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GUMMY SMILE AND TREATMENT APPROACHES

Yıl 2026, Cilt: 43 Sayı: 1, 39 - 48, 05.01.2026
https://doi.org/10.17214/gaziaot.1528159

Öz

Smile is one of the most important elements in dentofacial aesthetics. Smile and facial movements are highly related to communication and expression of emotions and are of great interest to orthodontists. Smile can be posed and spontaneous. Lip elevation is more frequently observed in spontaneous smiles, especially in smiles accompanied by laughter. Some appearance of gingiva during smiling is acceptable and in some cases even provides an aesthetic and youthful appearance. Gummy smile, which is known as the excessive appearance of the gingiva during smiling, can be defined as a non-pathologic condition in which the gingiva is visible more than 3-4 mm, causing aesthetic disharmony in general.
The aim of this review is to explain the characteristics of the smile, to define Gummy smile, to review the etiology and classification of Gummy smile. In the treatment of gummy smile, treatment with incisor intrusion, miniscrew-assisted treatment, orthognathic surgery treatment approaches and other treatment approaches are described.

Destekleyen Kurum

Not declared

Kaynakça

  • 1. Sarver DM. The importance of incisor positioning in the esthetic smile: the smile arc. Am J Orthod Dentofacial Orthop 2001;120:98-111.
  • 2. Tjan AH, Miller GD. Some esthetic factors in a smile. J Prosthet Dent 1984;51:24-8.
  • 3. Peck S, Peck L, Kataja M. The gingival smile line. Angle Orthod 1992;62: 91-100.
  • 4. Moore T, Southard KA, Casko, et al. Buccal corridors and smile esthetics. Am J Orthod Dentofacial Orthop 2005;127:208-13.
  • 5. Graber LW, Vanarsdall RL, Vig KW, Huang GJ. Orthodontics-E-Book: Current Principles and Techniques. Elsevier Health Sciences 2016:249-53.
  • 6. Sarver DM, Ackerman MB. Dynamic smile visualization and quantification: part 1. Evolution of the concept and dynamic records for smile capture. Am J Orthod Dentofacial Orthop 2003;124:4-12.
  • 7. Dym H, Pierre R. Diagnosis and treatment approaches to a" gummy smile". Dent Clin North Am 2020;64:341-9.
  • 8. Morley J, Eubank J. Macroesthetic elements of smile design. J Am Dent Assoc 2001;132:39-45.
  • 9. Kokich VO, Kokich VG, Kiyak HA. Perceptions of dental professionals and laypersons to altered dental esthetics: asymmetric and symmetric situations. Am J Orthod Dentofacial Orthop 2006;130:141-51.
  • 10. Geron S, Atalia W. Influence of sex on the perception of oral and smile esthetics with different gingival display and incisal plane inclination. Angle Orthod 2005;75:778-84.
  • 11. Pithon MM, Santos AM, de Andrade ACDV, Santos EM, Couto FS, da Silva Coqueiro R. Perception of the esthetic impact of gingival smile on laypersons, dental professionals, and dental students. Oral Surg Oral Med Oral Pathol Oral Radiol 2013;115:448-54.
  • 12. Ioi H, Nakata S, Counts AL. Influence of gingival display on smile aesthetics in Japanese. Eur J Orthod 2010;32:633-7.
  • 13. Pinho T. Assessment of the perception of smile esthetics by laypersons, dental students and dental practitioners. Int Orthod 2013;11:432-44.
  • 14. Willmar K. On Le Fort I osteotomy; A follow-up study of 106 operated patients with maxillo-facial deformity. Scand J Plastic Recons Surg 1974;12:1-68.
  • 15. Monaco A, Streni O, Chiara Marci M, Marzo G, Gatto R, Giannoni M. Gummy smile: clinical parameters useful for diagnosis and therapeutical approach. J Clin Pediatr Dent 2005;29:19-25.
  • 16. Mercado-García J, Rosso P, Gonzalvez-García M, Colina J, Fernández JM. Gummy smile: Mercado-Rosso classification system and dynamic restructuring with hyaluronic acid. Aesthetic Plast Surg 2021:1-12.
  • 17. Hur MS, Hu KS, Park JT, Youn KH, Kim HJ. New anatomical insight of the levator labii superioris alaeque nasi and the transverse part of the nasalis. Surg Radiol Anat 2010;32:753-6.
  • 18. Hur MS, Youn KH, Hu KS, Song WC, Koh KS, Fontaine C, et al. New anatomic considerations on the levator labii superioris related with the nasal ala. J Craniofac Surg 2010;21:258-60.
  • 19. Olszewski R, Liu Y, Duprez T, Xu TM, Reychler H. Three-dimensional appearance of the lips muscles with three-dimensional isotropic MRI: in vivo study. Int J Comput Assist Radiol Surg 2009;4:349-52.
  • 20. Ackerman MB, Ackerman JL. Smile analysis and design in the digital era. J Clin Orthod 2002;36:221-36. 21. Wu H, Lin J, Zhou L, Bai D. Classification and craniofacial features of gummy smile in adolescents. J Craniofac Surg 2010;21:1474-9.
  • 22. Alshammery D, Alqhtani N, Alajmi A, et al. Non-surgical correction of gummy smile using temporary skeletal mini-screw anchorage devices: A systematic review. Clin Exp Dent Res 2021;13:717.
  • 23. Zengiski ACS, Basso IB, Cavalcante-Leao BL, et al. Effect and longevity of botulinum toxin in the treatment of gummy smile: a meta-analysis and meta-regression. Clin Oral Investig 2022:1-9.
  • 24. Miyazawa K, Tamada Y, Tabuchi M, et al. Effective approach for improving a gummy smile: Upward movement of the maxillary occlusal plane using midpalatal miniscrews and a modified transpalatal arch. J Orofac Orthop 2022:1-14.
  • 25. Garber DA, Salama MA. The aesthetic smile: diagnosis and treatment. Periodontol 2000 1996;11:18-28.
  • 26. Burstone CR. Deep overbite correction by intrusion. Am J Orthod Dentofacial Orthop 1977;72:1-22.
  • 27. Nanda R. Esthetics and biomechanics in orthodontics. Elsevier Health Sciences 2014:133-40.
  • 28. Shroff B, Yang I, Jenkins TS. Deep overbite correction: Biomechanics and clinical implications. In: Semin Orthod 2020;26:126-33.
  • 29. Costa A, Raffainl M, Melsen B. Miniscrews as orthodontic anchorage: a preliminary report. Int J Adult Orthod Orthognathic Surg 1998;13:201-9.
  • 30. Creekmore TD. The possibility of skeletal anchorage. J Clin Orthod 1983;17:266-69.
  • 31. Kanomi R. Mini-implant for orthodontic anchorage. J Clin Orthod 1997;31:763-7.
  • 32. Ohnishi H, Yagi T, Yasuda Y, Takada K. A mini-implant for orthodontic anchorage in a deep overbite case. Angle Orthod 2005;75:444-52.
  • 33. Anehosur V, Joshi A, Nathani J, Suresh A. Modification of LeFort I osteotomy for severe maxillary vertical excess asymmetry. Br J Oral Maxillofac Surg 2019;57:374-7.
  • 34. Salmen FS, de Oliveira TFM, Gabrielli MAC, Pereira Filho VA, Gabrielli MR. Sequencing of bimaxillary surgery in the correction of vertical maxillary excess: retrospective study. Int J Oral Maxillofac Surg 2018;47:708-14.
  • 35. Ying B, Ye N, Jiang Y, Liu Y, Hu J, Zhu S. Correction of facial asymmetry associated with vertical maxillary excess and mandibular prognathism by combined orthognathic surgery and guiding templates and splints fabricated by rapid prototyping technique. Int J Oral Maxillofac Surg 2015;44:1330-6.
  • 36. Nishimura M, Sannohe M, Nagasaka H, Igarashi K, Sugawara J. Nonextraction treatment with temporary skeletal anchorage devices to correct a Class II Division 2 malocclusion with excessive gingival display. Am J Orthod Dentofacial Orthop 2014;145:85-94.
  • 37. Kim SJ, Kim JW, Choi TH, Lee KJ. Combined use of miniscrews and continuous arch for intrusive root movement of incisors in Class II division 2 with gummy smile. Angle Orthod 2014;84:910-8.
  • 38. Kaku M, Kojima S, Sumi H, et al. Gummy smile and facial profile correction using miniscrew anchorage. Angle Orthod 2012;82:170-7.
  • 39. Shu R, Huang L, Bai D. Adult Class II Division 1 patient with severe gummy smile treated with temporary anchorage devices. Am J Orthod Dentofacial Orthop 2011;140:97-105.
  • 40. Kim T, Kim H, Lee S. Correction of deep overbite and gummy smile by using a mini-implant with a segmented wire in a growing Class II Division 2 patient. Am J Orthod Dentofacial Orthop 2006;130:676-85.
  • 41. Lin JC, Liou EJ, Bowman SJ. Simultaneous reduction in vertical dimension and gummy smile using miniscrew anchorage. J Clin Orthod 2010;44:157-70.
  • 42. Hong RK, Lim SM, Heo JM, Baek SH. Orthodontic treatment of gummy smile by maxillary total intrusion with a midpalatal absolute anchorage system Korean J Orthod 2013;43:147-58.
  • 43. Baek MS, Choi YJ, Yu HS, Lee KJ, Kwak J, Park YC. Long-term stability of anterior open-bite treatment by intrusion of maxillary posterior teeth. Am J Orthod Dentofacial Orthop 2010;138:396.e1-e9.
  • 44. Lee H, Park Y. Treatment and posttreatment changes following intrusion of maxillary posterior teeth with miniscrew implants for open bite correction. Korean J Orthod 2008;38:31-40.
  • 45. Beckmann SH, Segner D. Floating norms and post‐treatment overbite in open bite patients Eur J Orthod 2002;24:379-90.
  • 46. Bastidas JA. Surgical Correction of the “Gummy Smile”. Oral Maxillofac Surg Clin 2021;33:197-209.
  • 47. Van der Geld, P, Oosterveld P, Schols, J, Kuijpers-Jagtman AM. Smile line assessment comparing quantitative measurement and visual estimation. Am J Orthod Dentofacial Orthop 2011;139:174-80.
  • 48. Bailey LJ, Phillips C, Proffit WR, Turvey T. A.Stability following superior repositioning of the maxilla by Le Fort I osteotomy: five-year follow-up. Int J Adult Orthod Orthognathic Surg 1994;9:163-73.
  • 49. Lanigan DT, Hey JH, West RA. Aseptic necrosis following maxillary osteotomies: report of 36 cases. J Oral Maxillofac Surg 1990;48:142-56.
  • 50. Polo M. Botulinum toxin type A in the treatment of excessive gingival display. Am J Orthod Dentofacial Orthop 2005;127:214-8.
  • 51. Chagas TF, Almeida NVD, Lisboa CO, Ferreira DMTP, Mattos CT, Mucha JN. Duration of effectiveness of Botulinum toxin type A in excessive gingival display: a systematic review and meta-analysis. Braz Oral Res 2018:32.
  • 52. Nasr MW, Jabbour SF, Sidaoui JA, Haber RN, Kechichian EG. Botulinum toxin for the treatment of excessive gingival display: a systematic review. Aesthet Surg J 2016;36:82-8.
  • 53. Rajagopal A, Goyal M, Shukla S, Mittal N. To evaluate the effect and longevity of Botulinum toxin type A (Botox®) in the management of gummy smile–A longitudinal study upto 4 years follow-up. J Dent Res 2021;11:219-24.
  • 54. Ezquerra F, Berrazueta MJ, Ruiz-Capillas A, Arregui SJ, Carrera FE. New approach to the gummy smile. Plastic Recons Surg 1999;104:1143-50.
  • 55. Mossaad AM, Abdelrahman MA, Kotb AM, Alolayan AB, Elsayed SAH. Gummy smile management using diode laser gingivectomy versus botulinum toxin injection-A prospective study. Annals Maxillofac Surg 2021;11:70.
  • 56. Rosenblatt A, Simon Z. Lip repositioning for reduction of excessive gingival display: a clinical report. Int J Periodontics Restorative Dent 2006;26:5.
  • 57. Diaspro A, Cavallini M, Piersini P, Sito G. Gummy smile treatment: proposal for a novel corrective technique and a review of the literature. Aesthet Surg J 2018;38:1330-8.
  • 58. Sheth T, Shah S, Shah M, Shah E. Lip reposition surgery: A new call in periodontics. Contemp Clin Dent 2013;4:378.
  • 59. Gutowski KA. Hyaluronic acid fillers: science and clinical uses. Clin Plast Surg 2016;43:489-96.
  • 60. Peng PH, Peng J. Treating the gummy smile with hyaluronic acid filler injection. Dermatol Surg 2019;45:478-80.
  • 61. Mostafa D. A successful management of sever gummy smile using gingivectomy and botulinum toxin injection: A case report. Int J Surg Case Reports 2018;42:169-74.
  • 62. Mele M, Felice P, Sharma P, Mazzotti C, Bellone P, Zucchelli G. Esthetic treatment of altered passive eruption. Periodontol 2000 2018;77:65-83.
  • 63. Jorgensen MG, Nowzari H. Aesthetic crown lengthening. Periodontol 2000 2001;27:45-58.

Gummy smile ve tedavi yaklaşımları

Yıl 2026, Cilt: 43 Sayı: 1, 39 - 48, 05.01.2026
https://doi.org/10.17214/gaziaot.1528159

Öz

Gülümseme dentofasiyal estetikteki en önemli unsurların başında gelmektedir. Gülümseme ve yüz hareketleri iletişim ve duyguların ifade edilmesiyle oldukça ilişkilidir ve ortodontistlerin oldukça ilgisini çekmektedir. Gülümseme; poz verilmiş ve spontan olabilir. Dudak elevasyonu spontan gülümsemede daha sık gözlenir, özellikle kahkahanın eşlik ettiği gülümsemede olur. Gülümseme sırasında gingivanın bir miktar görünümü kabul edilebilir hatta bazı durumlarda estetik ve genç görünüm sağlar. Gülümseme esnasında dişetinin fazla görünmesi olarak bilinen Gummy smile genel olarak estetik disharmoniye neden olan, dişetinin 3-4 mm’ den fazla gözüktüğü, patolojik olmayan bir durum olarak tanımlanabilir.
Bu derlemenin amacı gülümsemenin özelliklerini anlatmak, Gummy smile’ı tanımlamak, Gummy smile etiyolojisi ve sınıflandırılmasını gözden geçirmektir. Gummy smile tedavisinde keser intrüzyonu ile tedavi, mini vida destekli tedavi, ortognatik cerrahi tedavi yaklaşımları ve diğer tedavi yaklaşımlarını anlatmaktır.

Kaynakça

  • 1. Sarver DM. The importance of incisor positioning in the esthetic smile: the smile arc. Am J Orthod Dentofacial Orthop 2001;120:98-111.
  • 2. Tjan AH, Miller GD. Some esthetic factors in a smile. J Prosthet Dent 1984;51:24-8.
  • 3. Peck S, Peck L, Kataja M. The gingival smile line. Angle Orthod 1992;62: 91-100.
  • 4. Moore T, Southard KA, Casko, et al. Buccal corridors and smile esthetics. Am J Orthod Dentofacial Orthop 2005;127:208-13.
  • 5. Graber LW, Vanarsdall RL, Vig KW, Huang GJ. Orthodontics-E-Book: Current Principles and Techniques. Elsevier Health Sciences 2016:249-53.
  • 6. Sarver DM, Ackerman MB. Dynamic smile visualization and quantification: part 1. Evolution of the concept and dynamic records for smile capture. Am J Orthod Dentofacial Orthop 2003;124:4-12.
  • 7. Dym H, Pierre R. Diagnosis and treatment approaches to a" gummy smile". Dent Clin North Am 2020;64:341-9.
  • 8. Morley J, Eubank J. Macroesthetic elements of smile design. J Am Dent Assoc 2001;132:39-45.
  • 9. Kokich VO, Kokich VG, Kiyak HA. Perceptions of dental professionals and laypersons to altered dental esthetics: asymmetric and symmetric situations. Am J Orthod Dentofacial Orthop 2006;130:141-51.
  • 10. Geron S, Atalia W. Influence of sex on the perception of oral and smile esthetics with different gingival display and incisal plane inclination. Angle Orthod 2005;75:778-84.
  • 11. Pithon MM, Santos AM, de Andrade ACDV, Santos EM, Couto FS, da Silva Coqueiro R. Perception of the esthetic impact of gingival smile on laypersons, dental professionals, and dental students. Oral Surg Oral Med Oral Pathol Oral Radiol 2013;115:448-54.
  • 12. Ioi H, Nakata S, Counts AL. Influence of gingival display on smile aesthetics in Japanese. Eur J Orthod 2010;32:633-7.
  • 13. Pinho T. Assessment of the perception of smile esthetics by laypersons, dental students and dental practitioners. Int Orthod 2013;11:432-44.
  • 14. Willmar K. On Le Fort I osteotomy; A follow-up study of 106 operated patients with maxillo-facial deformity. Scand J Plastic Recons Surg 1974;12:1-68.
  • 15. Monaco A, Streni O, Chiara Marci M, Marzo G, Gatto R, Giannoni M. Gummy smile: clinical parameters useful for diagnosis and therapeutical approach. J Clin Pediatr Dent 2005;29:19-25.
  • 16. Mercado-García J, Rosso P, Gonzalvez-García M, Colina J, Fernández JM. Gummy smile: Mercado-Rosso classification system and dynamic restructuring with hyaluronic acid. Aesthetic Plast Surg 2021:1-12.
  • 17. Hur MS, Hu KS, Park JT, Youn KH, Kim HJ. New anatomical insight of the levator labii superioris alaeque nasi and the transverse part of the nasalis. Surg Radiol Anat 2010;32:753-6.
  • 18. Hur MS, Youn KH, Hu KS, Song WC, Koh KS, Fontaine C, et al. New anatomic considerations on the levator labii superioris related with the nasal ala. J Craniofac Surg 2010;21:258-60.
  • 19. Olszewski R, Liu Y, Duprez T, Xu TM, Reychler H. Three-dimensional appearance of the lips muscles with three-dimensional isotropic MRI: in vivo study. Int J Comput Assist Radiol Surg 2009;4:349-52.
  • 20. Ackerman MB, Ackerman JL. Smile analysis and design in the digital era. J Clin Orthod 2002;36:221-36. 21. Wu H, Lin J, Zhou L, Bai D. Classification and craniofacial features of gummy smile in adolescents. J Craniofac Surg 2010;21:1474-9.
  • 22. Alshammery D, Alqhtani N, Alajmi A, et al. Non-surgical correction of gummy smile using temporary skeletal mini-screw anchorage devices: A systematic review. Clin Exp Dent Res 2021;13:717.
  • 23. Zengiski ACS, Basso IB, Cavalcante-Leao BL, et al. Effect and longevity of botulinum toxin in the treatment of gummy smile: a meta-analysis and meta-regression. Clin Oral Investig 2022:1-9.
  • 24. Miyazawa K, Tamada Y, Tabuchi M, et al. Effective approach for improving a gummy smile: Upward movement of the maxillary occlusal plane using midpalatal miniscrews and a modified transpalatal arch. J Orofac Orthop 2022:1-14.
  • 25. Garber DA, Salama MA. The aesthetic smile: diagnosis and treatment. Periodontol 2000 1996;11:18-28.
  • 26. Burstone CR. Deep overbite correction by intrusion. Am J Orthod Dentofacial Orthop 1977;72:1-22.
  • 27. Nanda R. Esthetics and biomechanics in orthodontics. Elsevier Health Sciences 2014:133-40.
  • 28. Shroff B, Yang I, Jenkins TS. Deep overbite correction: Biomechanics and clinical implications. In: Semin Orthod 2020;26:126-33.
  • 29. Costa A, Raffainl M, Melsen B. Miniscrews as orthodontic anchorage: a preliminary report. Int J Adult Orthod Orthognathic Surg 1998;13:201-9.
  • 30. Creekmore TD. The possibility of skeletal anchorage. J Clin Orthod 1983;17:266-69.
  • 31. Kanomi R. Mini-implant for orthodontic anchorage. J Clin Orthod 1997;31:763-7.
  • 32. Ohnishi H, Yagi T, Yasuda Y, Takada K. A mini-implant for orthodontic anchorage in a deep overbite case. Angle Orthod 2005;75:444-52.
  • 33. Anehosur V, Joshi A, Nathani J, Suresh A. Modification of LeFort I osteotomy for severe maxillary vertical excess asymmetry. Br J Oral Maxillofac Surg 2019;57:374-7.
  • 34. Salmen FS, de Oliveira TFM, Gabrielli MAC, Pereira Filho VA, Gabrielli MR. Sequencing of bimaxillary surgery in the correction of vertical maxillary excess: retrospective study. Int J Oral Maxillofac Surg 2018;47:708-14.
  • 35. Ying B, Ye N, Jiang Y, Liu Y, Hu J, Zhu S. Correction of facial asymmetry associated with vertical maxillary excess and mandibular prognathism by combined orthognathic surgery and guiding templates and splints fabricated by rapid prototyping technique. Int J Oral Maxillofac Surg 2015;44:1330-6.
  • 36. Nishimura M, Sannohe M, Nagasaka H, Igarashi K, Sugawara J. Nonextraction treatment with temporary skeletal anchorage devices to correct a Class II Division 2 malocclusion with excessive gingival display. Am J Orthod Dentofacial Orthop 2014;145:85-94.
  • 37. Kim SJ, Kim JW, Choi TH, Lee KJ. Combined use of miniscrews and continuous arch for intrusive root movement of incisors in Class II division 2 with gummy smile. Angle Orthod 2014;84:910-8.
  • 38. Kaku M, Kojima S, Sumi H, et al. Gummy smile and facial profile correction using miniscrew anchorage. Angle Orthod 2012;82:170-7.
  • 39. Shu R, Huang L, Bai D. Adult Class II Division 1 patient with severe gummy smile treated with temporary anchorage devices. Am J Orthod Dentofacial Orthop 2011;140:97-105.
  • 40. Kim T, Kim H, Lee S. Correction of deep overbite and gummy smile by using a mini-implant with a segmented wire in a growing Class II Division 2 patient. Am J Orthod Dentofacial Orthop 2006;130:676-85.
  • 41. Lin JC, Liou EJ, Bowman SJ. Simultaneous reduction in vertical dimension and gummy smile using miniscrew anchorage. J Clin Orthod 2010;44:157-70.
  • 42. Hong RK, Lim SM, Heo JM, Baek SH. Orthodontic treatment of gummy smile by maxillary total intrusion with a midpalatal absolute anchorage system Korean J Orthod 2013;43:147-58.
  • 43. Baek MS, Choi YJ, Yu HS, Lee KJ, Kwak J, Park YC. Long-term stability of anterior open-bite treatment by intrusion of maxillary posterior teeth. Am J Orthod Dentofacial Orthop 2010;138:396.e1-e9.
  • 44. Lee H, Park Y. Treatment and posttreatment changes following intrusion of maxillary posterior teeth with miniscrew implants for open bite correction. Korean J Orthod 2008;38:31-40.
  • 45. Beckmann SH, Segner D. Floating norms and post‐treatment overbite in open bite patients Eur J Orthod 2002;24:379-90.
  • 46. Bastidas JA. Surgical Correction of the “Gummy Smile”. Oral Maxillofac Surg Clin 2021;33:197-209.
  • 47. Van der Geld, P, Oosterveld P, Schols, J, Kuijpers-Jagtman AM. Smile line assessment comparing quantitative measurement and visual estimation. Am J Orthod Dentofacial Orthop 2011;139:174-80.
  • 48. Bailey LJ, Phillips C, Proffit WR, Turvey T. A.Stability following superior repositioning of the maxilla by Le Fort I osteotomy: five-year follow-up. Int J Adult Orthod Orthognathic Surg 1994;9:163-73.
  • 49. Lanigan DT, Hey JH, West RA. Aseptic necrosis following maxillary osteotomies: report of 36 cases. J Oral Maxillofac Surg 1990;48:142-56.
  • 50. Polo M. Botulinum toxin type A in the treatment of excessive gingival display. Am J Orthod Dentofacial Orthop 2005;127:214-8.
  • 51. Chagas TF, Almeida NVD, Lisboa CO, Ferreira DMTP, Mattos CT, Mucha JN. Duration of effectiveness of Botulinum toxin type A in excessive gingival display: a systematic review and meta-analysis. Braz Oral Res 2018:32.
  • 52. Nasr MW, Jabbour SF, Sidaoui JA, Haber RN, Kechichian EG. Botulinum toxin for the treatment of excessive gingival display: a systematic review. Aesthet Surg J 2016;36:82-8.
  • 53. Rajagopal A, Goyal M, Shukla S, Mittal N. To evaluate the effect and longevity of Botulinum toxin type A (Botox®) in the management of gummy smile–A longitudinal study upto 4 years follow-up. J Dent Res 2021;11:219-24.
  • 54. Ezquerra F, Berrazueta MJ, Ruiz-Capillas A, Arregui SJ, Carrera FE. New approach to the gummy smile. Plastic Recons Surg 1999;104:1143-50.
  • 55. Mossaad AM, Abdelrahman MA, Kotb AM, Alolayan AB, Elsayed SAH. Gummy smile management using diode laser gingivectomy versus botulinum toxin injection-A prospective study. Annals Maxillofac Surg 2021;11:70.
  • 56. Rosenblatt A, Simon Z. Lip repositioning for reduction of excessive gingival display: a clinical report. Int J Periodontics Restorative Dent 2006;26:5.
  • 57. Diaspro A, Cavallini M, Piersini P, Sito G. Gummy smile treatment: proposal for a novel corrective technique and a review of the literature. Aesthet Surg J 2018;38:1330-8.
  • 58. Sheth T, Shah S, Shah M, Shah E. Lip reposition surgery: A new call in periodontics. Contemp Clin Dent 2013;4:378.
  • 59. Gutowski KA. Hyaluronic acid fillers: science and clinical uses. Clin Plast Surg 2016;43:489-96.
  • 60. Peng PH, Peng J. Treating the gummy smile with hyaluronic acid filler injection. Dermatol Surg 2019;45:478-80.
  • 61. Mostafa D. A successful management of sever gummy smile using gingivectomy and botulinum toxin injection: A case report. Int J Surg Case Reports 2018;42:169-74.
  • 62. Mele M, Felice P, Sharma P, Mazzotti C, Bellone P, Zucchelli G. Esthetic treatment of altered passive eruption. Periodontol 2000 2018;77:65-83.
  • 63. Jorgensen MG, Nowzari H. Aesthetic crown lengthening. Periodontol 2000 2001;27:45-58.
Toplam 62 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Ortodonti ve Dentofasiyal Ortopedi
Bölüm Derleme
Yazarlar

Ceyda Tosun 0009-0005-9938-9937

Özge Uslu Akçam 0000-0002-4885-3657

Gönderilme Tarihi 5 Ağustos 2024
Kabul Tarihi 26 Aralık 2024
Yayımlanma Tarihi 5 Ocak 2026
Yayımlandığı Sayı Yıl 2026 Cilt: 43 Sayı: 1

Kaynak Göster

APA Tosun, C., & Uslu Akçam, Ö. (2026). Gummy smile ve tedavi yaklaşımları. Acta Odontologica Turcica, 43(1), 39-48. https://doi.org/10.17214/gaziaot.1528159
AMA Tosun C, Uslu Akçam Ö. Gummy smile ve tedavi yaklaşımları. Acta Odontol Turc. Ocak 2026;43(1):39-48. doi:10.17214/gaziaot.1528159
Chicago Tosun, Ceyda, ve Özge Uslu Akçam. “Gummy smile ve tedavi yaklaşımları”. Acta Odontologica Turcica 43, sy. 1 (Ocak 2026): 39-48. https://doi.org/10.17214/gaziaot.1528159.
EndNote Tosun C, Uslu Akçam Ö (01 Ocak 2026) Gummy smile ve tedavi yaklaşımları. Acta Odontologica Turcica 43 1 39–48.
IEEE C. Tosun ve Ö. Uslu Akçam, “Gummy smile ve tedavi yaklaşımları”, Acta Odontol Turc, c. 43, sy. 1, ss. 39–48, 2026, doi: 10.17214/gaziaot.1528159.
ISNAD Tosun, Ceyda - Uslu Akçam, Özge. “Gummy smile ve tedavi yaklaşımları”. Acta Odontologica Turcica 43/1 (Ocak2026), 39-48. https://doi.org/10.17214/gaziaot.1528159.
JAMA Tosun C, Uslu Akçam Ö. Gummy smile ve tedavi yaklaşımları. Acta Odontol Turc. 2026;43:39–48.
MLA Tosun, Ceyda ve Özge Uslu Akçam. “Gummy smile ve tedavi yaklaşımları”. Acta Odontologica Turcica, c. 43, sy. 1, 2026, ss. 39-48, doi:10.17214/gaziaot.1528159.
Vancouver Tosun C, Uslu Akçam Ö. Gummy smile ve tedavi yaklaşımları. Acta Odontol Turc. 2026;43(1):39-48.