Abstract

PADILLA-AVALOS, César-Augusto  and  MARROQUIN-SOTO, Consuelo. Aesthetic treatment of the gummy smile. Rev. Estomatol. Herediana [online]. 2023, vol.33, n.1, pp.62-67.  Epub Mar 31, 2023. ISSN 1019-4355.  http://dx.doi.org/10.20453/reh.v33i1.4436.

Excessive gingival exposure is a condition known as a gummy smile. This generates in many cases dissatisfaction and request for treatment by patients. This excess of gingival exposure could be due to different etiologies such as vertical maxillary excess, a short and mobile upper lip, altered passive eruption, dentoalveolar extrusion in the anterior sector or a combination of these causes. The treatment approach will depend on the diagnosis, the complexity of the case and the expectations of each patient. Therefore, the main therapeutic routes are clinical crown lengthening, lip repositioning, orthognathic surgery, or the application of botulinum toxin. For this, the advantages and limitations of each aesthetic treatment must be considered, to guarantee predictability and success.

Keywords : Gingiva; dental esthetics; Smiling.

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