What type of surgery can fix this severe case of a gummy smile without tampering the upper lip? (Photo)
Doctor Answers 4
Fixing a Gummy Smile
The second is a gingivectomy that removes some gum covering the tooth but will not completely fix the problem but will significantly improve it.
Crown lengthening where both bone and gum is removed is possible but it might make your teeth look too large so I would probably wait on that.
It is possible to do a reverse vestibuloplasty that limits how high the lip moves when you laugh or have a huge smile. I would probably reccomend this if the gingivetomy alone did not give you the results you desire.
There is also a non-surgical orthopedic treatment called Epigenetic Orthodontics where the maxilla (upper jaw) is gradually widened that would also bring the front teeth back and give a big wide smile.
This is done with the DNA Appliance and it would allow a less gummy smile by orthopedically changing the position of teeth and bone that supports the lip.
Gummy Smile Correction
Thank you for your question regarding your gummy smile and for submitting your photos. You are showing more than the normal amount of gum with your full smile. I see that you don't want to touch the position of your upper lip. You should be evaluated by a periodontist to see if you have more crown to your teeth underneath your gum. If you do, then trimming your gums will eliminate some of your gum shown. Another alternative is to consider orthognathic surgery which is designed to reposition your jaw so you don't have so much gum show. There is also one more method so you don't have reposition your lips, and instead inject Botox so your lips wont move as much when you smile big. This is a noninvasive method of preventing your gums showing as much. Good luck!
How Can I Correct a "Gummy Smile?"
Epigenetic orthopedics is the most conservative way to correct a "gummy smile." This is done with a comfortable, easy-to-use appliance that slowly develops your underdeveloped upper dental arch.
Contouring the gum and possibly bone around the upper front teeth can also help eliminate a "gummy smile."