Can gum surgery permanently fix a gummy smile?
NCT ID NCT07762482
First seen Aug 13, 2026 · Last updated Aug 18, 2026 · Updated 3 times
Summary
This study looks at whether a type of gum surgery called esthetic crown-lengthening can provide lasting results for people with a gummy smile caused by altered passive eruption. Ten adults with excessive gingival display will undergo the procedure, which involves removing excess gum tissue and reshaping the underlying bone. Researchers will track changes in gum position, bone levels, and patient satisfaction for up to 12 months to see if the improvements hold.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Esthetic crown-lengthening surgery (gingivectomy and osseous recontouring)
- What this could lead to
- If successful, this could establish a reliable surgical approach for correcting excessive gingival display, improving smile aesthetics and patient satisfaction.
- What could go wrong
- This is a small early-stage study with only 10 participants, so results may not apply broadly. Surgery carries risks like swelling, discomfort, or tissue changes that may not be stable over time.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 10 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2026
- Expected to finish
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Feb 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults with an esthetic complaint related to excessive gingival display. * Diagnosis of altered passive eruption as one of the etiologic factors associated with excessive gingival display. * Altered passive eruption involving the alveolar bone. Exclusion Criteria: * Current orthodontic treatment. * Active periodontal disease. * Systemic conditions that contraindicate periodontal surgical procedures, including uncontrolled autoimmune diseases. * Use of medications that may interfere with the inflammatory response or wound healing, including corticosteroids or immunosuppressive agents. * Current smokers. * Former smokers who discontinued smoking less than 12 months before enrollment. * Pregnant or breastfeeding individuals. * Excessive gingival display primarily associated with lip hypermobility or vertical maxillary excess without concomitant altered passive eruption.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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School of Dentistry of Ribeirão Preto, University of Sao Paulo
RECRUITINGRibeirão Preto, São Paulo, 14040-904, Brazil
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