Margarita

Comprehensive treatment of a gummy smile and restoration of smile harmony

The patient presented with the following concerns:
  • a gummy smile;
  • dissatisfaction with the aesthetic appearance of the teeth.
This clinical case required a comprehensive approach involving restorative, orthodontic, surgical, and prosthetic treatment to create a harmonious smile and achieve proper tooth positioning.

Doctors

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Surgeon, Implantologist
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Orthodontist, Orthodontist-gnathologist

Treatment process

01
Therapeutic stage Following the initial consultation and comprehensive diagnostics, an optimal treatment plan was developed. Complete oral rehabilitation was performed, including professional dental cleaning, cavity treatment, and root canal therapy. After the completion of the main stages of rehabilitation, moderate caries of tooth 26 was additionally treated.
02
Surgical stage To improve tooth positioning and smile aesthetics, the wisdom teeth were extracted. To replace the missing tooth, a dental implant was placed in the area of tooth 45.
03
Orthodontic stage A ceramic self-ligating braces system was placed, and orthodontic treatment was initiated. Through controlled tooth movement, the smile line was harmonized, tooth alignment was corrected, and the appearance of the gummy smile was reduced. Upon completion of the active treatment phase, the braces were removed, and a fixed retainer was bonded to maintain the achieved result.
04
Prosthetic stage Four months after implant placement in the area of tooth 45, digital scanning was performed for the fabrication of a temporary implant-supported crown. Following the fabrication of the prosthetic restoration, a try-in appointment and final placement were completed.
Result:
  • the appearance of the gummy smile was reduced;
  • tooth alignment and dental arch harmony were improved;
  • the missing tooth was restored with a dental implant;
  • smile aesthetics were enhanced; proper functional tooth relationships were achieved;
  • a stable, long-lasting result was ensured.

DENTART — we create smiles where every detail contributes to harmony, health, and self-confidence.
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