YSGG laser to treat 24 patients with minor vertical maxillary overgrowth or a hypermobile lip. At 6 months, the gingival display had decreased by 3.79 ± 1.59 mm (mean ± standard deviation), and the visible lip body when smiling had increased by 1.23 ± 0.74 mm. A questionnaire revealed that the level of satisfaction with the smile increased among the patients and that they had a positive attitude toward Er,Cr:YSGG laser-assisted LRS.
Assuntos
Gengivectomia , Lasers de Estado Sólido , Estética Dentária , Humanos , Lábio , SorrisoRESUMO
Narrow dentoalveolar ridges remain a serious challenge for the successful placement of endosseous implants. This case series describes a modification of previous ridge-splitting techniques using a microsaw blade. The approach enables treatment of ridges as thin as 2.5 mm at the alveolar crest and simultaneous placement of dental implants. In one extreme case reported here, where the crest width was less than 2.5 mm, a two-stage approach was used; implants were placed about 1 month after ridge expansion. In the 10 patients treated in this series, 27 dental implants were placed and achieved successful integration.
Assuntos
Aumento do Rebordo Alveolar/instrumentação , Aumento do Rebordo Alveolar/métodos , Implantação Dentária Endóssea , Implantes Dentários , Planejamento de Prótese Dentária , HumanosRESUMO
A variety of treatment modalities have been proposed for the management of peri-implantitis. These are mostly based on empiric experience and use the systemic administration of an antibiotic in conjunction with surgical intervention. To ensure decontamination of the affected implant surface(s), chemical and/or mechanical debridement is used. For textured implant surfaces, detoxification using implantoplasty could also give favorable results when used as part of the procedure. Two cases are reported in which implants developed localized peri-implantitis lesions. Implantoplasty followed by topical tetracycline decontamination was used in conjunction with guided bone regeneration. In both cases, the procedures were effective in arresting disease and regenerating lost bone. These results suggest that the technique holds promise and should be investigated further.
