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Patients’ esthetic demands are increasing daily and now extend to the artificial gingiva of removable dentures. This article proposes a systematic approach to analyze and reproduce the gingival characteristics. This three-step process involves the gingival display of the smile line, gingival pigmentation, and gingival morphology. Different procedures using either polymethyl methacrylate resins and/or composite resins can be used to reproduce the gingival features. These innovative techniques make it possible to produce highly esthetic complete dentures for edentulous patients presenting with a “gummy” smile, and the results offer satisfactory long-term stability. (Am J Esthet Dent 2012;2:20-31.)
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