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CASE REPORT
Year : 2017  |  Volume : 11  |  Issue : 1  |  Page : 14-18

Correction of gummy smile using digital smile designing in conjugation with crown lengthening by soft-tissue diode laser


1 Private Practitioner, Maulana Azad Institute of Dental Science, New Delhi, India
2 Department of Conservative Dentistry and Endodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India
3 Department of Prosthodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India

Correspondence Address:
Sarika Chaudhry
Department of Conservative Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi - 110 002
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2321-1385.208947

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The digital smile design (DSD) is a software-based system which has been recently introduced in the field of dentistry. It is a precise and efficient method for esthetic rehabilitation as it allows the clinician to visualize and estimate discrepancy of orofacial and dentogingival tissues. This case report presents an interdisciplinary treatment approach for esthetic correction of a 20-year-old female patient who presented with a chief complaint of gummy smile. Through the application of digital smile designing principle, the necessary corrections for achieving a harmonic smile were accurately determined. Wax-up of the master cast was done accordingly. Gingival portion of the master cast was duplicated in clear acrylic resin. This temporary stent guided the gingival contouring which was done using soft-tissue diode laser. Diode laser was found to be safe and useful for soft-tissue management as it ablates soft tissues very precisely, and the wound healing is more favorable. We conclude that the DSD in combination with diode laser seems to be a useful tool to achieve a satisfactory esthetic result, especially in the management of esthetically demanding cases of gummy smile.


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