A Systematic Approach to Diagnosing and Managing a Patient With Excessive Gingival Display and a Hypermobile Lip.

Abstract

This complex case involved a patient with lip hypermobility and a "gummy smile" who was self-conscious of her aging ceramic restorations. She also lacked a comfortable bite position and desired a restful position for her jaw. The patient was opposed to surgical correction of her lip and temporary botulism toxin injections to decrease the mobility. A treatment plan was produced utilizing a systematic treatment approach that accommodated the patient's treatment preferences and successfully reduced her gingival display, created a comfortable bite, and enhanced her smile, thus achieving all of the patient's goals.