{"id":610,"date":"2021-12-02T19:51:01","date_gmt":"2021-12-02T22:51:01","guid":{"rendered":"https:\/\/vilelaoraldesign.com.br\/cursos\/?p=610"},"modified":"2022-07-15T13:39:03","modified_gmt":"2022-07-15T16:39:03","slug":"sorriso-gengival-o-que-voce-precisa-saber-para-diagnosticar-essa-condicao","status":"publish","type":"post","link":"https:\/\/vilelaoraldesign.com.br\/cursos\/sorriso-gengival-o-que-voce-precisa-saber-para-diagnosticar-essa-condicao\/","title":{"rendered":"Sorriso gengival: o que voc\u00ea precisa saber para diagnosticar essa condi\u00e7\u00e3o?"},"content":{"rendered":"\n<p>O aumento da exposi\u00e7\u00e3o gengival leva \u00e0 falta de harmonia entre os elementos do sorriso. Embora n\u00e3o traga ao paciente nenhum preju\u00edzo para a sa\u00fade, vem sendo bastante buscada pelos pacientes a corre\u00e7\u00e3o est\u00e9tica dessa condi\u00e7\u00e3o.<\/p>\n\n\n\n<p><strong>Segundo a literatura, a posi\u00e7\u00e3o do l\u00e1bio em rela\u00e7\u00e3o \u00e0 margem gengival pode ser classificada em:<\/strong><\/p>\n\n\n\n<p>\u2013 Sorriso baixo<\/p>\n\n\n\n<p>Essa condi\u00e7\u00e3o acomete cerca de 20% da popula\u00e7\u00e3o. N\u00e3o h\u00e1 exposi\u00e7\u00e3o de gengiva no sorriso, podendo inclusive o l\u00e1bio superior cobrir parte dos dentes anteriores.<\/p>\n\n\n\n<p>\u2013 Sorriso m\u00e9dio<\/p>\n\n\n\n<p>Aparece em 70% da popula\u00e7\u00e3o e corresponde \u00e0 exposi\u00e7\u00e3o total dos dentes superiores juntamente com uma parte pequena na margem gengival.<\/p>\n\n\n\n<p>\u2013 Sorriso alto<\/p>\n\n\n\n<p>Est\u00e1 presente em 10% da popula\u00e7\u00e3o e ocorre quando h\u00e1 uma exposi\u00e7\u00e3o exagerada da margem gengival no sorriso.<\/p>\n\n\n\n<p>Para ser considerado est\u00e9tico, o l\u00e1bio superior deve se apresentar no n\u00edvel da margem gengival durante o sorriso. \u00c9 considerado sorriso gengival quando essa exposi\u00e7\u00e3o de gengiva \u00e9 maior que 2 mm.<\/p>\n\n\n\n<p>As causas s\u00e3o diversas e cada uma delas demanda um tratamento espec\u00edfico a fim de evitar recidivas. Dentre elas, podemos citar:<\/p>\n\n\n\n<p><strong>&nbsp;Causas relacionadas \u00e0 erup\u00e7\u00e3o<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Erup\u00e7\u00e3o passiva alterada: movimento da margem gengival at\u00e9 a por\u00e7\u00e3o da jun\u00e7\u00e3o cemento-esmalte (JCE) no processo de erup\u00e7\u00e3o dent\u00e1ria.<\/li><li>Erup\u00e7\u00e3o ativa alterada: movimento da erup\u00e7\u00e3o do dente dentro do rebordo alveolar at\u00e9 a cavidade bucal.<\/li><\/ol>\n\n\n\n<p><strong>S\u00e3o as causas mais comuns e podem ser facilmente diagnosticadas por meio de um exame cl\u00ednico periodontal. Podem ser classificadas em:<\/strong><\/p>\n\n\n\n<p>Classe I: EPA tipo I \u2013 excesso gengival associado ao bi\u00f3tipo gengival espesso.<\/p>\n\n\n\n<p>Classe II: EPA tipo II \u2013 excesso gengival associado ao bi\u00f3tipo gengival n\u00e3o espesso.<\/p>\n\n\n\n<p>Classe III: EAA associada \u00e0 EPA tipo I \u2013 excesso \u00f3sseo e gengival associado ao bi\u00f3tipo espesso.<\/p>\n\n\n\n<p>Classe IV: EAA associada \u00e0 EPA tipo II \u2013 excesso \u00f3sseo e gengival associado ao bi\u00f3tipo n\u00e3o espesso.<\/p>\n\n\n\n<p><strong>Outras causas<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"3\"><li>Crescimento vertical excessivo da maxila.<\/li><li>L\u00e1bio superior curto.<\/li><li>Hiperatividade do l\u00e1bio superior.<\/li><li>Hiperplasias gengivais.<\/li><li>Associa\u00e7\u00e3o de um ou mais fatores.<\/li><\/ol>\n\n\n\n<p>Quando observamos o paciente em repouso sem selamento labial, a exposi\u00e7\u00e3o de 5 mm ou mais dos incisivos \u00e9 um fator que clinicamente pode ser observado como sendo altera\u00e7\u00f5es musculoesquel\u00e9ticas. Essas altera\u00e7\u00f5es podem estar associadas a problemas oclusas ou n\u00e3o. Portanto, o diagn\u00f3stico para algum tratamento pr\u00e9vio deve ser feito de maneira correta.<\/p>\n\n\n\n<p>Se para as causas relacionadas \u00e0 erup\u00e7\u00e3o alterada o tratamento o diagn\u00f3stico &nbsp;pode ser realizado por meio da manobra periodontal para se localizar a jun\u00e7\u00e3o esmalte-cemento, as causas relacionadas a altera\u00e7\u00f5es musculares ou esquel\u00e9ticas, ou a associa\u00e7\u00e3o entre elas, requerem uma avalia\u00e7\u00e3o mais detalhada para promover um plano de tratamento que seja mais adequado.<\/p>\n\n\n\n<p>Os tratamentos propostos para a corre\u00e7\u00e3o do sorriso gengival s\u00e3o a gengivoplastia e a gengivectomia, podendo associar o aplainamento \u00f3sseo vestibular nos casos de excesso de volume \u00f3sseo.<\/p>\n\n\n\n<p>A Periodontia ganha cada vez mais espa\u00e7o na est\u00e9tica e, quando associada aos tratamentos reabilitadores, traz excel\u00eancia ao resultado, sendo uma tend\u00eancia os profissionais buscarem conhecimento nessa \u00e1rea.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/vilelaoraldesign.com.br\/cursos\/imersao-em-periodontia-avancada\/\" target=\"_blank\" rel=\"noopener\"><img fetchpriority=\"high\" decoding=\"async\" width=\"768\" height=\"288\" src=\"https:\/\/vilelaoraldesign.com.br\/cursos\/wp-content\/uploads\/2021\/12\/VILELA_ORAL_DESIGN_CTA_01_V1_AM_OK_ANA_OK_NA_OK_MA.jpg\" alt=\"\" class=\"wp-image-611\" srcset=\"https:\/\/vilelaoraldesign.com.br\/cursos\/wp-content\/uploads\/2021\/12\/VILELA_ORAL_DESIGN_CTA_01_V1_AM_OK_ANA_OK_NA_OK_MA.jpg 768w, https:\/\/vilelaoraldesign.com.br\/cursos\/wp-content\/uploads\/2021\/12\/VILELA_ORAL_DESIGN_CTA_01_V1_AM_OK_ANA_OK_NA_OK_MA-300x113.jpg 300w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/><\/a><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>O aumento da exposi\u00e7\u00e3o gengival leva \u00e0 falta de harmonia entre os elementos do sorriso.<\/p>\n","protected":false},"author":3,"featured_media":612,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-610","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sem-categoria"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Sorriso gengival: o que voc\u00ea precisa saber para diagnosticar essa condi\u00e7\u00e3o? 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