Gummy smile is a deformity characterised by over-reaching higher gum when smiling. The causes of gummy smile may be due to a very large gum overgrowth maxillary bone, overactive muscles that elevate the upper lip or strong tooth wear that causes an unbalanced ratio between the tooth and gum. The gummy smile can be treated by surgery called gingivectomy operation, which involves removing excess upper gum. The intervention is performed under local anesthesia and is also used for the correction of the jawbone. When the cause of the deformity is the contraction of the lips, the problem can be solved with botox, but it is a temporary and reversible treatment.