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Gummy Smile Treatment in Limassol: The 3D Digital Double-Guide Revolution

- The Double-Guide Digital Revolution -

Medically reviewed by Dr. Klea (Chariklia) Neophytou Lead Specialist Periodontist, Implant Surgeon & Clinical Researcher

A “gummy smile,” clinically known as Excessive Gingival Display (EGD), often impacts a patient’s self-confidence and desire to smile. In this definitive 2026 case report, Dr. Klea (Chariklia) Neophytou demonstrates how an interdisciplinary approach, powered by 3D digital planning, provides predictable and stable aesthetic outcomes.

1. Clinical and radiographic examination cv

Figure 1: Clinical and radiographic examination

Clinical Evaluation and Digital Smile Diagnosis

Effective treatment begins with identifying the true etiology of the smile line. For this 22-year-old patient, the primary cause was Altered Passive Eruption (APE) Type 1B.

The Diagnostic Process

Diagnosis involved a comprehensive clinical and radiographic assessment. As seen in the clinical evaluation (Figure 1), the patient presented with short clinical crowns and a thick periodontal phenotype.

Radiographic Investigations Included:

  • CBCT Analysis: Used to measure the exact distance from the Cementoenamel Junction (CEJ) to the bone crest.
  • Digital Smile Design (DSD): Smile Cloud Biometrics (Figure 2) was utilized to adjust tooth proportions cervically, guided by the patient’s unique anatomy (Figure 3).
fig 2 smile design

Fig 2. Smile Design

Fig 3. Diagnosis ->

fig 3 diagnosis diagram

Precision Planning: The 3D-Printed Double-Guide Concept

Fig 6 our double guide 3D

Figure 4: Our double guide 3D-printed surgical guide

fig 6 3D

Traditionally, crown lengthening relied on the clinician’s manual estimation. In 2026, we utilize the Double-Guide Concept—a 3D-printed surgical paradigm that guides both soft and hard tissue repositioning (Figure 6).

Figure 5: Our double guide 3D-printed surgical guide

Why use a Digital 3D-Printed Guide?

As outlined in our clinical protocols (Figure 4 & 5), digital guides offer the “best fit” and the quickest surgical time while ensuring the preservation of the Biologic Width—the critical 2mm zone of tissue attachment essential for long-term health.

Fig 5 adv and dis

Fig 6. Advantages and Disadvantages

Fig. 7 Digital Guide ->

fig 4 treatment options

The Surgical Phase: Biologically Guided Laser Intervention

The surgery was conducted using a minimally invasive approach, often incorporating Erbium laser-assisted technology to target diseased tissue with extreme precision.

Step-by-Step Surgical Execution

  • Gingivectomy (Figures 8 & 9): Guided incisions were made to establish the ideal soft tissue margin while preserving the interdental papillae.
  • Bone Recontouring (Figure 10): Using the “outer window” of the surgical guide, Dr. Neophytou performed precise ostectomy and osteoplasty to re-establish the biologic width exactly 2mm from the CEJ.
  • Suturing (Figure 11): The flap was repositioned and stabilized with specialized sling sutures to ensure uneventful healing.
Fig 7 surgical procedure
Fig 8 surgical procedure lower jaw

Fig. 8 & 9

Fig 9 bone reconturing
Fig 10 suturing

Fig. 11

<- Fig 10

Gummy Smile Correction: Myths vs. Clinical Reality

Medically Verified Periodontal Insights

The Myth The Clinical Reality
Common Misconception
"A gummy smile can only be fixed with aggressive jaw surgery." 		False
Most cases, like the one presented here, are successfully corrected via Esthetic Crown Lengthening—a minimally invasive procedure that reveals the natural tooth structure already hidden beneath the gums.
Common Misconception
"The gums will just grow back after surgery." 		False
By using a Double Surgical Guide to precisely manage the bone level, Dr. Klea ensures the biologic width is respected. This prevents the "soft tissue rebound" that occurs with traditional, non-guided methods.
Common Misconception
"Periodontal surgery involves painful cutting and extensive stitches." 		False
Through the use of the Erbium Laser and digitally guided protocols, tissue trauma is significantly reduced. This results in minimal suturing, less bleeding, and dramatically faster healing times compared to conventional scalpel surgery.

12-Month Follow-Up: Long-Term Stability

At the one-year recall (Figure 12), the patient exhibited excellent gingival architecture and a harmonious smile line. This result confirms that integrating Digital Smile Design with biologically driven Periodontal Surgery leads to superior, lasting stability.

Transform Your Smile with Advanced Periodontal Artistry

You do not have to live with a smile that makes you feel self-conscious or holds back your natural expressions.

At Dentall Clinic, our investment in 3D-printed double guides, digital biometric mockups, and advanced erbium laser technology reflects our commitment to bringing elite, international standards of clinical care to Cyprus. By pairing the specialized knowledge of our periodontal team with computerized precision, we turn complex tissue recontouring into a comfortable, predictable, and highly artistic transformation.

Schedule a Digital Smile Consultation: If you are ready to reveal the natural beauty of your teeth and explore personalized options for advanced cosmetic dentistry care, contact our practice today. Discover how Dr. Klea (Chariklia) Neophytou combines extensive clinical research with digital innovation to deliver flawless results. To learn more about our complete patient-first approach to stress-free appointments, feel free to view our advanced methods for painless dental injections in Limassol.

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