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
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.
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.
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
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,
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
Maxillary impaction by high Le-fort-1 osteotomy
• It is preferred in cases of
increased vertical height of
maxilla.
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