Simultaneous Esthetic Crown Lengthening and Frenotomy Procedure for Smile Rejuvenation

  • I Komang Evan Wijaksana Department of Periodontic, Faculty of Dental Medicine, Universitas Airlangga, Indonesia
  • Made Talitha Suryaningsih Pinatih Periodontic Laboratory, Faculty of Dentistry, Universitas Mahasaraswati, Indonesia
  • Agung Krismariono Periodontic Laboratory, Faculty of Dentistry, Universitas Mahasaraswati, Indonesia


Introduction: Gingival tissue plays an important role in smile aesthetics, especially in the anterior maxillary region. A gummy smile (GS) is a gingival condition that appears excessive when the patient smiles. The prevalence of gummy smile in individuals aged from 20 to 30 is 10% of population. It is more common in women and can cause aesthetic problems. Gummy smile aetiology is multifactorial. This case report discusses gummy smile case caused by altered passive eruption (APE) and associated with the presence of aberrant frenum. Case Report: A 19-year-old female patient with chief complaints of the excessive gingival display. The diagnosis of the case was confirmed by clinically healthy gingiva in an intact periodontium with gummy smile due to the presence of altered passive eruption type I-B accompanied by an aberrant frenum. The final surgical plan was aesthetic crown lengthening (CL) with flap surgery and osteotomy simultaneous with a frenotomy. Conclusion: The aesthetic crown lengthening surgery and frenotomy can be performed simultaneously to correct the gummy condition and improve the patient’s smile profile. Appropriate examination, diagnosis, and treatment planning help achieve optimal patient outcomes.


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How to Cite
WIJAKSANA, I Komang Evan; PINATIH, Made Talitha Suryaningsih; KRISMARIONO, Agung. Simultaneous Esthetic Crown Lengthening and Frenotomy Procedure for Smile Rejuvenation. Journal of Indonesian Dental Association, [S.l.], v. 5, n. 2, p. 107-113, jan. 2023. ISSN 2621-6175. Available at: <>. Date accessed: 24 apr. 2024. doi:
Case Report