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Updated: Feb 11, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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[Perfecting smile esthetics: keep it pink!]

Virginie Monnet-Corti1, Angeline Antezack1, Marion Pignoly1

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Achieving ideal smile aesthetics involves analyzing facial and dental data to create a gingival aesthetic score. Periodontal plastic surgery and hyaluronic acid injections can then correct imperfections for a harmonious smile.

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Area of Science:

  • Dentistry
  • Periodontology
  • Aesthetic Medicine

Background:

  • Smile aesthetics integrates numerical, physical, physiological, and psychological beauty parameters, alongside patient desires.
  • Key determinants include lip, tooth, and gingival tissue shape, color, and position.
  • Periodontal examination assesses gingival display, health, contours, aesthetic gingival line, and papillae presence during smiling.

Purpose of the Study:

  • To establish a gingival aesthetic score based on comprehensive data analysis.
  • To identify causes of smile disharmony and guide treatment planning.

Main Methods:

  • Collecting numerical, physical, physiological, and psychological data related to beauty.
  • Performing detailed periodontal examinations (facial and labial settings).
  • Utilizing periodontal plastic surgery techniques (gingivectomy, apically positioned flap, osteoplasty/ostectomy) and hyaluronic acid injections.

Main Results:

  • A gingival aesthetic score can be formulated to diagnose smile disharmonies.
  • Periodontal plastic surgery can alter gingival appearance and morphology.
  • Hyaluronic acid injections can enhance papillae volume and reduce interdental spaces.

Conclusions:

  • A systematic approach to smile aesthetics involves detailed periodontal assessment.
  • Surgical and non-surgical periodontal interventions can significantly improve smile harmony.
  • The gingival aesthetic score serves as a diagnostic and treatment planning tool.