Gummy smiles usually need surgery of some kind
Depending on how severe the gummy smile is, surgery may be the only option. If that was a desire from the first surgery, it should have been clearly stated, as surgery for an overbite normally has zero effect on a gummy smile. It is possible that the surgeon's only goal was the overbite.
If the gummy smile is extreme, Botox will have very little effect. SOME, but perhaps not as much as desired. Lip tacking or lip lengthening surgeries are moderately successful, as quite often the results are not as dramatic as hoped. Soft tissue solutions for hard tissue problems are known for being unpredictable.
If the roots of the teeth are long enough, a crown lengthening procedure may be an option, but that is still a surgery. This is where bone around the teeth is removed, perhaps 2 mm, and when the tissue heals more teeth are exposed. This WILL make the teeth look longer, so if they are already the right size, then another surgery should be considered (like having bone above the teeth removed, like a Lefort Osteotomy).
I suggest a consultation with a few surgeons and periodontists to see what would work best for you. If it is minor, laser gingivectomy might be enough.
Correcting excessive gingival display
Difficult to do without surgery. Botox can work but lots of people end up looking distorted but it only lasts 10-12 weeks and gets very expensive over time
Laser surgery is ok for minor exposure but if major you can do a reverse vestibuloplasty. These are minor surgeries compared to jaw surgery.
Since you don't want surgery widening the arch with a DNA Appliance can usually correct the problem but this is not inexpensive.
The inexpensive alternative don't smile to large. I have patients who practicew how they smile to control gummy exposure. Not the best solution but inexpensive and no surgery
Ira L Shapira DDS, D,ABDSM, D,AAPM, FICCMO
Correction of gummy smile depends on few things.
The length of the teeth - If the teeth are in a proper size in relation to your face then, then you should not have a gingivectom (gum surgery).
Length of the upper lip - Short upper lips (rare) can cause too much revealing of the gums. Your plastic surgeon could probably enhance it with fillers or Botox injections. This could become costly as well over time.
If none of the above, then unfortunately, the surgery has to be re-done to correct the maxillary excess (which is usually the cause).
I am a "laser dentist" using the Biolase laser. Let me set the record straight here that it has its limitations. It is good for maybe raising the gum line 2 millimeters not much more. For more result you should have conventions esthetic crown lengthening which is a very minimally invasive surgery. You have to be sure that your teeth are able to have crown lengthening and how much. This depends on your crowns and your roots and can be determined by exam and x-rays
How to Reduce a Gummy Smile
This is a very common complaint with women who like their teeth and are unhappy with their smile because too much of the gum shows when they smile. A very quick and non invasive approach to this problem, is to use a laser to conture the gum line and reduce the length of the gum, This will make the teeth look much longer and a proportionate amount of gum line will be visible at the top of the tooth, You can always opt forTheraputic Botox which will, in essence, show less of the gum, but you will have to come in periodically to maintain your smile. I think Laser Gum Conturing is the answer here! Find a good periodontist who is well versed with lasers and most dentists, both general and cosmetic, can do this procedure very well! You will be happy with the results!
Vertical Maxillary Excess can be corrected long term
The problem you describe, in which you show too much gum when smiling, is called vertical maxillary excess, and can be effectively corrected for a beautiful long term result. I would talk to my surgeon about it if I were you.
The problem with non-surgical options like Botox for problems in the lower face is that the result (because it depends on muscular paralysis) is often strange looking or unnatural.
Better to have a lovely smile. Talk to your surgeon.
Although this is a surgical procedure, you can do a lip lengthening procedure on the inside of your upper lip under local anesthetic like a dental procedure. There are a number of types of surgeries from release or elongation of the frenulum, W-plasty, V-Y advancement, muscle release, etc. that your surgeon can explain to you and what they would do to help the gummy smile.
Hi from Canada! I so understand that you do NOT want to do another surgery! I would try Botox and also crown lengthening. Now the latter is a surgery, but it is an easy one using laser gum contouring, which will show less gum and more tooth! I would try these procedures before you start getting involved in heavy duty surgery to create a smile that you may not be happy with. Also I would explore the use of Botox injected to try and relax your Masseter Muscle, which will help relax your upper lip and show less gum. I would do all the less invasive procedures first an see what the results are!
Non-Surgical Options Are Available
Thanks for your question, Yassamin. Without a
photo, it's impossible for me to predict your eligibility for a non-surgical
procedure. Typically, these procedures are indicated for more mild cases of
gummy smile. BOTOX is one option that controls the movement of the upper lip,
reducing the degree to which it retracts and thus covering more of the gums
when you smile. Laser gum contouring is another possibility that doesn't
require surgery, as are veneers. It really depends on the nature of your
condition. Please see your orthodontist or an aesthetic dentist to fully
understand your options.
You may want to find a cosmetic dentist in your area to discuss your options. In my cosmetic dental practice, we usually treat the gummy smile with crown lengthening, Botox or a combination of both. Crown lengthening sometimes requires porcelain veneers afterwards.
Hank D. Michael, DMD -Sarasota, FL