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Management of Recurrent Gummy Smile After 7 Years: A Case Report
Yu-Ting Yeh1, Steven B Blanchard2
1Assistant Professor, Department of Periodontology, Creighton University School of Dentistry, Omaha, Nebraska.
Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)
|September 24, 2021
Summary
Esthetic crown lengthening corrects gummy smiles but can recur. This case report details managing recurrence after prior periodontal surgery, offering insights into long-term success.
Area of Science:
- Periodontology
- Esthetic Dentistry
Background:
- Esthetic crown lengthening addresses excess gingival display (gummy smile) via soft tissue or bone procedures.
- Long-term healing outcomes like tissue relapse and bone changes post-surgery are not well-documented.
Observation:
- A patient previously treated for a gummy smile 7 years prior experienced recurrence.
- The maxillary anterior region showed signs of the condition returning despite earlier periodontal surgery.
Findings:
- Recurrence of excess gingival display after esthetic crown lengthening is possible.
- Understanding reasons for recurrence is key to successful long-term management.
Implications:
- This case highlights the need for careful diagnosis and management of recurrent gummy smiles.
- Identifying factors contributing to relapse can improve periodontal surgery outcomes and patient satisfaction.
