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Original Research

Open Access

Gummy smile: clinical parameters useful for diagnosis and therapeutical approach

  • Annalisa Monaco1
  • Oriana Streni1
  • Maria Chiara Marci1
  • Giuseppe Marzo1
  • Roberto Gatto1
  • Mario Giannoni1,*,

1Department of Odontostomatological Clinic, School of Dentistry, University of L’Aquila, Via Vetoio delta 6 CAP 67100 L’Aquila, Italy

DOI: 10.17796/jcpd.29.1.y01l3r4m06q3k2x0 Vol.29,Issue 1,January 2005 pp.19-26

Published: 01 January 2005

*Corresponding Author(s): Mario Giannoni E-mail: annalisamonaco@yahoo.it

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Abstract

In the analysis of the characteristics of a pleasant smile, a gummy smile has negative components, which most affect the esthetics of non-verbal communication. For this purpose a proposed classification based upon etiopathogenetic criteria as useful indications for a therapeutical approach is given.The nature of a high smile line can be: dento-gingival, connected to an abnormal dental eruption, which is revealed by a short clinic crown; muscular, caused by an hyperactivity of the elevator muscle of the upper lip; dento-alveolar (skeletal), due to an excessive protuberance or vertical growth of the jawbone (maxillary); lastly, a mixed nature, in the presence of more than one of the above described factors.The diagnosis of gummy smile must be precocious and based, with reference to specific parameters, upon a careful analysis of the etiopathogenetic factors and the degree of seriousness of the alteration. A correct treatment plan must contemplate the possibility of an orthognatodontic, orthopedic and/or surgical therapeutic resolution considering the seriousness and complexity of the gums exposures (high smile line) in connection with the age of the subject.

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Annalisa Monaco,Oriana Streni,Maria Chiara Marci,Giuseppe Marzo,Roberto Gatto,Mario Giannoni. Gummy smile: clinical parameters useful for diagnosis and therapeutical approach. Journal of Clinical Pediatric Dentistry. 2005. 29(1);19-26.

URL:

https://www.jocpd.com/articles/10.17796/jcpd.29.1.y01l3r4m06q3k2x0

References

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