Excessive gingival display: addressing multiple etiologies for optimal esthetic outcomes

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 The apical margin of the mucosa is advanced coronally and sutured to the coronal margin of the attached gingiva, reestablishing the mucogingival junction at a more coronal level (Fig. 7), and effecting a pronounced reduction in gingival display during smile (Fig. 8).

excessive gingival display fig. 7 Edward Gottesman, DDS
Fig. 7: Postoperative view (three weeks) after coronal advancement of mucosal flap margin.

excessive gingival display fig. 8 Edward Gottesman, DDS
Fig. 8: Three weeks postoperative smile view demonstrating pronounced reduction in gingival display (compare with Fig. 1).

When APE coexists with HUL and/or VME, combining this procedure with CL produces optimal results.

GS correction heralds significant esthetic dentistry milestones, allowing restorative dentists, periodontists, orthodontists, and oral surgeons to collaborate optimally in improving gummy smiles and changing people’s lives for the better.