Gums lasered or crown lengthening with veneers? (Photos)

Question

A went to the dentist yesterday for an estimate on getting my gums lasered due to my gummy smile and he told me that since my gums are so thick I would need to get crown lengthening and veneers put on my top 6 teeth otherwise the gums will just grow back. I was just wondering if this is true or if he was just scaring me to get me to go with the more expensive procedure..? Please let me know! Thank you!

Ruben Mateo, DDS · Answer

Performing  crowns lengthening  will significantly improve the final result. 
improving the contour of your gums, will allow to realize veneers with a better appearance.If the lengthening of crowns is done with the design of the veneers on top of your teeth, you should not be afraid of bad results.
Dr.  Ruben Mateo

Michael D. Kosdon, DDS · Answer

Thanks for your question and pictures.
First off, if you don't trust your dentist, and question his integrity, you should find another dentist.
That being said, I agree with your dentist's assessment, and in your case crown lengthening will give you better results that are more predictable. 
There are a few factors that can influence which procedure is better suited for your needs. 
First off, is the type of gum tissue you have. Thicker tissue tends to grow back with the laser, and responds better with crown lengthening. The laser is better suited for thinner tissue which can have more predictable results, especially if you just need to remove a small amount.
Not every one is a candidate for the laser procedure. It comes down to something called biological width, which is a set number that dictates  how much gum tissue can be removed. People who have overgrown gums and gingivitis are excellent candidates for the laser.
In my experience, the crown lengthening surgery gives the best results, and its permanent. You have more predictability, and its best for situations when you need to remove a significant amount of tissue. 
Lastly, your results would look much better with 8 veneers as you'll be able to buildout your smile in the corners, and you can choose a lighter shade porcelain!

Kourosh Maddahi, DDS · Answer

Hi:From your photos it appears that crown lengthening would be a better option for you since there is quiet a bit of gum has to be removed.Best,Dr. Maddahi

Thomas Connelly, DDS - Account Suspended · Answer

Based on the photos, you appear to be a good candidate for crown lengthening to improve your smile and show less gums, but an examination is needed to properly evaluate your case. Later, veneers can be fabricated to create more harmony and symmetry. Veneers will also improve your teeth color.

Gums lasered or crown lengthening with veneers? (Photos)

Answers (4)

Answer: Will porcelain veneers work for me. When I was younger I sucked my thumb.

Answer: Will porcelain veneers work for me. When I was younger I sucked my thumb.

Recommended reading

Everything you need to know about Porcelain Veneers

Our mission is to create a world where every investment in modern beauty is Worth It.

Gums lasered or crown lengthening with veneers? (Photos)

Answers (4)

Answer: Will porcelain veneers work for me. When I was younger I sucked my thumb.

Answer: Will porcelain veneers work for me. When I was younger I sucked my thumb.

Browse related questions

Recommended reading

Everything you need to know about Porcelain Veneers

Our mission is to create a world where every investment in modern beauty is Worth It.