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Gummy Smile

Excessive gingival display, commonly referred to as a "Gummy Smile", can be a source of embarrassment for some patients. Delayed eruption and tooth mal-positioning can be predictably treated with respective surgery and orthodontics. In patients with jaw deformities, orthognathic surgery can be performed, but this requires hospitalization and entails significant discomfort.

Alternatives:
- Gum surgery, Veneers, Coronas, and Composites
- Lip Repositioning

Cases Before & After Treatment:

 
Before After   Before After

         
 
Before After   Before After

         
 
Before After   Before After
         

Gmmy Smile Causes:
First it may be a result of delayed eruption. The second possible cause is compensatory eruption of the maxillary teeth with concomitant coronal migration of the attachment apparatus. The third possibility is vertical maxillary excess in which there is an enlarged vertical dimension of the mid-face and "incompetent" lips. Finally, when the patient smiles, if the upper lip moves in an apical direction and exposes the dentition and excessive gingivae, then surgical lip repositioning may be utilized.

Procedure:
This procedure was first described in the plastic surgery literature in 1973 and was recently published in the dental literature.
"It is important to established the etiology responsible for the excessive gingival display."

Surgical lip repositioning is an effective procedure to reduce gingival display by positioning the upper lip in a more coronal location. The long-term stability of the results remains to be seen, but it holds promise as an alternative treatment modality in esthetic rehabilitation.

 
 
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