Would I be a good candidate for gum contouring/lift?

Question

Would I benefit from Gum contouring/gingivectomy/Gum lift? I have been unhappy and very shy about my gummy smile for a long time. I understand that the problem is also due in large part to maxillary excess, and I have treated this with botox before with great results. However, I still feel that my gums are uneven and cover too much of my teeth. I'm scared that if I lengthen the amount of tooth showing, it will look strange on my face, however. Opinions/advice are greatly appreciated!

Ira Shapira, DDS · Answer

Rather than Gum recontouring consider 3D expansion with DNA Appliance to create a full wide 10 tooth smile.  This will also improve the gummy smile. Take "V" shaped Maxilla into wide "U" shapir.You cannot remove enough tissue to make a significant difference. An alternative is a reverse vestibuloplasty so lip does not goo up as high.

Tejas Patel, DDS - Account Suspended · Answer

Based on your photos I do think you are a good candidate for gum contouring or a gum lift. Specifically, I think you may need a procedure call crown lengthening.  I agree that it appears as if the gum covers much of the teeth causing the teeth to look smaller and not proportionate.  I think with the proper contours the teeth will look more symmetrical and proportionate with your facial features.

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