A "gummy smile" occurs when more gums show in the smile than is preferred. According to a 2006 study in the American Journal of Orthodontics and Dentofacial Orthopedics, participants rated smiles showing 3 to 4 millimeters of gum as unattractive. They are healthy unless related to an abnormal bite or overgrowth of the gums but are unlikely to change without a procedure.
There are certain cases in which a gummy smile can be a symptom of a more serious condition. If a patient's gums are overgrowing (gingival hyperplasia) it could lead to gum disease. Such as smile may also be the result of a misaligned jaw.
If there is not another underlying condition, a gummy smile is most likely caused by variations in the growth of the teeth, gums, and jaws. If the upper jaw is longer than normal, it can cause the gums to show too much in a smile. They can also be caused by altered passive eruption, which occurs when the gums covered a significant portion of the teeth when they came in. Overerupted teeth can also cause overgrown gums.
Gummy smiles are undesirable to a number of patients. As a result, dentists and doctors have developed a variety of treatments that range in cost and invasiveness. Choosing the right one depends on the patient's goals and state of health.
These injections are usually repeated every three to four months. While results vary based on the patient, the majority of people can have a gummy smile reduced by Botox® injections.
Hyaluronic acid can be used as an alternative to Botox® to restrict the movement of the upper lip. These treatments can last as long as eight months.
TADs can reposition your teeth to reduce a gummy smile. They can be an alternative to surgery if the patient's situation is viable.
A gingivectomy involves reshaping the gums with a laser. The recovery is about a week, and a repeat procedure may be necessary.
Lip repositioning surgery alters the connective tissue of the lip to prevent a gummy smile. Recovery time is about one week.
Orthognathic surgery alters the patient's jaw length to balance out the smile. Recovery time is six to 12 weeks.
It is highly recommended that patients consult with both their dentist and doctor before undergoing a procedure, especially if they opt for surgery. Insurance companies may also not pay for the procedure if they deem it purely cosmetic. The option that works for a given patient depends on their values and situation.
Gummy smiles can be treated. Depending on the patient, a range of procedures are available. No matter the situation, consultation with a dentist or doctor is highly recommended to make a choice that is beneficial for a patient's health and wellbeing.
Request an appointment here: https://www.roderickgarciadmd.com or call Roderick A. Garcia, DMD PC at (505) 634-5029 for an appointment in our Albuquerque office.
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