Gummy Smile

GOODAFTERNOON

Can a New Smile Make You Look More

Intelligent and Successful?

Researchers have found that, people believe that

beautiful with good smile individuals are happier,

sexually warmer, more outgoing, more intelligent,

and more successful than their less attractive

counterparts.The results of this study extend the

attractiveness research and demonstrate that

smile is an important part of the physical

attractiveness and also smile clearly plays a

significant role in the perception that others

have of our appearance and our personality.Dent Clin N Am 51 (2007) 289–297

GUMMY SMILE

Presented by;

Ritu Singhai,BDS Final Yr.

Co-author:-

Dr. Srinivas MDS

Assistant

ProfessorDr.Rahul Chavan MDS

Professor & HOD

wow !!!

“GUMMY SMILE”….!!!!

If “yes”

Ideal smile

A conservative display of approximately

2-3 mm of the marginal gingiva is

generally considered as part of the

ideal esthetic smile.

A gummy smile

• Other terms

High lip line

Prominent maxillary gingiva

• Although a gummy smile is considered a

normal variation of human anatomy, but it

is not accepted esthetically by many

people & hence people with gummy smiles

are very self conscious when they smile.

Gummy Smile: An Esthetic Problem

The smile line or esthetic zone is

determined by several factors,

including:

The shape and size of your lips.

Facial muscles.

The shape and size of your

teeth.

Gingival tissue.

Factors

1.The hyper activity of upper lip

muscles

2.The growth & development of jaw

bone

3.Excessive bulging protrusion of the

upper jaw within the gum tissue,

4.Altered Passive Eruption

5. Short upper lip

6. High Lip Lines

7. Others

Types of Gummy Smiles

Gummy smiles, are classified

according to the amount of gum

tissue that shows in relation to how

much tooth structure is showing

when smiling. 

Class I - Mild Gummy Smiles

If the amount of gum tissue showing when smiling is less

than 25% of the entire length of the teeth.

Class II - Moderate Gummy Smiles

If the amount of gums showing when smiling is between

25% and 50% of the length of the teeth.

Class III - Advanced Gummy Smiles

If the amount of gum tissue showing when

smiling is

between 50% and 100% of the length of the

teeth.

Class IV - Severe  Gummy Smile

If the amount of gum tissue showing when smiling is

greater than 100% of the length of the teeth,

TREATMENT

Multidisplinary Approach

Periodontist

Orthodontist

Oral surgeon

Others

Depending on the nature of specific clinical condition

Gummy smile can be corrected through various

treatment options:

Gingival Corrective / Plastic surgery

Cosmetic Masking (Botulinum toxin type A

(Botox) & Fillers for the neuromuscular

correction)

Surgical lip repositioning.

Orthodontic treatment to move the teeth into

more suitable positions

Maxillofacial surgery to reposition the bone.

LIP EXERCISE

PRE-OPERATIVE

POST -OPERATIVE

Maxillary impaction by high Le-fort-1 osteotomy

• It is preferred in cases of

increased vertical height of

maxilla.

CONCLUSION

Who don’t want good smile… Research on

cosmetic surgery has shown this effect in its

strongest form.

One study used photographs of women

before and after cosmetic surgery and

found that the pictured women were

perceived as more physically attractive,

kinder, more sensitive, sexually warmer,

more responsive, and more likable after

surgery than before it.Dent Clin N Am 51 (2007) 289–297