In dentistry, multidisciplinary approaches are evolved to achieve periodontal esthetics. Dento-gingival relationship increases facial esthetics. The gingival complex is a vital aspect of any restorative treatment plan. "Gummy smile" contributes to esthetic problems and is caused by several factors.
This case report entails periodontal management of altered passive eruption which procures esthetic smile. A 28-year-old female patient reported with complaint of excessive gum display and requested for restorative option to improve esthetics. On examination, asymmetric gingival zenith was noted with respect to the lateral incisors of the maxillary arch. Diagnosis was made as Type I subgroup A APE.
Treatment of gummy smile is usually based on clinical and radiographic diagnosis and there is no evidence in the periodontal literature with proven statistical analysis and procedures are carried out depending upon classification.
Altered passive eruption was underdiagnosed and not an inevitable pathologic condition. APE is often associated with a short clinical crown and requires surgical approach to correct it.