A estética periodontal após tratamento ortodôntico: causas, efeitos e possibilidades de regularização do periodonto

This study aims to report a clinical case of gingivectomy in a patient undergoing orthodontic treatment, highlighting the indication, surgical technique, and postoperative follow-up. This is a clinical case report in which conventional scalpel gingivectomy was performed in the anterior maxillary region, extending from canine to canine, using a 15C scalpel blade and a Gracey 11-12 periodontal curette for gingival tissue removal. Photographic records were taken before, during, and after the procedure, along with postoperative follow-up. At the sevenday follow-up, the patient presented good healing, with no gingival tissue irregularities, reporting only discomfort after the surgical dressing came off the following day. The patient continued orthodontic treatment, with approximately one additional year of treatment planned due to dental crowding and deep bite. After this period, a new assessment of the gingival contour will be performed to determine whether additional surgical procedures are necessary. This case highlights the importance of gingivectomy in correcting excess gingival tissue, combined with periodontal and orthodontic follow-up to achieve satisfactory results.