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This study aimed to investigate the prevalence of clinical features of temporomandibular disorders (TMD) in patients with fibromyalgia. The test group (FMG) consisted of 40 women with fibromyalgia (FM) compared to the control group of 40 healthy subjects using the research diagnostic criteria for temporomandibular disorders (RDC/TMD). The variables were compared using Fisher's exact test and a Mann-Whitney test. Facial pain was reported by 85% of the FM group, and 77.5% were diagnosed with myofascial TMD. Muscle pain during jaw movements, daytime bruxism/clenching, and limited mouth opening were significantly higher in the test group. There was no difference between groups in: (1) joint noises; (2) sleep bruxism/clenching; and (3) excursive or non-excursive movements. Classic signs of TMD, such as joint noise and self-reporting of clenching at night, are not associated with fibromyalgia syndrome as demonstrated in the current study. However, the self-reported daytime parafunctions, muscle pain in jaw movements, and limited mouth opening are features of the patients in the current study. This study revealed specific muscle involvement of TMD is also presence in FM.

The use of periodontal surgery to treat the condition of gummy smile is an essentially aesthetic approach and plays an important role in raising the self-esteem of patients. Effective treatment requires identification of the best technique for the correction, and the long-term predictability of the procedure. Objective: The aim of this study was to conduct an integrative review of scientific evidence relating to the periodontal surgery techniques used to treat gummy smile. Method and Materials: According to the inclusion and exclusion criteria A total of five (05) articles from the PubMed, Scopus and Web of Science databases were analyzed. The majority of cases found featured women, and the average age was 26 years. In most cases, the predominant surgical technique was based on the use of gingivectomy with osteotomy, with a follow-up period of around 6 months. Conclusion: This review revealed a serious lack of controlled and randomized clinical studies into the use of periodontal surgery to treat gummy smiles and highlighted a need for longitudinal clinical studies, with greater evidence, about the best type of periodontal surgery for this purpose.

Clinical and esthetic alterations on the adjacent/non-adjacent teeth can lead to clinical and esthetic alterations, which must be considered in surgical planning.