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Gingivectomy is the surgical removal of gum tissue. This procedure is used to treat gum disease and to eliminate deep pockets resulting from the detachment of gums from the teeth, or for esthetic reasons. Currently, gingivectomy is the most common procedure performed with dental lasers. All laser wavelengths can be used to precisely incise the gum for restorative, cosmetic and periodontal purposes. Rapid healing and reduced pain are frequently observed after gingivectomy and patients do not require periodontal dressings or sutures. Key words: esthetic, laser, gingivectomy, smile, surgery.

Periodontal prosthodontic surgery plays a major role in the integration of aesthetic and functional prosthetic restorations, including in the anterior area. Indeed, any dento-gingival disharmony of volume or shape must be corrected beforehand, thus justify a plastic periodontal surgery.This is a 20-year-old patient, who consulted for essentially aesthetic motive: the restoration of the fracture 11. Clinical examination revealed the presence of a defective provisional prosthesis on 11, an unsightly filling composite resin on the 21, asymmetry of the gingival contour, as well as a low located upper labial brake. Juxta-bone decay of the lingual wall of the 11 was prominent on the retro-alveolar.To meet the growing aesthetic demand of the patient, a multidisciplinary care was considered: a gingivectomy has been carried out, in order to align the collar of the 11 with that of the 21, associated with a coronal elongation landscaping biological space on the lingual side of the 11. And to optimize the therapeutic outcome, a frenectomy of the upper labial brake was performed.