In juvenile healthy gums, the areas between the teeth are filled with gums. Diseases of the periodontium can lead to degenerative changes of the gums, causing so-called black triangles to become visible between the teeth. These make the smile age, the teeth are now relatively long. Predominantly more women than men suffer from a so-called Gummy-Smile, while the smile appears overly excessive gums, which makes the teeth seem far too small.
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