MANAJEMEN GUMMY SMILE; SEBUAH TINJAUAN PUSTAKA

Ayu Rahayu Feblina, Hasanuddin Thahir

Abstract


Introduction: Excessive exposure of the gums, especially more than 3 mm while smiling is known as a gummy smile, caused by multifactorial etiology and managed with various techniques. The prevalence of gummy smiles is 10% of the age of the population between 20 – 30 years and is more common in women than men. This review purpose to discuss the best treatment for the gummy smile in relation to the etiologies of the cases, the indication, and contraindication for each treatment. Review: The etiology of a gummy smile is multifactorial, for example, gingival hyperplasia, changes in the eruption of permanent teeth, excess maxillary growth deficiency, lack of lip support produced by marked depression from the maxilla, and hyperactive and/or asymmetrical movements of the upper lip. A gummy smile can be treated by using several techniques, such as orthodontic surgery, gingivectomy or crown lengthening, botox injection, myotomy of the lip elevator muscles, and surgical lip repositioning. A gummy smile can be a significant esthetic concern for patients. Understanding the etiology can be challenging due to the multiple factors that may be concomitantly involved. Accurate diagnosis and treatment planning are critical for proper management. Conclusion: The therapeutic procedure for the gummy smile condition will depend on the etiology and the sincerity of the case that can remove the excess gingival tissue and remodeling to make an aesthetic approach to smile.


Keywords


Aesthetic Periodontal; Gummy Smile; Treatment

References


Tawfik OK, El-Nahass HE, Shipman P, Looney SW, Cutler CW, Brunner M. Lip repositioning for the treatment of excess gingival display: A systematic review. J Esthet Restor Dent. 2018;30(2):101-112. doi:10.1111/jerd.12352

Thahir H, Djais AI, Wendy S, Achmad MH, Akbar FH. Management of maxillary labial frenum with comparison of conventional and incision below the clamp techniques: a case report. J Dentomaxillofacial Sci. 2018;3(1):61. doi:10.15562/jdmfs.v3i1.634

Pedron IG, Mangano A. Gummy Smile Correction Using Botulinum Toxin With Respective Gingival Surgery. J Dent (Shiraz, Iran). 2018;19(3):248-252. http://www.ncbi.nlm.nih.gov/pubmed/30175196%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC6092459.

Moura D, Lima E, Lins R, Souza R, Martins A, Gurgel B. The treatment of gummy smile. Rev clínica periodoncia, Implantol y Rehabil oral. 2017;10(1):26-28. doi:10.4067/s0719-01072017000100026

Gupta N, Kohli S. Evaluation of a Neurotoxin as an Adjunctive Treatment Modality for the Management of Gummy Smile. Indian Dermatol Online J. 2018;10(5):560-563.

Asha Ramesh, Radha Vellayappan, Sheethalan Ravi KG. Esthetic lip repositioning: A cosmetic approach for correction of gummy smile –. J Indian Soc Periodontol. 2019;23(May):290-294. doi:10.4103/jisp.jisp

Asmaa Mohammad Alammar OAH. Lip repositioning with a myotomy of the elevator muscles for the management of a gummy smile. Dent Med Probl. 2018;55(3):241-246. doi:10.17219/dmp/92317

Deepthi K, Yadalam U, Ranjan R, Narayan SJ. Lip repositioning, an alternative treatment of gummy smile – A case report. J Oral Biol Craniofacial Res. 2018;8(3):231-233. doi:10.1016/j.jobcr.2017.09.007

Cohen E. Atlas Cosmetic and Reconstructive Periodontal Surgery. 3rd ed.; 2007.

Tondas AE, Kurnikasari E, Prostodonsia P, et al. Smile reconstruction with 6 upper anterior restoration in tetracycline discoloration and enamel hypoplasia. (13).

Rachel Yuanithea, Yuniarti Soeroso AI. Management of Gummy Smile with Biometric Approach and Smile Design. 3rd Periodontic Semin (PERIOS 3). 2017:49-54.

Mahardawi B, Chaisamut T, Wongsirichat N. Gummy smile: A review of etiology, manifestations, and treatment. Siriraj Med J. 2019;71(2):168-174. doi:10.33192/Smj.2019.26

Gonçalves KJ, Agnoletto GG, Da Cunha LF, Storrer CM, Deliberador TM. Periodontal plastic surgery for treatment of gummy smile with cosmetic restauration treatment. Rsbo. 2017;1(1):50. doi:10.21726/rsbo.v1i1.386

Rukmana A, Mappangara S, Oktawati S. Treatment of excessive gingival dysplasia with lip repositioning technique : systematic review Penanganan kasus excessive gingival dysplasia dengan teknik lip repositioning : tinjauan sistematik. :108-111.

Faus-Matoses V, Faus-Matoses I, Jorques-Zafrilla A, Faus-Llácer VJ. Lip repositioning technique. A simple surgical procedure to improve the smile harmony. J Clin Exp Dent. 2018;10(4):e408-e412. doi:10.4317/jced.54721

Ganesh B, Burnice NKC, Mahendra J, Vijayalakshmi R, K. AK. Laser‐Assisted Lip Repositioning With Smile Elevator Muscle Containment and Crown Lengthening for Gummy Smile: A Case Report. Clin Adv Periodontics. 2019;9(3):135-141. doi:10.1002/cap.10060

Jaspers GWC, Pijpe J, Jansma J. The use of botulinum toxin type A in cosmetic facial procedures. Int J Oral Maxillofac Surg. 2011;40(2):127-133. doi:10.1016/j.ijom.2010.09.014

Lee EA. Aesthetic crown lengthening: classification, biologic rationale, and treatment planning considerations. Pract Proced Aesthet Dent. 2004;16(10):769-778.

Sundaram G, Ramakrishnan T, Parthasarathy H, Raja M, Raj S. Esthetic lip repositioning: a cosmetic approach for correction of gummy smile: a case series. Indian Soc Periodontol. 2018;(May):113-118. doi:10.4103/jisp.jisp

Arcuri T, da Costa MFP, Ribeiro IM, Barreto BD, Lyra eSilva JP. Labial repositioning using polymethylmethracylate (PMMA)-based cement for esthetic smile rehabilitation—A case report. Int J Surg Case Rep. 2018;49:194-204. doi:10.1016/j.ijscr.2018.07.008




DOI: https://doi.org/10.33854/jbd.v8i2.877

DOI (PDF (Bahasa Indonesia)): https://doi.org/10.33854/jbd.v8i2.877.g344

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