Gummy smile treatment

Excessive gingival display can result from altered passive eruption, vertical maxillary excess, or hyperactive upper lip musculature. Accurate diagnosis of the underlying etiology is essential to selecting the correct treatment approach and predicting a stable long-term result.

When altered passive eruption is the cause — the most common scenario — laser gingivectomy and gingival recontouring using the Fotona Er:YAG system is an effective, minimally invasive solution. The laser allows precise, controlled reshaping of the gingival margin to reveal more clinical crown length, performed under local anesthesia with minimal post-operative discomfort and fast tissue healing.

Pre-treatment evaluation includes osseous sounding to assess the position of the underlying alveolar bone crest. Where bone crest position requires it, osseous crown lengthening is incorporated and discussed with the patient before treatment proceeds.