case_images: PMC7908332_01
case_images: excessive gingival display preoperatively
case_images: PAMJ-36-235-g001.jpg
case_images: PMC7908332_01_PAMJ-36-235-g001.jpg
case_images: F1
case_images: Intraorally a good amount of attached gingiva was seen, and the patient was diagnosed with a case of "gummy smile." However, when the patient was asked to smile, his teeth were visible from maxillary right first molar to maxillary left first premolar with 7-8 mm gingival display and the maxillary anterior teeth had normal anatomic proportions (Figure 1, Figure 2).
case_images: close-up smile, left lateral view
case_images: PAMJ-36-235-g002.jpg
case_images: PMC7908332_01_PAMJ-36-235-g002.jpg
case_images: F2
case_images: Intraorally a good amount of attached gingiva was seen, and the patient was diagnosed with a case of "gummy smile." However, when the patient was asked to smile, his teeth were visible from maxillary right first molar to maxillary left first premolar with 7-8 mm gingival display and the maxillary anterior teeth had normal anatomic proportions (Figure 1, Figure 2).
case_images: the tissue was removed via a partial thickness dissection with tissue removal from first molar to first molar
case_images: PAMJ-36-235-g003.jpg
case_images: PMC7908332_01_PAMJ-36-235-g003.jpg
case_images: F3
case_images: A partial thickness incision was made between these two lines, and epithelial band approximately 10-12 mm wide was excised leaving underlying connective tissue exposed (Figure 3).
case_images: final suturing for stabilization of the new mucosal margin to the gingiva
case_images: PAMJ-36-235-g004.jpg
case_images: PMC7908332_01_PAMJ-36-235-g004.jpg
case_images: F4
case_images: The mucosal flap was advanced and multiple interrupted sutures at 1 mm were taken at the midline and other locations along the borders of the incision mucogingival junction using 3-0 vicryl sutures (Figure 4).
case_images: immediately postoperatively view with moderate smile
case_images: PAMJ-36-235-g005.jpg
case_images: PMC7908332_01_PAMJ-36-235-g005.jpg
case_images: F5
case_images: Immediately postoperatively significant improvement in the patient facial and smile was observed (Figure 5).
case_images: postoperatively clinical view at 12-month follow-up
case_images: PAMJ-36-235-g006.jpg
case_images: PMC7908332_01_PAMJ-36-235-g006.jpg
case_images: F6
case_images: However, a partial relapse was observed after 12 months (Figure 6).