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What options do I have to correct my gummy smile? 43 y/o (photo)

flaka0413Mar 19, 2023
I am 43 years old and have an overgrown maxila and very narrow arch in my jaw. I went to a reputable local orthodontist, and she said this could be marginally corrected via TADs and three years of braces.. marginally. She recommended I just get orthagnathic surgery. Since I am "old" and have a career and young children to manage, I didn't want to go that route. However I would like to get additional opinions on what can be done to fix my smile.

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Nirav Patel, MDS, PhD
Dentist
Answered on Sep 6, 2024
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Nirav Patel, MDS, PhD

As you mentioned, you feel your face has shrunk after pre-molar extraction. However, I believe the reason is not the extraction itself; you can experience changes after retraction of teeth, but not immediately after extraction. It's my advice to upload a side view of the face photo and front...

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Nirav Patel, MDS, PhD

Your bite is perfect. The result is really good. Give a few months [2 to 3 months] to settle the bite. After that review, and if any issues contact your orthodontist. The bite will settle during the retainer phase.

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Nirav Patel, MDS, PhD

By seeing your photos, I feel you have dental class one but skeletal class three. So it's my advice to visit the orthodontist. Cephalometric analysis is a must in such cases to understand the perfect scenario. I feel you have skeletal excess.

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