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New approach to the gummy smile
F Ezquerra1, M J Berrazueta, A Ruiz-Capillas
1ezquerra@mundivia.es
Plastic and Reconstructive Surgery
|February 2, 2000
Summary
This study introduces a comprehensive approach to analyzing and treating the gingival smile by evaluating lip dynamics, gums, and the maxilla. Treatments target delayed passive eruption, long face syndrome, and lip elongation for improved gingival exposure.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
- Cosmetic Dentistry
Background:
- The gingival smile, a key aesthetic component, involves dynamic lip movement and static elements of the gums and maxilla.
- Understanding the interplay between these components is crucial for effective treatment planning.
Observation:
- A multidisciplinary evaluation assesses the dynamic lip component (repose vs. smiling) and static gum and maxillary elements.
- Specific conditions like delayed passive eruption, long face syndrome, and lip hyperfunction are identified.
Findings:
- Treatment strategies are tailored to specific diagnoses: gingival remodeling for delayed passive eruption, maxillary procedures for long face syndrome, and lip elongation techniques.
- An intraoral approach involving frenulum incision and dissection is recommended for delayed passive eruption with hyperactive lip elevators to reduce gingival display.
Implications:
- This integrated approach allows for targeted interventions to correct gummy smiles.
- Optimizing the gingival smile enhances facial aesthetics and patient satisfaction.