Gummy smile, also known as excessive gingival display, is a smile that shows an excessive amount of gum under the upper lip. It is a common unaesthetic clinical condition, which can be caused by an abnormal dental eruption (delayed passive eruption), hyperfunction of the upper

lip The lips are the visible body part at the mouth of many animals, including humans. Lips are soft, movable, and serve as the opening for food intake and in the articulation of sound and speech. Human lips are a tactile sensory organ, and can be ...

elevator muscle, excessive vertical growth of the

maxilla The maxilla (plural: ''maxillae'' ) in vertebrates is the upper fixed (not fixed in Neopterygii) bone of the jaw formed from the fusion of two maxillary bones. In humans, the upper jaw includes the hard palate in the front of the mouth. The t ...

bone, over-eruption of the maxillary anterior teeth, or a combination of the above described factors. Several treatment options have been proposed to enhance the smile display and to reduce the

gingival The gums or gingiva (plural: ''gingivae'') consist of the mucosal tissue that lies over the mandible and maxilla inside the mouth. Gum health and disease can have an effect on general health. Structure The gums are part of the soft tissue linin ...

exposure.

Treatment

Treatment option include

orthodontics Orthodontics is a dentistry specialty that addresses the diagnosis, prevention, management, and correction of mal-positioned teeth and jaws, and misaligned bite patterns. It may also address the modification of facial growth, known as dentofacial ...

surgery Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pat ...

(

gingivectomy Gingivectomy is a dental procedure in which a dentist or oral surgeon cuts away part of the gums in the mouth (the '' gingiva''). It is the oldest surgical approach in periodontal therapy and is usually done for improvement of aesthetics or p ...

botulinum toxin A Botulinum toxin, or botulinum neurotoxin (BoNT), is a neurotoxic protein produced by the bacterium ''Clostridium botulinum'' and related species. It prevents the release of the neurotransmitter acetylcholine from axon endings at the neuromusc ...

injections, and micro-autologous fat transplantation (MAFT). Botox is considered one of the safest and most widely used injectables. Botox ( BTX-A) has been successful in the treatment of gummy smiles. Botox lip flip can last for an average of 6 months. The material is injected into the hyperactive muscles of upper lip, which causes a reduction in the upward movement of lip thus resulting in a smile with a less exposure of

gingiva The gums or gingiva (plural: ''gingivae'') consist of the mucosal tissue that lies over the mandible and maxilla inside the mouth. Gum health and disease can have an effect on general health. Structure The gums are part of the soft tissue lini ...

. Botox is usually injected in the three lip elevator muscles that converge on the lateral side of the ala of the nose; the

levator labii superioris The levator labii superioris (pl. ''levatores labii superioris'', also called quadratus labii superioris, pl. ''quadrati labii superioris'') is a muscle of the human body used in facial expression. It is a broad sheet, the origin of which extends ...

(LLS), the

levator labii superioris alaeque nasi muscle The levator labii superioris alaeque nasi muscle is, translated from Latin, the "lifter of both the upper lip and of the wing of the nose". It has the longest name of any muscle in an animal. The muscle is attached to the upper frontal process of ...

(LLSAN), and the

zygomaticus minor The zygomaticus minor muscle is a muscle of facial expression. It originates from the zygomatic bone, lateral to the rest of the levator labii superioris muscle, and inserts into the outer part of the upper lip. It draws the upper lip backward, up ...

(ZMi).

References

{{Reflist, 32em Dentistry