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Aplicação do Digital Smile Design no tratamento do sorriso gengival
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Um sorriso com mais de 2mm de gengiva exposta é chamado sorriso gengival. Um sorriso
gengival afeta a estética, o estado psicológico e geralmente diminui a autoconfiança. A
aplicação do DSD permite a análise detalhada e meticulosa do sorriso. O DSD permite
abordar todas as etiologias do sorriso gengival à exceção das situações clinicas com
componente esquelética e ajuda no exame de todos os parâmetros estéticos a serem
analisados para facilitar e evitar erros de diagnóstico, de comunicação e do planeamento
a fim de ter um resultado final previsível e próximo da simulação previamente realizada.
A visão estética do medico dentista pode ser confrontada e modelada com a visão do
paciente para transformar noções subjetivas de um sorriso estético numa noção objetiva
e defini com sucesso o resultado final, antes da sua implementação. Existe o risco de
simulações serem impraticáveis porque, alguns parâmetros não podem ser preditos com
precisão em particular : fatores biológicos, fatores relacionados a casos, fatores
relacionados com o operador.
Material e método: pesquisa bibliográfica em bases de dados eletrônicos médicos
(PUBMED, B-ON, Science direct, Researchgate), utilizando palavras-chave: “digital
smile design”, “gummy smile”, “virtual smile design”, “DSD”, “ VSD”, “sorriso
gengival” em diferentes combinações.
Critérios para inclusão: artigos completos respondendo palavras-chave em combinações,
revisões e trabalhos listados em sites de referência (pubmed, science direct,
Researchgate), em língua português, inglês, e francês, estudos sobre humanos com um
intervalo de tempo entre 2000 e 2017.
A smile with more than 2mm of exposed gingiva is called gummy smile. A gummy smile affects the aesthetic, the psychological state and generally decreases self-confidence. The application of DSD allows the detailed and meticulous analysis of the smile. The DSD allows to approach all etiologies of the gummy smile except for clinical situations with skeletal component and helps in the examination of all aesthetic parameters to be analyzed to facilitate and avoid errors of diagnosis, communication and planning in order to have a predictable final result and close to the simulation previously performed. The aesthetic vision of the dentist can be confronted and modeled with the patient's vision to transform subjective notions of an aesthetic smile into an objective notion and successfully define the final result before its implementation. There is a risk that simulations are impractical because some parameters can not be accurately predicted : biological factors, factors related to cases, factors related to the operator. Material and methods: bibliographic research in medical electronic databases (PUBMED, B-ON, Science direct, PMC) using keywords: “digital smile design”, “gummy smile”, “virtual smile design”, “DSD”, “ VSD”, “sorriso gengival” in different combinations. Criteria for inclusion: complete articles by answering keywords in combinations, reviews and works listed on reference sites (pubmed, science direct, Researchgate), in Portuguese, English, and French language with a time interval between 2000-2018.
A smile with more than 2mm of exposed gingiva is called gummy smile. A gummy smile affects the aesthetic, the psychological state and generally decreases self-confidence. The application of DSD allows the detailed and meticulous analysis of the smile. The DSD allows to approach all etiologies of the gummy smile except for clinical situations with skeletal component and helps in the examination of all aesthetic parameters to be analyzed to facilitate and avoid errors of diagnosis, communication and planning in order to have a predictable final result and close to the simulation previously performed. The aesthetic vision of the dentist can be confronted and modeled with the patient's vision to transform subjective notions of an aesthetic smile into an objective notion and successfully define the final result before its implementation. There is a risk that simulations are impractical because some parameters can not be accurately predicted : biological factors, factors related to cases, factors related to the operator. Material and methods: bibliographic research in medical electronic databases (PUBMED, B-ON, Science direct, PMC) using keywords: “digital smile design”, “gummy smile”, “virtual smile design”, “DSD”, “ VSD”, “sorriso gengival” in different combinations. Criteria for inclusion: complete articles by answering keywords in combinations, reviews and works listed on reference sites (pubmed, science direct, Researchgate), in Portuguese, English, and French language with a time interval between 2000-2018.
Descrição
Palavras-chave
Digital smile design Gummy smile Virtual smile design DSD DSD AND gummy smile VSD AND gummy smile Sorriso gengival