Correcting Gummy Smiles with Laser Treatment

Introduction to Gummy Smiles

A gummy smile is a condition where an individual’s gums are excessively exposed when they smile, making their teeth appear shorter and their smiles less attractive. This is often caused by a combination of factors we will explore and go into more detail below.

While a gummy smile is not a medical condition and does not typically cause physical discomfort or pain, it can significantly impact an individual’s self-esteem and confidence. Fortunately, we offer various treatment options for those unhappy with the appearance of their gummy smile, including dental procedures and cosmetic treatments.

Definition of a Gummy Smile

A gummy smile, also known as excessive gingival display, is a term used to describe a smile in which an excessive amount of gum tissue is visible when a person smiles. In a usual smile, only a small amount of gum tissue should be visible above the teeth. However, in a gummy smile, the gums may cover a significant portion of teeth, making them appear shorter and less prominent.

Prevalence and Impact on Self-Esteem

A gummy smile is a relatively common condition, with studies suggesting it affects between 10% and 15% of the population. While it is not a serious medical issue, a gummy smile can significantly impact a person’s self-esteem and overall quality of life. People with gummy smiles may feel self-conscious or embarrassed about their smile, which can affect their confidence in social situations and even impact their relationships.

Individuals with gummy smiles are more likely to feel unhappy with the appearance of their teeth and smile and may avoid smiling or showing their teeth in public. This can lead to social isolation and a decreased quality of life. In addition, people with gummy smiles may be perceived by others as less attractive or less confident, which can further contribute to negative feelings about their appearance.

Treatment Options for Gummy Smile

Gummy smile correction treatments can help to reduce the amount of gum tissue visible when a person smiles, improving the appearance of their teeth and increasing their confidence in their smile. Gummy smile treatment options include orthodontic treatment, surgical procedures, and cosmetic treatments such as Botox injections. Seeking treatment for a gummy smile can significantly impact a person’s self-esteem and overall quality of life. If you are looking to correct your gummy smile, call (877) 440-3564 to schedule your appointment with one of our experienced specialists. Our specialists are dedicated to providing quality dental care to their patients to give them a confident smile.

Causes of Gummy Smile

A variety of factors can cause a gummy smile. Some factors include an overgrowth of gum tissue, a small or hypermobile upper lip, an overactive muscle in the upper lip, and excessive vertical growth of the upper jaw. Sometimes, a gummy smile may be due to a combination of these factors. Understanding the underlying cause of a gsummy smile is essential to develop an effective treatment plan.

Differences in Teeth Growth

Teeth growth plays a crucial role in the development of a gummy smile. The way teeth grow and develop can differ from person to person, contributing to the appearance of a gummy smile. One factor that can affect teeth growth is the size and shape of the upper jawbone. If the upper jawbone is too long, it can cause the teeth to appear shorter and contribute to the appearance of a gummy smile. Conversely, if the upper jawbone is too short, it can cause the teeth to appear longer and contribute to an uneven smile.

 

Short Teeth

When the teeth are shorter than usual due to genetics or wear and tear, more gums may be visible when a person smiles. This can result in a disproportionate appearance of the teeth and gums, causing the gums to appear excessive or overgrown. In addition, the teeth may also appear less prominent or less aesthetically pleasing.

 

Short teeth can also be caused by other factors contributing to a gummy smile, such as an overgrowth of gum tissue or a hypermobile upper lip. In these cases, the excess gum tissue can make the teeth appear shorter than they are, exacerbating the appearance of a gummy smile.

 

Altered Passive Eruption

Altered passive eruption (APE) is a condition that can contribute to developing a gummy smile. It occurs when the teeth erupt through the gums, but the gum tissue does not recede properly, resulting in excessive gum tissue visible when a person smiles.

 

In individuals with APE, the teeth are typically the correct size and shape, but excessive gum tissue covers them. This can make the teeth appear shorter than normal and contribute to the appearance of a gummy smile. Various factors, including genetics, improper tooth eruption, and periodontal disease, can cause APE.

 

Fortunately, several treatment options are available for individuals with altered passive eruption and gummy smiles. One common treatment is a gum lift or gingivectomy, which involves removing the excess gum tissue to reveal more of the teeth and create a more balanced, aesthetically pleasing smile. In cases where the teeth are misaligned, orthodontic treatment may be recommended to reposition the teeth and reduce the amount of gum tissue visible when a person smiles.

Lip Differences

Lip differences refer to any asymmetry or irregularity in the lips’ size, shape, or position. Various factors, such as genetics, trauma, or aging, can cause this. Some people may have naturally thin or uneven lips, while others may develop asymmetry due to an injury or medical condition. Lip differences can be corrected through a variety of cosmetic procedures, such as lip augmentation or lip reduction surgery.

 

Hypermobile Upper Lip

The hypermobile upper lip is a condition in which a person shows excessive gum tissue when they smile, speak, or perform other facial expressions. The upper lip moves excessively, revealing more of the gums than normal, and may be accompanied by other oral health problems.

 

Genetics, overactive lip muscles, or dental abnormalities can cause this condition. For example, the upper lip may be hypermobile due to an overgrowth of gum tissue, which poor oral hygiene, hormonal imbalances, or certain medications can cause. Orthodontic treatment can also sometimes lead to a hypermobile upper lip.

 

Hypermobile lips can cause functional problems, such as difficulty speaking, eating, or swallowing, as well as aesthetic concerns that may affect a person’s self-confidence and self-esteem. In some cases, a hypermobile upper lip can be related to a skeletal or dental abnormality that affects the positioning of the upper jaw. This can be caused by conditions such as a cleft palate or an overgrown maxilla (the bone that forms the upper jaw).

 

Short Upper Lip

Having a short upper lip can cause a gummy smile by not adequately covering the upper gum line. When a person with a short upper lip smiles, their upper lip may move upward more than usual, exposing a larger area of the gums than normal.

 

Typically, the upper lip extends beyond the gum line, covering most teeth and gum tissue when a person smiles. However, in cases where the upper lip is short, it may not be able to cover the gums properly, which can cause them to be more visible when smiling. Common treatments may involve cosmetic procedures, such as lip augmentation or lip repositioning surgery, to lengthen or reposition the upper lip to cover the gums better.

Jawbone Differences

Jawbone differences can affect the development of a gummy smile. The position and shape of the jawbone can affect the amount of gum tissue that is visible when a person smiles and can also impact the position of the upper lip relative to the gums.

 

Vertical Maxillary Excess

Vertical maxillary excess (VME) is a condition that occurs when there is an excessive amount of bone and gum tissue in the upper jaw, causing the upper lip to appear shorter than normal and exposing more of the gum tissue when a person smiles. When the upper jaw has excessive bone and gum tissue, it can cause the upper lip to be pushed up and out, exposing more of the gums. This can result in a gummy smile, where a significant portion of the gum tissue is visible when a person smiles.

 

The causes of vertical maxillary excess include genetics, dental abnormalities, or skeletal malocclusion. Orthodontic treatment can contribute to the development of VME if the teeth are moved too far outward, causing the gum tissue to be exposed.

Medications

Common Medications Causing Gummy Smiles

Certain medications can impact gum tissue and potentially contribute to gummy smiles. One common medication that can affect gum tissue is anti-seizure medication. These medications can cause an overgrowth of gum tissue, known as gingival hyperplasia, which can enlarge the gums and lead to a gummy smile. Suppose you are taking anti-seizure medication and notice changes in your gum tissue or the appearance of your smile. In that case, consulting an experienced specialist or healthcare provider is important to determine the best course of action.

 

Certain types of antihypertensive drugs, which are used to treat high blood pressure, can also cause gum overgrowth and contribute to a gummy smile. This is more likely to occur with calcium channel blockers, an antihypertensive medication that can cause gingival hyperplasia in some individuals. If you are taking calcium blockers and notice changes in your gum tissue or the appearance of your smile, it is important to discuss this with your healthcare provider and dentist to determine the next steps.

 

If you take any of these medications and notice an overgrowth of gum tissue, call (877) 440-3564 to schedule an appointment with one of our dental professionals.

Non-Surgical Options

Several non-surgical treatment options are available to address the self-consciousness issue that comes with a gummy smile for many individuals and improve the smile’s overall appearance. These non-surgical options include laser gum contouring, Botox injections, lip repositioning, scaling and root planing, and orthodontic treatment. Depending on the underlying cause of the gummy smile, a combination of these treatments may be recommended to achieve optimal results. We will explore these non-surgical treatment options in more detail, including how they work and who may benefit from them.

Laser Gum Contouring

Laser gum contouring, also known as laser gum reshaping or gum recontouring, is a dental procedure that uses a laser to remove or reshape excess gum tissue. It is a non-surgical treatment option often used to improve the appearance of a gummy smile or correct uneven or excessive gum tissue around the teeth.

 

Our dental professionals use a dental laser to carefully and precisely remove or reshape the gum tissue during the procedure. The laser energy vaporizes or ablates the excess gum tissue, sculpting a more balanced and aesthetically pleasing gumline. The laser cauterizes the tissue as it works, minimizing bleeding and reducing the risk of infection. Laser gum contouring is a minimally invasive procedure that typically requires only local anesthesia.

 

The specific treatment plan for laser gum contouring will vary depending on the individual’s needs and goals. A comprehensive evaluation by one of our qualified periodontitis is necessary to determine if laser gum contouring is the right treatment option. We will assess the gum tissue, discuss the desired outcome and develop a personalized treatment plan to achieve the best results.

Laser Types and Techniques

Two types of lasers are commonly used in laser gum contouring procedures: erbium lasers and diode lasers. Erbium lasers, such as gum contouring, are typically used for soft tissue procedures. They emit light energy in short pulses, which can be precisely controlled and targeted to remove excess gum tissue. On the other hand, diode lasers are commonly used in hard tissue procedures, such as cutting through bone or teeth.

 

Regarding techniques, two primary laser gum contouring techniques are used: gingivectomy and gingivoplasty. Gingivectomy involves removing excess gum tissue to reduce the appearance of a gummy smile. Both methods are minimally invasive and typically require only local anesthesia. Patients can usually return to normal activities immediately following the procedure.

Advantages and Disadvantages of Laser Gum Contouring

Like any dental procedure, laser gum contouring offers several advantages and disadvantages. Some of the most common benefits include:

1. Minimally Invasive. Laser gum contouring is a minimally invasive procedure, requiring only local anesthesia and causing minimal discomfort. This makes it an ideal option for patients anxious about dental procedures or wanting to avoid more invasive surgery.
2. Precision. The laser allows for the precise removal of gum tissue, resulting in a more symmetrical and aesthetically pleasing gumline. Our specialists can carefully control the amount of tissue removed or reshaped, leading to more accurate and personalized treatment.
3. Reduced Bleeding and Swelling. The laser energy cauterizes the gum tissue as it works, which helps to minimize bleeding and swelling. This can lead to a faster recovery time and less discomfort.
4. Faster Healing. Laser gum contouring typically results in shorter healing times than traditional gum surgery. The cauterization of the tissue helps to promote faster healing, and patients can usually return to normal activities immediately following the procedure.

 

Disadvantages of laser gum contouring include:

1. Limited Effectiveness. Laser gum contouring is ineffective in treating more severe cases of excess gum tissue. Surgical intervention may be necessary if the patient has significant excess gum tissue or a gummy smile.
2. Cost. Laser gum contouring can be more expensive than other non-surgical treatments for a gummy smile, such as Botox injections or lip repositioning.
3. Not Covered by Insurance. Laser gum contouring is usually considered a cosmetic procedure and is not covered by insurance. This can make it cost-prohibitive for some patients.
4. Potential for Complications. Like any dental procedure, there is a risk of complications with laser gum contouring. These can include infection, bleeding, and nerve damage. However, these risks are relatively low, especially when a qualified and experienced dental professional performs the procedure.

 

It is important to note that while laser gum contouring is generally considered safe and effective, there are some risks and potential complications associated with any dental procedure. It is essential to discuss the risks and benefits of laser gum contouring with one of our periodontists and to carefully follow any post-procedure instructions to minimize the risk of complications. Call (877) 440-3564 and get your questions answered!

Botox Injections

Botox injections have become a popular non-surgical treatment option for gummy smiles. They are a safe and minimally invasive way to reduce the appearance of a gummy smile temporarily. They work by relaxing the muscles that control the movement of the upper lip, resulting in a more balanced and aesthetically pleasing smile. We will explore the benefits of Botox and how it works to correct a gummy smile.

How Botox Works for Gummy Smile Correction

Botox, or botulinum toxin, is a neuromodulator that temporarily relaxes muscle movement. When used for gummy smile correction, a small amount of Botox is injected into the upper lip when smiling. This relaxation of the muscles allows the upper lip to cover more of the gum tissue when smiling, resulting in a less gummy appearance.

 

Botox works by blocking the release of a neurotransmitter called acetylcholine, which is responsible for signaling muscle contractions. By inhibiting this neurotransmitter, Botox prevents the muscles from contracting, which reduces the appearance of the gummy smile. The effects of Botox typically last for several months before the muscles gradually regain their movement.

 

Botox injections are a safe and effective way to temporarily improve the appearance of a gummy smile. Still, it is essential to have the procedure performed by a qualified healthcare professional. A qualified professional will have the expertise to determine the appropriate dosage and injection points for optimal results and monitor for any potential side effects.

Advantages and Disadvantages of Botox Injections

Botox injections for gummy smile correction have both advantages and disadvantages that patients should be aware of before deciding whether to undergo the procedure. Some advantages and disadvantages of Botox injections for gummy smile correction:

Advantages:

1. Non-Surgical. Botox injections are a non-surgical procedure that can be performed in a healthcare professional’s office without general anesthesia.
2. Quick Procedure. The injection process typically takes a few minutes, with minimal discomfort and downtime.
3. Temporary results. The effects of Botox injections are temporary and will gradually wear off over time allowing patients to re-evaluate their treatment options if needed.
4. Reduced Pain. By relaxing the muscles that control the movement of the upper lip, Botox injections can reduce any pain or discomfort associated with gum tissue exposure.

 

Disadvantages:

1. Temporary Results. While the temporary nature of the results can be an advantage, some patients may find it inconvenient to have to repeat the procedure every few months to maintain the effect.
2. Limited Effectiveness. Botox injections may not be effective in cases where other factors, such as a short upper lip or excessive gum tissue, cause the gummy smile.
3. Potential Side Effects. As with any medical procedure, there is a risk of side effects associated with Botox injections, including bruising, swelling, and allergic reactions.
4. Cost. Botox injections for gummy smile correction can be costly, and insurance may not cover the procedure as it is considered a cosmetic treatment.

 

Ultimately, the decision to undergo Botox injections for gummy smile correction should be made in consultation with a qualified dental professional who can help patients weigh the pros and cons and determine the best course of action for their individual needs.  

Scaling and Root Planing

Scaling and root planing is a non-surgical dental procedure that can treat periodontal disease, a condition that affects the gums and contributes to a gummy smile. Scaling and root planing involve the removal of plaque and tartar buildup from the teeth and the roots of the teeth to help prevent gum recession and improve the overall health of the gums. In some cases, scaling and root planing can help reduce the appearance of a gummy smile by enhancing the gum line and exposing more teeth. In this way, it can be a minimally invasive and cost-effective solution for individuals seeking to correct their gummy smile.

Procedure and Purpose

The scaling and root planing procedure typically involves two steps:

1. Scaling: Our periodontists use special tools to remove plaque and tartar buildup from the surface of the teeth and beneath the gum line. This helps to eliminate bacteria that can cause inflammation and damage to the gums.
2. Root Planing: Our specialists will then smooth out the roots of the teeth to remove rough spots and bacterial toxins. This helps to create a clean and smooth surface that allows the gums to heal and reattach to the teeth.

 

The purpose of scaling and root planing is to improve the health of the gums and prevent further damage to the teeth and gums. By removing plaque and tartar buildup and smoothing out the roots of the teeth, scaling and root planing can help to reduce inflammation, bleeding, and gum recession and may even improve the appearance of a gummy smile. It is an effective treatment option for individuals with mild to moderate periodontal disease and can be performed by a dentist or dental hygienist during routine dental cleaning.

Advantages and Disadvantages of Scaling and Root Planning

There are several advantages and disadvantages associated with scaling and root planing. Benefits of the procedure include:

1. Non-Surgical. Scaling and root planing is a non-invasive and non-surgical procedure, making it a safe and cost-effective treatment option for individuals with mild to moderate periodontal disease.
2. Improved Gum Health. By removing plaque, tartar, and bacteria buildup from the teeth and roots, scaling and root planing can help improve the gums’ overall health and prevent further damage to the teeth and gums.
3. Reduced Risk of Tooth Loss. Scaling and root planing can help prevent gum recession and bone loss, leading causes of tooth loss in adults.
4. Improved Overall Health. By improving the health of the gums, scaling and root planing may also reduce the risk of other health problems, such as heart disease, stroke, and diabetes.

 

Disadvantages of scaling and root planing include:

1. Discomfort. Some patients may experience mild discomfort or sensitivity during and after the procedure, which can be managed with pain relievers or desensitizing toothpaste. 
2. Multiple Appointments. Depending on the extent of the periodontal disease, multiple appointments may be necessary to complete the scaling and root planing procedure.
3. Maintenance. Patients who undergo scaling and root planing must maintain good oral hygiene habits and schedule regular follow-up appointments with their dentist or dental hygienist to prevent further buildup of plaque and tartar.

Orthodontic Treatment

Orthodontic treatment is a popular and effective way to correct a gummy smile caused by misaligned teeth or jaw bones. This non-surgical approach involves braces, aligners, or other orthodontic devices to gradually shift the position of the teeth and/or jaw bones into proper alignment. By correcting the underlying structural issues that cause a gummy smile, orthodontic treatment can provide a long-term solution for individuals looking to improve the appearance of their smile and overall oral health.

Braces and Clear Aligners

Braces and clear aligners can correct a gummy smile by gradually shifting the position of the teeth or jaw bones into proper alignment. This can help reduce the amount of gum tissue that shows when smiling.

 

Braces are a traditional orthodontic treatment that uses metal or ceramic brackets, wires, and bands to apply gentle pressure to the teeth. As the teeth gradually shift into their new positions, the gums will also move, resulting in a more balanced and aesthetically pleasing smile.

 

Clear aligners like Invisalign are a popular alternative to traditional braces. They use a series of clear, removable trays that gradually apply gentle pressure to the teeth to shift them into proper alignment. Like braces, clear aligners can also help to correct a gummy smile by moving the teeth and gums into an ideal position. Both braces and clear aligners can be effective in correcting a gummy smile, and the choice between the two will depend on factors such as the severity of the gummy smile, the patient’s preferences, and the recommendation of the specialist.

Advantages and Disadvantages of Orthodontic Treatment

Orthodontic treatment for a gummy smile has its advantages and disadvantages. Here are some of them:

 

Advantages:

1. Long-Term Solution. Orthodontic treatment is a long-term solution for correcting a gummy smile caused by misaligned teeth or jaw bones. 
2. Improved Oral Health. Properly aligned teeth and jaw bones can improve oral health by making it easier to clean teeth and gums, reducing the risk of gum disease and tooth decay.
3. Improved Self-Confidence. Correcting a gummy smile can improve a person’s self-confidence and quality of life.
4. Variety of Treatment Options. Several orthodontic treatments, such as traditional braces and clear aligners, are available to suit different needs and preferences.

 

Disadvantages:

1. Lengthy Treatment Time. Orthodontic treatment can take several months to several years to complete, depending on the severity of the case.
2. Cost. Orthodontic treatment can be expensive and may not be covered by insurance.
3. Discomfort. Braces and other orthodontic devices can cause pain, especially during the first few weeks of treatment.
4. Maintenance. Orthodontic treatment requires regular maintenance, such as adjustments and cleaning of the devices.

 

It is essential to consult with an experienced orthodontist or dental professional to determine if orthodontic treatment is suitable for correcting your gummy smile and to discuss each treatment option’s potential benefits and drawbacks.

Surgical Options

Sometimes, non-surgical treatments may not be sufficient to correct a gummy smile. Surgical treatment options may be considered. Two common surgical options are lip repositioning surgery and crown lengthening procedures. These procedures aim to remove excess gum tissue and improve the smile’s appearance. While surgical treatments may provide more dramatic results, they also have more significant risks and longer recovery times. It is essential to discuss the potential benefits and risks with a qualified dental professional before considering surgical treatment options for a gummy smile.

 

Our experienced periodontists will help answer any questions you may have and give you a better understanding of each surgical treatment option for a gummy smile. Call (877) 440-3564 to schedule your appointment today!

Lip Repositioning Surgery

Lip repositioning is a minimally invasive surgical procedure that can be used to correct a gummy smile caused by an overactive or hypermobile lip. During the process, a small incision is made on the inside of the lip, and a small amount of tissue is removed to limit the movement of the lip and expose less of the gums when smiling. This procedure can be effective for those who want a more permanent solution for their gummy smile.

Lip Repositioning Surgery Consultation and Procedure

Before undergoing lip repositioning surgery, a consultation with an experienced oral surgeon or periodontist is necessary. During the consultation, our specialists will examine the teeth, gums, and lips to determine the extent of the gummy smile and the appropriate treatment plan. We will review your medical history and current medications to ensure you are a suitable candidate for surgery.

 

On the day of surgery, a local anesthetic is administered to numb the area. We then make small incisions in the inside of the upper lip to access the muscle responsible for elevating the upper lip. The muscle will be repositioned and stitched into a lower position, reducing the amount of gum tissue visible when the patient smiles. The incisions will then be closed with dissolvable stitches. The procedure usually takes less than an hour to complete.

 

After the surgery, it is common to experience swelling, bruising, and discomfort, which can be managed with pain medication and cold compresses. It is essential to follow our post-operative instructions carefully to ensure proper healing and avoid complications. You may need to avoid certain foods and activities for a few days for adequate recovery.

Advantages and Disadvantages of Lip Repositioning

Advantages:

1. Permanent Solution. Lip repositioning is a permanent solution to correct a gummy smile, unlike non-surgical options that may require regular touch-ups.
2. Minimal Scarring. The incision for lip repositioning is made on the inside of the lip, which means that scarring is usually minimal and not visible.
3. Improves Aesthetics. Lip repositioning can improve the smile’s aesthetics and the face’s overall appearance, leading to increased confidence and self-esteem.

 

Disadvantages:

1. Surgical Risks. As with any surgical procedure, there are risks associated with lip repositioning, including bleeding, infection, and aesthesia-related complications.
2. Recovery Time. Patients may experience swelling and discomfort following the procedure and must take time off work or other activities to allow for proper healing.
3. Cost. Lip repositioning is a surgical procedure that can be costly, especially if not covered by insurance.

 

It is essential to consult with a qualified healthcare professional to determine whether lip repositioning is the right option for you and to weigh the benefits and risks of the procedure.

Recovery and Post-Operative Care for Lip Repositioning 

Recovery and post-operative care are essential for the success of lip repositioning surgery. After the procedure, the patient will need to take special care to promote healing and avoid complications. Some important post-operative care tips to follow for lip repositioning surgery include:

1. Take pain medication as a specialist prescribes to manage any discomfort.
2. Apply cold compresses to your lips to reduce swelling and bruising. You can use a soft gel pack or a bag of frozen peas wrapped in a cloth.
3. Avoid touching the incisions with your tongue or fingers, drinking hot liquids, or eating spicy foods that irritate the incisions.
4. Eas a soft diet for the first few days after surgery to avoid putting pressure on the incisions.
5. Follow our instructions for oral hygiene, including brushing and flossing gently around the incision sites.
6. Avoid smoking and using straws for the first week after surgery, as they can cause dry sockets or disrupt healing.
7. Attend all follow-up appointments with your specialist to monitor your progress and ensure proper healing.

Recovery time varies for each patient, but most people can return to work or school within a week of the surgery. However, it may take several weeks for the swelling and bruising to subside completely, and the final results of the surgery may take a few months to become fully visible.

Long-Term Results and Complications for Lip Repositioning 

Lip repositioning surgery is a safe and effective procedure for correcting a gummy smile, and most patients are satisfied with the long-term results. However, as with any surgical procedure, there are potential complications and risks to consider.

 

One of the most common long-term complications of lip repositioning surgery is a change in the appearance of the lips over time. While the surgery can improve the appearance of a gummy smile, the lips may shift and change over time, requiring additional treatments to maintain the desired results.

 

Other potential long-term complications of lip repositioning surgery include scarring, infection, and nerve damage. These risks can be minimized by choosing an experienced and qualified surgeon and following all post-operative care instructions.

 

It is important to note that while lip repositioning surgery can improve the appearance of a gummy smile, it may not be suitable for all patients. Call (877) 440-3564 to consult with one of our highly qualified periodontists today! Our specialists will evaluate your case and determine whether lip repositioning surgery is best for you.

Crown Lengthening

Crown lengthening is a surgical procedure that is used to expose more of the natural tooth structure by removing gum tissue and/or bone. It is a common treatment for patients with a gummy smile, as it can help to create a more balanced and aesthetically pleasing smile. By removing excess gum tissue, crown lengthening can make the teeth appear longer and improve the overall proportions of the smile. Crown lengthening may be performed on one or several teeth, depending on the patient’s needs and goals.

Types of Crown Lengthening Procedures

There are two types of crown lengthening procedures: gingivectomy and orthognathic surgery. A gingivectomy removes only excess gum tissue, while orthognathic surgery removes gum tissue and bone to expose more of the tooth structure. Gingivectomies are often performed only when a small amount of gum tissue needs to be removed, and orthognathic surgery is typically used for more severe cases of gum overgrowth.

 

In more severe cases, a gummy smile may be caused by an underlying issue with the jaw position or the facial bones’ shape. In these cases, orthognathic surgery may be necessary to correct the problem. Orthognathic surgery involves repositioning the upper jaw to create a more balanced and harmonious facial appearance. This procedure may be recommended for patients with a severe gummy smile caused by an overgrown or protruding upper jaw.

Gingivectomy

Gingivectomy is a relatively quick and straightforward procedure, and the recovery time is usually minimal. The surgery aims to create a more proportionate and aesthetically pleasing smile by exposing more of the natural tooth surface. The results are often visible immediately after the procedure, and patients can enjoy a more confident and attractive smile.

Gingivectomy Consultation and Procedure

Before undergoing the gingivectomy procedure, a patient will typically consult a periodontist or oral surgeon to determine if the procedure is proper for them. During the consultation process, our experienced periodontists will examine the patient’s teeth and gums and discuss their goals for the procedure.

 

If the patient is a good candidate for gingivectomy, we proceed with scheduling their next appointment to start the procedure process. This surgery is performed under local anesthesia to numb the area. We use a scalpel or laser to remove the excess gum tissue, creating a smooth and natural-looking gum line.

 

Our specialist will place stitches once the procedure is complete to help the gum heal properly.

The stitches are typically dissolvable and will disappear on their own within a few days to a week. The procedure typically takes less than an hour to complete, depending on the number of teeth being treated. The patient may experience some swelling and discomfort following the procedure, but this can be managed with pain medications and ice packs. Most patients can return to their normal activities within a few days.

Advantages and Disadvantages of Gingivectomy

Some advantages of gingivectomy include:

1. Improved Appearance. Gingivectomy can help to create a more natural and aesthetically pleasing gum line, which can significantly improve the appearance of the teeth.
2. Improved Oral Health. By removing excess gum tissue, gingivectomy can help reduce gum disease risk and improve oral health.
3. Quick and Minimally Invasive. Gingivectomy is a relatively short and minimally invasive procedure that can be performed in a dental office setting with local anesthesia.

 

However, there are also some potential disadvantages to consider:

1. Possible Side Effects. After the procedure, patients may experience some swelling, discomfort, and bleeding. In rare cases, complications such as infection or nerve damage may occur.
2. Recurrence of Gum Tissue. Gum tissue may sometimes grow back over time, requiring additional treatment.
3. Cost. Gingivectomy can be costly, especially if multiple teeth are being treated. Insurance may not cover the total cost of the procedure.

Recovery and Post-Operative Care for Gingivectomy

Recovery and post-operative care are crucial for a gingivectomy procedure’s successful healing and long-term results. Here are some crucial guidelines to follow during the recovery period:

1. Take Prescribed Medications: Our specialists may prescribe pain medication or antibiotics to manage pain and prevent infection. Take them as directed.
2. Apple Ice Packs: Applying ice packs to the affected area for the first 24-48 hours after surgery can help reduce swelling and discomfort. Use the ice packs for about 15 minutes at a time, with 15-minute breaks in between.
3. Follow a Soft Diet: Stick to a soft diet for a few days after the procedure to avoid irritating the surgical site. Choose foods that require minimal chewing, such as yogurt, mashed potatoes, and soups.
4. Avoid Strenuous Activities: Avoid activities that can increase blood flow to the surgical area, such as rigorous exercise, for at least a few days. This will help minimize swelling and promote healing.
5. Practice Good Oral Hygiene: Maintain good oral hygiene by gently brushing your teeth with a soft-bristled toothbrush. Rinse your mouth with a saltwater solution as your specialist recommends to aid healing. Avoid the surgical area until it has healed completely.
6. Limit Smoking and Alcohol Consumption: Smoking and alcohol can hinder the healing process, so it’s best to avoid them during recovery.
7. Attend Follow-Up Appointments: Keep all scheduled follow-up appointments with your periodontist. We will monitor your healing progress and remove any stitches if necessary.

After the gingivectomy procedure, it is normal to experience some swelling, tenderness, and minor bleeding. However, If you notice excessive bleeding, severe pain, or other concerning symptoms, contact your specialist immediately by calling (877) 440-3564.

Long-Term Results and Complications for Gingivectomies

The long-term results of a gingivectomy can be quite satisfying, with patients achieving a more balanced and aesthetically pleasing gum line. However, being aware of potential complications and understanding the procedure’s limitations is essential. Here are some factors to consider regarding long-term results and possible complications:

• Gum Tissue Regrowth. While gingivectomy removes excess gum tissue, gum tissue can be regressed over time. This may require additional treatment to maintain the desired aesthetic outcome.
• Sensitivity and Discomfort. Some patients may experience temporary sensitivity or discomfort in the treated area during healing. However, these symptoms typically subside as the gums heal.
• Root Exposure. In some cases, a gingivectomy may lead to increased tooth root exposure, making the teeth more susceptible to sensitivity. Your periodontist may recommend desensitizing agents or other treatments to address the issue.
• Aesthetic Results. While gingivectomy can improve the appearance of a gummy smile, the final aesthetic outcome may depend on various factors, such as the shape of the teeth, underlying bone structure, and overall facial aesthetics.
• Surgical Risks. As with any surgical procedure, there are potential risks, such as infection, bleeding, and allergic reactions to medications or anesthesia. However, these complications are relatively rare when performed by a skilled and experienced dental professional.

Having realistic expectations and discussing potential risks and complications with your periodontist is important before undergoing a gingivectomy. Regular dental visits and proper oral hygiene practices, including brushing, flossing, and routine professional cleanings, will help maintain the long-term results of the procedure.

Orthognathic Surgery

Orthognathic surgery, or corrective jaw surgery, is a surgical procedure that can address a gummy smile caused by underlying jaw misalignment or excessive vertical maxillary growth. In cases where the gummy smile is not solely due to excess gum tissue but is a result of an abnormal positioning of the upper jaw, orthognathic surgery may be recommended. This procedure aims to reposition the upper jaw to create a more harmonious facial balance and improve the smile’s overall appearance. By correcting the underlying skeletal issue, orthognathic surgery offers a comprehensive solution for patients with a gummy smile, resulting in long-lasting aesthetic and functional improvements.

Orthognathic Surgery Consultation and Procedure

The process of undergoing orthognathic surgery for a gummy smile involves a series of steps, starting with a consultation and leading up to the surgical procedure. Here is an overview of what to expect during your consultation with one of our qualified specialists and the procedure itself:

 

Consultation:

1. Evaluation. During the consultation, you will meet with an experienced surgeon specializing in orthognathic surgery. They will evaluate your dental and facial structure, take X-rays, and possibly conduct other imaging tests to assess the extent of the jaw misalignment and its impact on your gummy smile.
2. Treatment Plan. Based on the evaluation, the surgeon will develop a personalized treatment plan. This plan will outline the specific procedures needed, the expected outcomes, and any potential risks or complications. You will also be given your own personal treatment plan coordinator, who will be at your side throughout the treatment process to explain everything in detail and answer any questions.
3. Discussion and Clarification. The surgeon will explain the details of the surgery, including the surgical techniques, anesthesia options, expected recovery time, and post-operative care. You will have the opportunity to ask questions, address any concerns, and discuss your expectations.

 

Procedure:

1. Preparations. Before the surgery, you may need additional tests, such as dental impressions or further imaging, to assist in surgical planning. You may also need to make necessary arrangements, such as taking time off work or arranging for support during your recovery period.
2. Anesthesia. On the day of surgery, you will be given the appropriate anesthesia to ensure your comfort throughout the procedure. This may include general anesthesia, which puts you to sleep, or intravenous sedation, which keeps you relaxed and pain-free.
3. Surgical Process. The surgeon will make incisions inside the mouth to access the jaw bones. They will then perform the necessary adjustments, such as repositioning the upper jaw or reshaping the bone to correct the gummy smile. The procedure may also involve using plates, screws, or wires to stabilize the jaw in its new position.
4. Closure and Recovery. Once the surgical adjustments are complete, the incisions will be closed with sutures. The recovery process will begin, during which you will be monitored closely to ensure a smooth and safe transition from surgery to the healing phase.

After the procedure, you will be given detailed instructions on post-operative care, pain management, dietary restrictions, and follow-up appointments. Following these instructions is vital to promote proper healing and achieve optimal results. The recovery period can vary, but most patients require a few weeks to several months to fully recover and see the outcome of their orthognathic surgery for a gummy smile.

Advantages and Disadvantages of Orthognathic Surgery

Orthognathic surgery offers several advantages in addressing a gummy smile caused by underlying jaw misalignments. However, it also comes with potential disadvantages that should be considered. Here are some advantages and disadvantages of orthognathic surgery.

 

Advantages:

1. Comprehensive Solution. Orthognathic surgery addresses the underlying skeletal issues causing the summy smile, providing a long-lasting and complete solution.
2. Aesthetic Improvement. By repositioning the jaw, orthognathic surgery can achieve a more balanced and harmonious facial appearance, enhancing the smile’s aesthetic appeal.
3. Functional Benefits. In addition to cosmetic improvements, orthognathic surgery can improve bite alignment, chewing function, speech, and oral health.
4. Positive Impact on Self-Confidence. Correcting a gummy smile through orthognathic surgery can significantly enhance a person’s self-esteem and confidence, leading to improved social interactions and quality of life.

 

Disadvantages:

1. Surgical Risks. Orthognathic surgery carries certain risks like any surgical procedure, including bleeding, infection, nerve damage, and adverse reactions to anesthesia. However, these risks can be minimized with proper planning and an experienced surgical team.
2. Lengthy Treatment Process. The orthognathic surgery process involves multiple stages, including consultation, pre-surgical preparations, surgery, and recovery. This can be time-consuming and require patience and commitment from the patient.
3. Post-Operative Recovery. The recovery phase after orthognathic surgery can involve temporary swelling, bruising, discomfort, and dietary restrictions. It may take several weeks to months for the swelling to subside and for a full recovery.
4. Cost. Orthognathic surgery is a complex procedure that requires specialized skills and equipment, making it a costly treatment option. Considering the financial implications and insurance coverage before surgery is essential. 

It is crucial to thoroughly discuss with an oral surgeon to understand the specific advantages, potential risks, and limitations of orthognathic surgery in your particular case. This will help you decide whether orthognathic surgery is the right approach to address your gummy smile.

Recovery and Post-Operative Care for Orthognathic Surgery

Recovery and post-operative care are essential in ensuring a smooth healing process and optimal results after orthognathic surgery. Here are important aspects to consider during this period:

1. Pain Management. You will be prescribed pain medication to manage discomfort during the initial days of recovery. Take medicine as your specialist directs, and report any severe or prolonged pain.
2. Swelling and Ice Packs. Swelling is common after orthognathic surgery. Applying ice packs to the affected areas for the first few days can reduce swelling. Use them intermittently as instructed, typically for 15-20 minutes at a time, with breaks in between.
3. Oral Hygiene. Maintaining good oral hygiene is essential during the recovery period. Gently brush your teeth with a soft-bristled toothbrush, being cautious around the surgical sites. Rinse your mouth with a prescribed mouthwash or saltwater solution as directed by your surgeon.
4. Diet and Nutrition. Your diet will be restricted to soft foods and liquids for a certain period to aid healing. Stick to the recommended diet plan and avoid hard, chewy, or sticky foods that can strain the healing jaw. Ensure you stay hydrated and maintain proper nutrition.
5. Follow-up Appointments. Attend all scheduled follow-up appointments with your oral surgeon. They will monitor your progress, remove sutures if necessary, and provide guidance on your recovery.
6. Physical Activity and Rest. Rest and take sufficient time off work or school to allow your body to heal correctly. Avoid strenuous activities, exercise, and heavy lifting during the initial recovery phase.
7. Emotional Support. The recovery process can be challenging both physically and emotionally. Seek support from family, friends, or support groups to cope with any discomfort or anxiety that may arise.

It is important to note that the recovery period for orthognathic surgery varies for each individual. Our specialists will provide specific instructions tailored to your case. Following these guidelines diligently and maintaining open communication with your specialist will contribute to a smoother recovery and increase the likelihood of achieving the desired outcomes of the surgery.

Long-Term Results and Complications for Orthognathic

Orthognathic surgery is a transformative procedure that can improve the functional and aesthetic aspects of the jaw and smile. However, it is essential to consider the potential long-term results and potential complications associated with this surgery. Long-term results include:

• Improved Facial Balance: Orthognathic surgery aims to correct jaw misalignment, improving facial harmony and balance. This can result in a more proportionate and aesthetically pleasing appearance. 
• Enhanced Bite and Chewing Function: By repositioning the jaws, orthognathic surgery can improve the alignment of the teeth, allowing for better bite function and more efficient chewing.
• Corrected Speech Issues: In some cases, orthognathic surgery can resolve speech problems resulting from jaw misalignment, leading to more transparent and confident speech.
• Stable and Lasting Results: Orthognathic surgery is intended to change the jaw position permanently. Once the bones have healed and stabilized, the results are typically long-lasting.

 

Complications of orthognathic surgery include:

• Surgical Risks: As with any surgery, orthognathic surgery carries risks such as bleeding, infection, adverse reactions to anesthesia, and nerve damage. However, these complications are relatively rare and can be minimized with careful planning and an experienced surgical team.
• Temporary Numbness or Altered Sensation: Following orthognathic surgery, some patients may experience temporary numbness or altered sensation in the lips, chin, or other areas of the face. In most cases, the feeling gradually returns to normal over time.
• TMJ (Temporomandibular Joint) Issues: Although orthognathic surgery aims to improve jaw function, in rare cases, it may contribute to temporomandibular joint disorders. Proper evaluation and planning by a skilled surgeon can help minimize this risk.
• Relapse: While orthognathic surgery aims to achieve stable results, there is a slight possibility of relapse over time, particularly if post-operative instructions are not followed or if there are changes in facial growth patterns.
• Emotional Adjustment: Undergoing orthognathic surgery can be a significant life-changing experience. Some individuals may require time to adjust emotionally to the new facial appearance and improved self-image.

Choosing the Right Treatment

Choosing the proper treatment for your gummy smile is of utmost importance as it directly affects the outcome, satisfaction, and overall success of the treatment. Each individual’s gummy smile is unique, and the underlying causes vary. Choosing the proper treatment ensures that the specific factors contributing to your gummy smile are correctly addressed. We create a personalized approach that increases the likelihood of achieving optimal results.

 

Different treatment options target specific aspects of a gummy smile, such as excess gum tissue, jaw misalignment, or dental irregularities. Choosing the right treatment ensures the underlying problem is adequately resolved, resulting in a balanced and aesthetically pleasing smile.

 

Selecting the appropriate treatment can reduce the likelihood of encountering adverse effects or difficulties associated with a wrong approach. Choosing the right treatment also minimizes any potential risks and complications. Each treatment option carries its own set of risks and possible complications. A thorough evaluation by a qualified professional will help identify any factors that may affect the treatment choice.

Consultation with Dental Professionals

Our team of experienced periodontists has the knowledge and expertise to evaluate your specific case and recommend the most suitable treatment options. We first thoroughly examine your teeth, gums, jaw, and facial structure to determine the underlying causes of your gummy smile. We will assess factors such as excessive gum tissue, jaw alignment issues, tooth positioning, and overall oral health. This evaluation helps in understanding the specific factors contributing to your gummy smile and guides the selection of the appropriate treatment.

 

Our dental professionals possess in-depth knowledge of various treatment modalities available for correcting gummy smiles. We stay updated with the latest advancements in the field and can provide valuable insights into the most effective and appropriate treatment options based on your unique case.

 

Based on the evaluation, we develop a customized treatment plan tailored to your needs and goals. We will explain the recommended procedures, the expected outcomes, and the potential risks and benefits associated with each option. This allows you to make an informed decision and actively participate in your treatment journey.

Cost and Insurance Coverage

When considering treatment options for a gummy smile, it is important to understand the cost involved and whether your insurance covers these procedures. The cost of treatment can vary depending on factors such as the specific procedure, the severity of your gummy smile, and the geographical location. Insurance coverage for gummy smile correction may also vary depending on your insurance plan and policies.

 

Insurance coverage may be more likely for treatments that are considered medically necessary rather than purely cosmetic. It is advisable to contact your insurance provider to inquire about the coverage details for the specific treatment options you are considering. They can provide information on whether the procedures are covered and any associated limitations or requirements.

 

If you are concerned about the cost of treatment, we offer flexible payment plans to help patients manage the financial aspect of their treatment. These plans may involve breaking down the total cost into manageable monthly installments, making it more affordable and convenient. For more information about insurance and our payment plan options, call (877) 440-3564.

 

FAQ

• What causes a gummy smile?

A gummy smile can be caused by various factors, including excessive gum tissue, abnormal tooth eruption, short upper lip, hypermobile upper lip, jawbone differences, and vertical maxillary excess.

• Can a gummy smile be corrected without surgery?

Yes, there are non-surgical treatment options available for correcting a gummy smile, such as Botox injections, lip repositioning, scaling and root planing, and orthodontic treatment.

• Is Botox effective for treating a gummy smile?

Botox injections can be effective for treating a gummy smile by temporarily relaxing the muscles that elevate the upper lip, reducing its mobility and minimizing the exposure of the gums when smiling.

• What is the lip repositioning procedure?

Lip repositioning is a surgical procedure that involves repositioning the upper lip to cover a portion of the gums. It is performed to reduce the visibility of the gums when smiling.

• Can scaling and root planing help with a gummy smile?

Scaling and root planing is a deep cleaning procedure that addresses gum disease and can help improve the appearance of a gummy smile by reducing gum inflammation and enhancing gum health.

• How can orthodontic treatment correct a gummy smile?

Orthodontic treatment, such as braces or clear aligners, can correct a gummy smile by repositioning the teeth, adjusting their alignment, and improving the overall balance of the smile.

• What is laser gum contouring?

Laser gum contouring is a cosmetic dental procedure that uses a laser to reshape and recontour the gumline, removing excess gum tissue and creating a more balanced and aesthetically pleasing smile.

• Is orthognathic surgery a common treatment for a gummy smile?

Orthognathic surgery is typically reserved for severe cases of jaw misalignment or skeletal discrepancies contributing to a gummy smile. It is not as commonly used as non-surgical or less invasive treatments.

• What are the potential complications of gummy smile correction procedures?

Complications can vary depending on the specific procedure but may include swelling, bruising, discomfort, temporary numbness, infection, relapse, or other risks associated with surgical interventions.

• Will my insurance cover the cost of gummy smile correction?

Insurance coverage for gummy smile correction varies depending on the specific procedure and your insurance plan. It is advisable to check with your insurance provider to determine the coverage details and any limitations.