The gummy smile is a deformity characterized by over-teaching higher gum when smiling. The causes of the gummy smile may be due to a very large gum overgrowth maxillary bone, overactive muscles that elevate the upper lip or a strong tooth wear that is 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 indicated for the correction of the jawbone. When the origin of the deformity is in the contraction of the lips, the problem can be solved with botox, but it is a temporary and reversible treatment.