Issue Two 2019
2019, Vol. 6 issue 2, (October)
Therapeutic approach for gingival smile treatment
Nowadays patients often look for dental services because of aesthetic reasons. One of the aesthetic problems is the gingival smile – i.e. the excessive exposure of the gingiva while smiling. The major etiological factors associated with gingival smile include: passive exposure, vertical maxillary surge, hyper function of the upper lip muscles and / or a combination of them. This condition has a psychological impact on some patients, resulting in inconvenience, a feeling of unattractiveness and dissatisfaction. The methods for treating gingival smiles are invasive varieties of surgical approaches and non-invasive by botox therapy.
Purpose: The purpose of this article is to carry out a unified review of scientific evidences, literature related to the methods used in the treatment of gingival smile, as well as identifying the best correction technique with a long-term predictability of the procedure.
Materials and Methods: After analyzing the scientific literature from the databases Web of Science PubMed, Scopus and others, it was found that in most of the cases were examined women whose mean age is under 30 years. In most of the articles predominate reports involving invasive methods, but insufficient datas for a long-term predictability and post-treatment follow-up.
Conclusion: This article found a serious lack of controlled and randomized clinical trials in the use of periodontal surgical methods of treatment of gingival smile and stresses the need for clinical follow-up studies with more evidences in order to establish the best type of periodontal surgery for this purpose.