{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T02:33:24Z","timestamp":1787884404473,"version":"build-2784847793"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>A gummy smile is a condition, in which the gingival tissue is excessively displayed when smiling. Orthodontic treatment is often combined with other treatments such as crown lengthening and composite restorations to treat the gummy smile. Crown lengthening may be executed utilizing a three-dimensional (3D) printed surgical guide, which provides precise digital measurement of the patient\u2019s optimal gingival height and facilitates enhanced predictability in esthetic treatment results. This case reported postorthodontic treatment combined with a 3D-printed crown lengthening guide design to enhance the smile line and follow up with a composite restoration on lateral incisors. Patient exhibits a Class II skeletal malocclusion with gummy smile. The ultimate results of orthodontic treatment, as well as crown lengthening and composite restoration, are assessed through the use of a digital wax-up intraoral mock-up in 3D printing. Crown lengthening with a surgical guide offered precise results on a reference basis. The treatment was subsequently concluded with the placement of composite restorations on the lateral incisors. An examination of the complete smile showed 6.24 mm preoperative gingival display and 0.24 mm postoperative. Following 14 days, 1 month, and 3 months, the gingival appearance was steady. The patient expressed satisfaction with the final results of the interdisciplinary orthodontic treatment, which addressed their concerns while achieving the desired aesthetic outcomes. The utilization of 3D-printed technology helps to forecast treatment outcomes, which improves patient care in modern dentistry.<\/jats:p>","DOI":"10.4103\/ccd.ccd_288_25","type":"journal-article","created":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T08:00:21Z","timestamp":1761984021000},"page":"202-206","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Innovative and Precise Solutions in Gummy Smile Management: The Impact of Digital Technology on Smile Regeneration"],"prefix":"10.4103","volume":"16","author":[{"given":"Ridhofar Akbar Khusnul","family":"Abdillah","sequence":"first","affiliation":[{"name":"Department of Orthodontics, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Putu","family":"Indra","sequence":"additional","affiliation":[{"name":"Smile Cloud Dental Clinic, Surabaya, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ferdinand","family":"Hadinata","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, Petra Christian University, Surabaya, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ananto Ali","family":"Alhasyimi","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10,31]]},"reference":[{"key":"R1-20260420","doi-asserted-by":"crossref","first-page":"101","DOI":"10.4103\/jofs.jofs_51_20","article-title":"Effect of cocoa administration on osteoblast counts and alkaline phosphatase levels during orthodontic tooth movement in rats","volume":"12","author":"Arianda","year":"2020","journal-title":"J Orofac Sci"},{"key":"R2-20260420","doi-asserted-by":"crossref","first-page":"452","DOI":"10.4103\/ccd.ccd_740_18","article-title":"Effect of dentifrice containing crab-shell chitosan on the accumulation of dental plaque in fixed orthodontic appliances patients: A randomized controlled trial","volume":"10","author":"Heryumani Sulandjari","year":"2019","journal-title":"Contemp Clin Dent"},{"key":"R3-20260420","first-page":"8201195","article-title":"Growth modification of developing class II division 1 malocclusion using myofunctional appliances","volume":"2023","author":"Alhasyimi","year":"2023","journal-title":"Case Rep Dent"},{"key":"R4-20260420","doi-asserted-by":"crossref","first-page":"111451","DOI":"10.1016\/j.ijscr.2025.111451","article-title":"Oral rehabilitation approach in skeletal class III malocclusion with orthognathic surgery, an interdisciplinary case report","volume":"131","author":"Ayub","year":"2025","journal-title":"Int J Surg Case Rep"},{"key":"R5-20260420","doi-asserted-by":"crossref","first-page":"40.e1","DOI":"10.1590\/2177-6709.23.6.40.e1-10.onl","article-title":"Global distribution of malocclusion traits: A systematic review","volume":"23","author":"Alhammadi","year":"2018","journal-title":"Dental Press J Orthod"},{"key":"R6-20260420","first-page":"382367","article-title":"Camouflage of severe skeletal class II gummy smile patient treated nonsurgically with mini implants","volume":"2014","author":"Qamruddin","year":"2014","journal-title":"Case Rep Dent"},{"key":"R7-20260420","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/j.xaor.2022.05.003","article-title":"A systematic diagnostic scheme for excessive gingival display \u201cgummy smile\u201d","volume":"2","author":"El-Bokle","year":"2022","journal-title":"AJO DO Clin Companion"},{"key":"R8-20260420","doi-asserted-by":"crossref","first-page":"176","DOI":"10.25259\/APOS_9_2022","article-title":"Comparison between orthodontist, general dentist, and layperson in the perception of pink esthetics on smile: A cross-sectional study","volume":"12","author":"Sharma","year":"2022","journal-title":"APOS Trends Orthod"},{"key":"R9-20260420","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.cden.2019.12.003","article-title":"Diagnosis and treatment approaches to a \u201cGummy Smile\u201d","volume":"64","author":"Dym","year":"2020","journal-title":"Dent Clin North Am"},{"key":"R10-20260420","first-page":"391","article-title":"Esthetic considerations of bimaxillary protrusion treatment using periodontic-orthodontic interdisciplinary approach: A case report","volume":"18","author":"Destyarrum","year":"2025","journal-title":"J Int Dent Med Res"},{"key":"R11-20260420","first-page":"e72934","article-title":"Clinical considerations for crown lengthening: A comprehensive review","volume":"16","author":"Qali","year":"2024","journal-title":"Cureus"},{"key":"R12-20260420","doi-asserted-by":"crossref","first-page":"12","DOI":"10.4103\/0972-0707.92599","article-title":"Biologic width and its importance in periodontal and restorative dentistry","volume":"15","author":"Nugala","year":"2012","journal-title":"J Conserv Dent"},{"key":"R13-20260420","first-page":"e59325","article-title":"Biologic width following different crown lengthening procedures: A six-month follow-up study","volume":"16","author":"Katariya","year":"2024","journal-title":"Cureus"},{"key":"R14-20260420","doi-asserted-by":"crossref","first-page":"292","DOI":"10.20473\/j.djmkg.v57.i4.p292-297","article-title":"A novel approach for posterior bite collapse in an adult with crossbite anterior using a 3D-printed bite riser","volume":"57","author":"Alhasyimi","year":"2024","journal-title":"Dent J"},{"key":"R15-20260420","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1186\/s12938-016-0236-4","article-title":"3D-printing techniques in a medical setting: A systematic literature review","volume":"15","author":"Tack","year":"2016","journal-title":"Biomed Eng Online"},{"key":"R16-20260420","doi-asserted-by":"crossref","first-page":"49","DOI":"10.4103\/ccd.ccd_262_24","article-title":"Innovative solutions in orbital fracture management: The role of computer-aided design and computer-aided manufacturing technology","volume":"16","author":"Gupta","year":"2025","journal-title":"Contemp Clin Dent"},{"key":"R17-20260420","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1186\/s12903-024-04080-5","article-title":"Treatment of excessive gingival display using conventional esthetic crown lengthening versus computer guided esthetic crown lengthening: (A randomized clinical trial)","volume":"24","author":"Borham","year":"2024","journal-title":"BMC Oral Health"},{"key":"R18-20260420","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1002\/cap.10150","article-title":"Dual digitally guided crown lengthening in esthetic area compromised by disharmonic implant crown","volume":"12","author":"Andrade","year":"2022","journal-title":"Clin Adv Periodontics"},{"key":"R19-20260420","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.adaj.2021.07.005","article-title":"Surgical guides for esthetic crown lengthening procedures: Periodontal and prosthetic aspects","volume":"153","author":"Alhumaidan","year":"2022","journal-title":"J Am Dent Assoc"},{"key":"R20-20260420","doi-asserted-by":"crossref","first-page":"55","DOI":"10.2147\/CCIDE.S338476","article-title":"Three dimensional digitally designed surgical guides in esthetic crown lengthening: A clinical case report with 12 months follow up","volume":"14","author":"Alazmi","year":"2022","journal-title":"Clin Cosmet Investig Dent"},{"key":"R21-20260420","doi-asserted-by":"crossref","first-page":"602","DOI":"10.3390\/jpm13040602","article-title":"Clinical application of personalized digital surgical planning and precise execution for severe and complex adult spinal deformity correction utilizing 3D printing techniques","volume":"13","author":"Ding","year":"2023","journal-title":"J Pers Med"},{"key":"R22-20260420","doi-asserted-by":"crossref","first-page":"81","DOI":"10.4103\/ccd.ccd_581_21","article-title":"Integration of digital and analog workflow to achieve predictable esthetics: A novel approach","volume":"14","author":"Awchat","year":"2023","journal-title":"Contemp Clin Dent"},{"key":"R23-20260420","doi-asserted-by":"crossref","first-page":"44","DOI":"10.4103\/ccd.ccd_656_18","article-title":"Evaluation of the color stability of three resin-ceramic materials using a spectrophotometer and a digital photography software","volume":"15","author":"Naffah","year":"2024","journal-title":"Contemp Clin Dent"}],"container-title":["Contemporary Clinical Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ccd.ccd_288_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:40:58Z","timestamp":1787067658000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ccd.ccd_288_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ccd.ccd_288_25","relation":{},"ISSN":["0976-237X","0976-2361"],"issn-type":[{"value":"0976-237X","type":"print"},{"value":"0976-2361","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2025-06-14","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}