This patient was unhappy with her smile, particularly the excessive gingival display of the gums, overly small appearance of her teeth and the conspicuous spaces between them. On the positive side, her teeth were in excellent health. Our challenge was to refine what nature provided.
Following our standard protocol, we took comprehensive photos of the patient’s teeth and face. Then we performed a unique digital smile design (DSD) , followed by a printing a virtual wax-up model to allow for mockup and fully visualize the remaining amount of gingiva. Next, we 3D printed a periodontal surgical guide to both determine the correct level of the osseous bone and the new position of the gingival margin. Two months later a lip repositioning procedure was performed by taking measurements from the printed guide.
We achieved the patient’s goal of limiting the appearance of the gingiva and improving the appearance of her teeth, contour of her gingival in a subtle and naturally beautiful way. The result: a more elegant smile in complete harmony with her face and personality.