uneven and excessive gingival display because of altered passive eruption and mild vertical maxillary excess-the treatment of choice was decidedly aesthetic gingivectomy with osseous recontouring. Measurements of the keratinized gingival length and normalized tooth width-to-height ratios were calculated for her as a digital template before the surgical procedure (Fig. 6). Three week s a f ter orthodontic debond: Utilizing the digital template and an aesthetic gauge (Hu-Friedy, Chu's Aesthetic Gauge) the gingivectomy was fi rst performed followed by raising a full buccal f lap and osseous recontouring. Intraoperative bone sounding was repeated throughout the procedure to ensure the re-establishment of a healthy biological width (Fig. 7). Six weeks after periodontal surgery (to allow soft-tissue maturation before the first postoperative review): During the review, the patient expressed that she was already satisfied with the results. However, closer analyses and patient corroboration revealed there were areas that needed modification-specifically, the interproximal papilla between the UR3.4 and the UL2, 4, 5, where the margins still looked irregular. Minor revision gingivectomy was performed under local anesthesia to address these concerns (Fig. 8, p. 34). Twelve weeks after periodontal surgery (15 weeks after orthodontic debond): The patient presented for a final joint postoperative review with both the orthodontics and periodontology departments. She was extremely satisfied with the results and expressed that all her concerns about her gingival display upon smiling had been resolved (Fig. 9, p. 34). Fig. 7: Three weeks post-debond-aesthetic gingivectomy and osseous recontouring Preop bone sounding Measuring with Chu's aesthetic gauges Initial gingivectomy Full buccal flap raised Flap sutured back in place Remeasuring with Chu's aesthetic gauges Osseous recontouring with end-cutting bone bur Immediately postop with lip line orthotown.com \\ OCTOBER 2016 33http://www.orthotown.com