Gummy Smile/Excessive gingival display is a common Esthetic concern for many patients and may be related to self-esteem and confidence of an individual.
It is paramount for the dentist to identify the actual cause, as there may be multiple underlying etiologies, which will further provide assistance in treatment plan.
Differential Diagnosis may include lip length, lip activity, clinical crown length, altered passive and active
eruption, wear with secondary eruption & vertical maxillary excess.
Several treatment options have been proposed to treat Gummy smile and to reduce the gingival exposure including Periodontal surgery, Orthodontics, Orthognathic surgery for skeletal issues and some Nontraditional methods like Botox and Lip Repositioning surgery.
