Management of Gummy Smile With Biometric Approach and Smile Design (Penatalaksanaan Gummy Smile dengan Pendekatan Biometrik dan Smile Design)

Gummy smile due to altered passive eruption is one of the factor that could distrub patient aesthetic while smiling management of that case generally are gingivectomy, with or without crown lengthening. The amount of gingival tissue elimination is determined by the position of the CEJ and alveolar bone crest. Chu's biometric approach with gauge and Mclaren's smile design could give visual planning in treatment plan. Objective: To evaluate management of Gummy smile with biometric and smile design approach as a guidance for gingivectomy. Case management: The 22 year old famele patient came with complaints of excessive gum display distrubing her apperance while smiling. Case management was done by gingivectomy of region 14 to 24, accompained by the flap operation for osteoplasty. Results: Gingivectomy with biometric guide provides asymmetric gingival cervival edge due to diffrences in size of the crown between the right and left region. McLaren's smile design method could be used to correct the asymmetric with gingivoplasty procedure. Direct composite restoration was used to achieve better smile. Conclusion: Biometric approach alone is not enough to become template in gingivectomy procedure for reating gummy smile. Combination with smile design as a template could provide better visual image of smile.