I have very big front teeth with a very gummy smile. How Can I Fix my Teeth? (photo)
Doctor Answers (2)
Big teeth/Gummy smile solutions
You need a full work-up with x-rays and study models. On a quick look at your smile, I suggest a couple of consultations with orthodontists that are skilled with complex esthetic cases. I would not recommend to just remove gum because this will make the front teeth look even larger. This would also expose root surface and make the teeth sensitive and possibly open spaces. The orthodontist may be able to intrude and retract the teeth with braces. This alone with reduce the gummy look and you may be very happy. If you want to get even better, then some carefull recontouring of the other teeth (not the front 2) will even things out so it is not so bunny looking.
Sometimes the issue is more of a skeletal issue and you may need upper jaw surgery to correct the gummy look. The orthodontist should be able to tell you this. The upper jaw can actually be moved up so that less gum shows. This is major jaw surgery but a good oral surgeon can give you great results.
If you don't want any of the above, then you are looking at very agressive gum surgery which will compromise the stability of the teeth, along with veneers and agressive grinding of teeth to get a nice result. I don't recommend this.
How to Fix My Gummy Smile
You are correct. You do show excessive gums when you smile, and your teeth do tilt inward. You should arrange for a consultation with 1 or 2 EXCELLENT cosmetic dentists in your area. There are a lot of choices, among them: Orthodontics, Periodontal Laser Gum Contouring, Porcelain Laminates.....
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