The case shown here is of a 54 year-old female patient presenting an excess of gingival display commonly referred to as a “gummy smile”.
The “gummy smile” is a condition in which an excess of gingiva (gum) is shown when you smile. This condition can be caused by a variety of factors, but the problem here was related to a phenomenon known as “Altered Passive Eruption” (APE) in which excessive amounts of gingiva overlapp the enamel (tooth) limits during tooth eruption resulting in a large quantity of gingiva and a clinical crown appearance that gives the sensation of “short” teeth.
The management of these cases is surgical and in this case consisted of a procedure in which the teeth are lengthened by a technique called the “apically positioned flap”. The patient was highly compliant with treatment and strictly followed both pre- and post-operative instructions given. The post-operative results show a much more pleasant, natural appearing smile. The results obtained with this technique are maintained in the long-term.