Abstract
Introduction: The search for aesthetic periodontal procedures, especially those involving less invasive treatments, has become a constant in clinical dental practice, especially in cases of gingival smile correction. Objective: to report a clinical case of correction of the red smile aesthetics with sufficiently invasive periodontal plastic with the aid of digital smiledesing (dsd). Case report: Patient J.G.G.L. 25-year-old female, leucoderma, systemically healthy attended the clinical school of dentistry unsatisfied with her smile. The periodontal clinical examination revealed that the patient presented approximately 4 mm of gingival smile and short clinical crowns. The necessary photographic protocol for the digital smile planning was performed in order to verify, through gingivectomy, the amount necessary to increase the clinical crowns of each element. The surgical technique indicated for the case was gingivectomy with osteotomy sufficiently invasive, that is, without lifting the flap in the incisors and upper canines. After 120 days of the surgical procedure, the results revealed a significant increase of the clinical crowns and reduction of the gingival smile in 3mm. Conclusion: Surgery with a sufficiently invasive osteotomy, planned with the aid of DSD, presents predictability of the result and increases the success of the periodontal surgical procedure.