Abstract
Abstract Excessive gingival display is often an aesthetic concern for patients and a challenge for clinicians. Multiple causes are possible and focused treatment options should be considered. The aim of this article is to emphasise the importance of interdisciplinary treatment for patients presenting with excessive gingival display. A 49-year-old female patient who suffered from prominent teeth and a gummy smile was diagnosed with skeletal and dental Class II relationships and a hypermobile upper lip. Aesthetically pleasing outcomes and stable occlusal function were achieved as a result of orthodontic treatment and a surgical lip repositioning procedure. The outcome was maintained after a two-year follow–up.
Highlights
The present case report demonstrated an interdisciplinary approach to treat a patient who presented with a dental Class II malocclusion
The amount of gingival display was reduced by orthodontic treatment
lip repositioning procedure were subsequently carried out to change the shape of the anterior teeth
Summary
A medium or low smile line with little or no gingival display is considered the most appealing characteristic. A high smile displaying greater than 2~3 mm of maxillary gingiva is considered unpleasant.[3,4,5,6] Patients with a ‘gummy’ smile may have low self-confidence that affects their psychological status. The perception of an excessive gingival display is subjective. Greater than 2 mm of gingival exposure is regarded as unattractive by orthodontists, whereas greater than 4 mm of gingival display is considered unpleasant by patients and laypeople.[7].
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