Treating a gummy smile

Abstract

A person's smile frames the face and, arguably, is the most pleasing and meaningful facial expression, as well as a universal sign of happiness. A gummy smile can be a significant aesthetic concern. Its treatment can have a huge impact on a patient's confidence and, consequently, is highly rewarding for practitioners. A substantial improvement in a gummy smile can be achieved with both non-surgical and surgical interventions. The choice of treatment depends on the underlying aetiology, of which there can be multiple. Treatment modalities include botulinum toxin type A, dermal filler, surgical repositioning of the lip, gingivectomy, crown lengthening or a combination of the aforementioned. For each of these methods, it is important to consider its suitability depending on the underlying causes of the gummy smile and the patient's aesthetic goals, as well as any risks or downtime involved.