Reconstrução papilar associada à reabilitação protética

Abstract

Increasingly society emphasizes the need for a favorable aesthetic, patients seek cosmetic treatments to improve the aesthetics of the smile but, beyond the teeth, the gingiva is a fundamental factor in the composition of a harmonious smile. Among the problems that affect gingival aesthetics, the recession is the main one. It affects the vestibular and interproximal areas with consequent functional and aesthetic discomfort. In turn, the success of papilla reconstructions is directly related to the level of insertion loss in these areas. Objective: The objective of this study was to present a clinical case where papillary reconstruction was performed associated with crowns rehabilitations. Materials and Methods: Patient with black space in the upper central incisor region, aesthetic discomfort and gingival recession Type 1 (Cairo classification). There was also a low insertion of the Upper Lip Fraenum. Thus, the proposed treatment was a Frenectomy associated with connective tissue graft in the region of the papilla and posterior prosthetic rehabilitation of the teeth. Results: After the postoperative period, the volume of the interdental papilla was increased, which made it possible to make the desired prosthesis. Conclusion: Provided that the requirements regarding classification, surgical and prosthetic technique are met, it is possible to obtain papillary reconstruction, with consequent optimization of gingival aesthetics.