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The phenomenon of excessive gum visibility under the upper lip is called a Gummy Smile. From an aesthetic perspective, excessive gum exposure is not considered a desirable aesthetic approach. Ideally, during a smile, the upper lip should be limited to the zenith points indicated in the images below, covering the healthy gingival papilla and aligning with healthy teeth. Therefore, if the upper lip's boundary during smiling ends at least 2 mm above a straight line drawn parallel to the ground level from the zenith points of the central teeth, a Gummy Smile will occur.
Although a Gummy Smile is a common condition, it is not pathological. It is merely a factor affecting smile harmony. It is observed in 10.5-29% of young adults and is more frequently seen in women.
The causes of a Gummy Smile can be listed as follows. These factors can be seen individually or in combination:
To achieve the desired outcome in Gummy Smile treatments, the treatment method chosen depends on whether the condition is symmetrical/asymmetrical and the volume of visible gum tissue. These treatment methods can also be used in combination. Treatment methods include:
No. This is a painless procedure. Additionally, since the procedure is performed under local anesthesia, the patient does not experience any pain during the procedure. Moreover, any post-operative pain is minimal and can be easily managed with painkillers, ensuring patient comfort. Orthognathic surgery (for severe Gummy Smile cases and excessive vertical maxillary growth) is performed under general anesthesia, and post-operative pain and swelling are minimized with medical support to ensure patient comfort.
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