Excessive gingival show is a leading candidate for one of the more unattractive features of the human smile. Patients want it fixed and dental providers are quick to offer a remedy. However, the success of our treatment depends directly on etiology. There can be many underlying reasons for the gummy smile. One of the more common, yet least understood etiologic factors is Altered Passive Eruption (APE). This presentation will attempt to define APE, review its multiple patterns and put the options for treatment into a proper and helpful perspective.
Define Altered Passive Eruption.
Distinguish between the four different clinical presentations of APE.
Determine appropriate treatment strategies for APE.