dr. frank spearDr. Frank Spear gets a lot of questions about treatment plans for patients with excess gingival display, otherwise known as a gummy smile. Although these patients are complaining about the same issue – a gummy smile – different treatment plans exist based on the etiology and diagnosis of the excess gingival display. Clinicians typically have four different treatment options: orthodontics, periodontics, orthognathic surgery or Botox/lip surgery.

Excessive, uneven or asymmetrical gingival levels are not uncommon in the restorative practice. The etiology and treatment options for gummy smiles can be confusing – often leading to no treatment, inappropriate treatment or unpredictable treatment. In our new course, Management of Gingival Levels: Part I, Dr. Frank Spear reviews the etiology, diagnosis and treatment for uneven and excess gingival levels using decision trees and providing case presentations.

After viewing this new course from Dr. Frank Spear, you'll have a better understanding of:



  • Evaluations and etiology of uneven and excess gingival levels

  • Surgical crown lengthening for alterations

  • Orthodontic treatment for alterations

  • Surgical/Orthodontic combination for alterations

  • Botox for alterations

  • Orthognathic surgery for alterations


Log on now to view to begin learning about managing gingival levels. If you're not yet a Spear Digital Suite Premium member, click here to learn more.

There's a lot more where that came from! Stay tuned for future courses brought to you by Dr. Frank Spear.

Denise Prichard is the Editor for Spear Education.