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Causes of a gummy smile
- Abnormal tooth eruption
- Altered active eruption
- Altered passive eruption
- Upper jaw protrusion
- Hyperactive upper lip
Advantages of a gum lift
- Improves aesthetics of anterior teeth
- Requires minimal removal of soft tissue
- Does not compromise the periodontal structures
- Can correct uneven gingival zeniths
- Can lengthen clinical crown height
Disadvantages of a gum lift
- Morphological characteristics influence smile restoration
- Bony defects may not be correctable
- Fragile gingiva can pose challenges
- Healing problems if base of the pocket is apical to the mucogingival junction
- Not necessary if patient is not affected by aesthetics
Techniques for gum lift
- Gingivectomy by electrosurgery
- Surgical gingivectomy
- Laser gingivectomy
- Surgery vs laser comparison
- Different types of lasers used (Nd:YAG, diode)
Additional information on gum lift procedures
- Surgical Crown Lengthening
- Gingivectomy
- Electrosurgery
- Laser Dentistry
- Additional Resources (American Academy of Cosmetic Dentistry, articles on patients smile at getting long in the tooth)