AESTHETIC AND FUNCTIONAL SMILE REHABILITATION: AN INTERDISCIPLINARY APPROACH INVOLVING PINK AND WHITE AESTHETICS – A CLINICAL CASE REPORT

Abstract

In contemporary dentistry, smile aesthetics has a direct influence on patients’ self-esteem, self-confidence, and quality of life, leading to an increasing demand for treatments that promote harmony between gingival aesthetics (pink aesthetics) and dental aesthetics (white aesthetics). Conditions such as gummy smile, often associated with altered passive eruption, may compromise this harmony and require an interdisciplinary approach. The aim of this study was to report a clinical case of esthetic and functional smile rehabilitation through the association of periodontal surgery and direct composite resin veneers. This is a clinical case report of a 42-year-old female patient who presented esthetic dissatisfaction related to the shape, color, and proportion of the anterior teeth, associated with excessive gingival display. Treatment planning included photographic records, digital smile design, diagnostic waxing, and mock-up fabrication, providing predictability and safety throughout the clinical procedures. Initially, clinical crown lengthening surgery associated with gingivoplasty was performed in the anterior maxillary region, with repositioning of the alveolar bone crest in accordance with biological parameters. After adequate periodontal healing, in-office tooth whitening was carried out, followed by esthetic rehabilitation using direct composite resin veneers, following an adhesive protocol under rubber dam isolation and stratification technique. The results demonstrated stability of the gingival margins, proper esthetic integration of the restorations, and reestablishment of smile harmony. It can be concluded that the interdisciplinary approach between periodontics and restorative dentistry was effective and predictable, highlighting the importance of meticulous planning and the role of restorative dentistry in minimally invasive esthetic reanatomization, resulting in high patient satisfaction and a positive impact on self-esteem and quality of life.