Procedure to correct an Excessive gummy smile and short upper lip? (photos)
Doctor Answers 3
Gummy Smile Correction
I would be evaluated for jaw surgery and as a second more conservative option, I would be evaluated for lip repositioning surgery which can be accomplished in as little as one appointment with local anesthesia and light sedation.
Multiple Steps for best physiologic and cosmetic results.
I would suggest utilizing a more physiologic approach starting with a Biomimetic DNA appliance that utilizes epigenetic orthodontics. The appliance is only worn 12-14 hours/day. This will give considerable improvement.
You can then evaluate if the vertical excess is sufficiently reduced to avoid orthognathic surgery. You will probably be amazed at the results from just the first step.
A combination of techniques including a reverse vestibuloplasty can reduce how high the lip goes and gingivectomy to expose more teeth.
While orthognathic surgery can be very successful I would advise a more conservative approach initially.
Ira L Shapira DDS, D,ABDSM, D,AAPM, FICCMO
Chair, Alliance of TMD Organizations
Diplomat, American Academy of Pain Management
Diplomat, American Board of Dental Sleep Medicine
Regent & Fellow, International College of CranioMandibular Orthopedics
Board Eligible, American Academy of CranioFacial Pain
Dental Section Editor, Sleep & Health JournalMember, American Equilibration Society
Member, Academy of Applied Myofunctional Sciences
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