Multifunctional anatomical prototypes ( MAPs ): Treatment of excessive gingival display due to altered passive eruption

doi:10.1111/jerd.13041

★ Alto impactoQ1 · DentistryImpact Factor · 5

AutoresIgnacio Pedrinaci, Javier Calatrava, Juan Flores, Adam Hamilton, German O. Gallucci, Mariano Sanz

Por qué importa

El presente artículo describe una estrategia innovadora que integra tecnologías digitales para abordar la sonrisa gingival excesiva derivada de una erupción pasiva alterada. Se detalla un protocolo centrado en la mejora del diagnóstico, la planificación del tratamiento y la ejecución quirúrgica, empleando prototipos anatómicos multifuncionales (MAPs) diseñados digitalmente. Estos prototipos no solo facilitan la comunicación de resultados esperados al paciente mediante visualizaciones personalizadas, sino que también actúan como guías quirúrgicas, señalando puntos anatómicos clave para procedimientos como la aligeramiento coronal. La metodología propuesta busca optimizar la precisión y predecibilidad de los resultados a largo plazo, alineándose con principios biológicos y funcionales dentro de un flujo de trabajo digital, lo cual es crucial para cumplir las expectativas estéticas del paciente de manera predecible y duradera.

Abstract original

Objective To describe a strategy using digital technologies for improving the diagnosis, treatment planning, and surgical execution of patients with excessive gingival display (EGD) due to altered passive eruption (APE). Clinical Considerations An important component for successful patient's management is to fulfill their esthetic expectations whilst delivering predictable and long‐term therapeutic outcomes. To achieve this goal in patients with excessive gingival display due to altered passive eruption, it is essential to perform an accurate diagnosis and to communicate to the patient the expected customized results using digital technologies. Computer‐aided designed and manufactured multifunctional anatomical prototypes (MAPs) may contribute to these purposes. Additionally, they can guide the surgical crown lengthening procedure or serve as a reference during the surgical guide fabrication providing information of the required anatomical landmarks. Conclusions This novel strategy protocol for diagnosis, communication, and treatment management of patients with excessive gingival display follows functional and biological principles within the frame of a digital workflow, which improves the diagnostic capabilities, enhances communication, and guides the surgical treatment as shown in the 12 months follow‐up of the reported case. Clinical Significance Developing a virtual patient by combining multiple digital data sets including cone‐beam computed tomography (CBCT), intra‐oral scans and digital photography, supports the clinician and the patient to achieve a comprehensive diagnosis and to better communicate the expected results to the patient. Furthermore, this digital treatment exercise based on anatomical and biological principles will facilitate the surgical precision and the achievement of successful outcomes, thus fulfilling the patient needs and expectations.

Leer texto completo ↗DOI · 10.1111/jerd.13041

Autores Doctor&Cols

Cómo citar

Pedrinaci I, Calatrava J, Flores J, Hamilton A, Gallucci GO, Sanz M. Multifunctional anatomical prototypes ( MAPs ): Treatment of excessive gingival display due to altered passive eruption. Journal of Esthetic and Restorative Dentistry. 2023. doi:10.1111/jerd.13041