Abstract
Objective: To describe the harmonization of smile, through gingival plastic surgery in a condition described as gingival smile. Case detail: Patient, female, 21 years old, presented at the FURB Dentistry Clinic, unsatisfied with the red aesthetics of his smile. Periodontal exams were performed, and the periodontal health status was confirmed, and the periodontal plastic surgery was indicated. Previous models, through a proportionality meter of Chu, allowed a correct evaluation of the increase of the clinical crown of the necessary teeth, and maintaining a harmonious proportion of them. This assay, after being tested in the patient through a mockup, served for the assembly of the surgical planning decrease of the red aesthetics. Photographic control was performed before surgery, in the surgery, in the immediate postoperative period, at 7 and at 14, 45, 60 and 90 days after surgery. Results: The results allowed to obtain a completely established gingival contour, concave gingival arc harmonic and absence of discrepancy in the curvatures. Final considerations: It was concluded that the accomplishment of periodontal plastic surgery allowed a satisfactory aesthetic result with reduction of the patient's gingival smile.