Title: 1971 - Providing Dynamic Smile and Gingival Contour With Surgical and Hyaluronic Acid Applications: A Case Report


Ozge Uysal (Presenter)
Abant Izzet Baysal University

Gulbahar Ustaoglu, Abant Izzet Baysal University Faculty of Dentistry
Ugur Alpar, Abant Izzet Baysal University Faculty of Dentistry
Hulya Cetin, Abant Izzet Baysal University


Objectives: The aesthetics of a smile has become increasingly important in the practice of modern restorative dentistry. The contour of the gingival tissue surrounding the teeth and interdental papilla also play an important role in providing an optimal aesthetic appearance in the maxillary anterior sextant and affects the harmonious appearance of a smile.
The purpose of this case report was to highlight the ability of combined treatment of gingivectomy and hyaluronic acid (HA) application in providing dentogingival aesthetic.

Methods: A 36 year -old woman patient has old and incompatible porcelain restoration of maxilla anterior region. There was mucogingival stress due to the frenulum attachment in the 11th and 21th tooth regions. Also there were level and contour differences in gingival margins of teeth. First of all frenectomy has done and then gingivectomy was performed on all anterior and premolar teeth of the right and left maxilla. Gingiva was formed with temporary crowns. Root canal treatments of maxillary anterior teeth were retreated. After two weeks hyaluronic acid (HA)was applied to interdental papilla of region 11 and 21 teeth. Final full ceramic restorations has been done after three weeks.

Results: Ideal gingival contour has been provided by gingivectomy procedures and interdental papillae were also recovered by hyaluronic acid injection and temporary crown restorations. So esthetic, phonetic and food impaction problems of the patient have been overcome.

Conclusions: In conclusion, gingivectomy is a viable option for facilitating restorative therapy or improving esthetic appearance. Also There are very few non-surgical techniques to regenerate interdental papilla, one of them is HA use. Furthermore, an accurate diagnostic and interdisciplinary approach is mandatory for obtaining improved, conservative, and predictable results in esthetic areas.In this case report A good fit between the prosthesis and papillas were obtained.

Student Presenter

Disclosure Statement:
The submitter must disclose the names of the organizations with which any author have a relationship, the nature of the relationship, and the clinical or research area involved. The following is submitted: NONE