Smile/mouth shape alterations for narrow smile too deep in face? (Photos)

Question

What is wrong here? The dentist and the ortho say everything looks fine. I’m having a difficult time explaining to them what it is that I hate about my smile, so no one has been able to offer a resolution. All I know is that the shape my lips and mouth make are hideous to me and it prevents me from ever smiling. One thing that stands out to me in these photos is that my smile seems narrow and too deep into my face, and my bottom lip covers almost all of my top teeth. How are these fixed???

Randal Haworth, MD, FACS · Answer

Based on the information you provided, it's difficult to determine the specific issue with your smile. However, from your description, it sounds like you may be experiencing concerns with lip position and tooth visibility when you smile.

To address these concerns, a few treatment options may be considered:

Orthodontic treatment: If your teeth are not in the proper position, orthodontic treatment such as braces or clear aligners may help to align your teeth and create more space for them to be visible when you smile.
Lip repositioning surgery: In some cases, the position of the lips can be adjusted surgically to improve the visibility of the teeth and create a more balanced smile. This procedure involves removing a small strip of tissue from the inside of the upper lip, which allows the lip to rest in a higher position.
Veneers or crowns: If your teeth are visible when you smile, but you are unhappy with their shape or size, veneers or crowns may be an option. These dental restorations can be used to improve the appearance of your teeth, creating a more aesthetically pleasing smile.
It's essential to consult with a qualified cosmetic dentist or orthodontist to determine the best course of treatment for your individual needs. They can evaluate your teeth, lips, and overall facial structure to recommend the most appropriate treatment options and help you achieve the smile you desire. Additionally, bringing photos or examples of the smile you would like to achieve can help your dentist or orthodontist better understand your concerns and develop a treatment plan that meets your goals.

Best of luck !

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

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