Invisalign before gum reduction? (Photo)

Such a great question! I would suggest if you are considering Invisalign regardless to correct the alignment of your teeth and correct the crowding of your bottom teeth, to do this first. You may find the lip positions change slightly with the new position of your teeth and so might the gum height of your upper teeth. Maybe not much but maybe enough to be happy with. If you think you still have a gummy smile, then you may consider Botox to relax the upper lip muscle which will reduce the appearance of a gummy smile, or gum reduction (crown lengthening) once the teeth are in their new position. This way you amount of botox or gum reduction can be more accurate for a much better aesthetic outcome.

Do the aligners first, then your cosmetic dentist can make the appropriate gum recontouring. Gums will change sometimes with orthodontic alignment, so do these first. SureSmile is better, IMHO, than Invisalign, which is expensive and always requires endless refinement. I have seen some doctors, who have experience in bracket/wire orthodontics, and aligners that have done a fantastic job, but not the norm. I personally advise patients that traditional orthodontics has much more control, and more perfect results, and you don't have to think about them, or changing the aligners, endless refinements, and they just work. My orthodontist will do rapid, shortened period cases for my patients that only require a little orthodontic correction. Find a dentist with a relationship like this with an orthodontist, you will be happier in the end than with aligners. That's my experience. Others might disagree. Your choice. Best, Dr. Ivan

First, go with Invisalign treatment to correct mal-aligned teeth and in your case intrusion of upper teeth. Once Invisalign treatment is over plan gum re-contouring treatment as per need for the best outcome.