Can reattaching my frenum fix my gummy smile? (photos)

Question

Hello, when I was about 14, my dentist cut off part of my upper lip frenum to close a tooth gap in the front. I don't remember if I had a gummy smile before that, but could that be a possible cause? Is reattaching the cut off part going to fix my gummy smile? Or is there a better procedure? I've looked into botox but it would be only a temporary solution. Raising my gum would be a no go since my teeth are pretty long already. Which kind of doctor would specialize in such procedures? Thank you.

Jason Emer, MD · Answer

botox is the best choice the frenulum will not help in either direction on the gummy smile.  Best, Dr. Emer.

Michael Kulick, MD, DDS · Answer

Attaching your frenluum will not give you your desired result. You may consider making your upper lip fuller if you do not mind such a change. It does not have to be with a HA filler but can be more lasting. The    only advantage to using a HA filler for the first time is that if you do not like the fullness of you per lip, if will go away. 
Hope this helps!
Michael Kulick MD
San Francisco Ca

Nelson Castillo, MD · Answer

Thank you for sharing your question.  "repair" of the frenulum will not impact the degree of tooth or gum show with your smile.  The best temporary solution would be botox while surgery would need to be performed for a more permanent correction.  Hope this helps.

Matt Tahsini, MD · Answer

Hello and thank you for your question. Personally I think Botox is your best option. If you’re not in agreement with that I suggest seeing an oral surgeon to see what if any options you have. Best wishes.
Dr. T

Mats Hagstrom, MD (license on probation) · Answer

Some plastic surgeons do gummy smile surgery. To get a thorough assessment you may be better off talking to some oral surgeons.

Orthodontists obviously have a great deal of interest in this condition is as well.  their treatment options may be limited in comparison to surgical intervention.

There are different variables that should be properly assessed. Reattaching your frenulum probably is not realistic.

I don’t think that procedure in childhood was the cause for your gummy smile.

Best,

Mats Hagstrom MD

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