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There are several treatment options for a gummy smile. Traditional orthognathic surgery with impaction of the maxilla requires braces, hospitalization and a longer recovery. Another less invasive surgery is vestibular mucosal reduction surgery with a laser or radiofrequency microneedle. This can be accomplished in the office with local anesthesia and the recovery is about a week. Lastly, a temporary improvement can be accomplished using Botox to weaken the muscles that create the smile. Dental crown lengthening is not recommended.
Wow what a great veneer case this will be. Without question, you will want to do some gum recontouring on the front four teeth before placing veneers. You lip looks lip it raises really high when you smile as well. If you still show excess gum tissue after the veneers are completed you could h...
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...
Gums seek a level relative to the underlying bone. You just have some bone loss to have this flat of a papilla between the teeth which occurred due to the crooked teeth that you once had. A gum graft will resolve the problem; however its long term predictability is suspect and it may disappear...
Hi Bricali88, You have an interesting question. Gum contouring will be of limited benefit because even though you reduce the amount of pink visible on the left side to match the right side, you will be increasing the amount of tooth exposed; so you will be increasing the amount of white that is...
Hi Tennessee, You have a common problem and it should be a concern. I'm impressed that you are aware of the problem as most people wait until the problem is far worse before they perceive trouble. The cause of your recession is that you have a thin layer of bone on the front of your teeth, and...
Okay, this is difficult to answer without a photograph; however, if you now are showing gums but never did before then the most likely reason is related to facial growth. Our facial bones never stop growing and the upper jaw doesn't necessarily grow at the same rate as the lower. It well could...