Excessive gingival display commonly termed gummy smile, is a condition characterized by an overexposure of the maxillary gingiva while smiling or speaking. A gummy smile can compromise the symmetry and beauty of your smile.
Gummy Smile results from an interplay of multiple factors like
- bony maxillary excess
- deficient maxillary lip length
- excessive mobility of maxillary lip
- medical conditions causing gingival enlargement
- side effects of certain medications
Proper diagnosis of etiological factors is essential to select the right treatment protocol.
Gummy smile is a multifactorial condition that needs careful examination to detect aetiologies. The more severe the case is, the more is the need for collaborative multiple treatment modality approach. At My Smile Dental Clinic, we use series of photographs, radiographs and videos to assess the lip movement during smiling and speaking. These records give us idea about the excess amount of gum tissue. As per the assessment there are different procedures indicated for treating the gummy smiles.
Different techniques used to restore the optimum gingival display includes
- Gum contouring
- Crown lengthening
- Lip repositioning surgery
- Orthodontic intrusion of maxillary teeth
- Orthognathic surgery and
- nonsurgical procedures like the use of the botulinum toxin.
If your gums rest too low or too high on your teeth and you are unhappy with your smile, you may be a candidate for gum contouring surgery. Also called gum reshaping or tissue sculpting, this cosmetic dental procedure can even out an uneven gum line and give you a smile you can be proud of.
Gum contouring is an elective single visit procedure, done by a specialist, to reshape your gumline to improve the look of the gums, teeth, or smile. Process of gum contouring involves removing excess gum tissue around your teeth under the effect of local anaesthesia, with the help of lasers or conventional blades. If you have gum recession, the procedure involves restoring gum tissue. We will harvest tissue from another part of your mouth and secures this tissue around your teeth to lengthen and restructure your gumline.
If you have periodontal disease, gum contouring may be a treatment option. We will first try to treat the gum disease with nonsurgical options. This may include antibiotics to kill the bacteria and infection, or dental cleanings to restore gum health. If these efforts don’t work, we may recommend a treatment such as pocket reduction surgery on the gums and surrounding bone to save a tooth. Or we may recommend a regeneration procedure to regrow damaged bone and gum tissue. Generally, gum contouring takes about 1 to 2 hours. Antibiotics and painkillers help to remove the infection and pain of procedure. You need to be on soft diet for 2 weeks.