Gummy smile treatment by orthodontic treatment, laser and Botox

Some people feel self-conscious about smiling because they believe their gums are too prominent. Though we each have our own definition of what makes a smile beautiful — including how much gum is too much — a smile will usually be perceived as “gummy” when 4 millimeters (just over an eighth of an inch) of gum tissue shows. If your smile looks gummy to you, it’s important to figure out exactly what’s causing this. Only then can the appropriate cosmetic dental or periodontal (gum) procedures be recommended to give you a more pleasing appearance of the gums and teeth.

What Is the Cause?

The perfect smile (as defined on an individual basis) is one that is well balanced. A gummy smile is the result of an imbalance somewhere in the mouth. In general, here are the four causes of a gummy smile:

  • The gums.Often times, the issue is the gums themselves, as gum tissue can protrude farther than it should.
  • The teeth.The size and shape of the teeth can give the appearance of a gummy smile. If they are shaped in a way that keeps them hidden, the gums will appear to be larger than normal.
  • The jaw.The vertical position of your jaw can affect whether your smile appears overly gummy.
  • The lips.The length of a person’s upper lip can be too short and create an appearance of large gums; likewise, if the lip pulls back farther than normal, the result can be a gummy smile.

What Are the Downsides?

the health concerns associated with a gummy smile are minimal. For that reason, it is more of a cosmetic issue. A person suffering from a gummy smile might feel self-conscious, and that can negatively impact a person’s self-esteem. In essence, a person seeking treatment for gummy smile most likely is looking to achieve the best smile possible in order to look and feel better.


If you have been tired of the way your smile looks due to the apparent more substantial gum tissue on display, you probably have wondered what the solution may be. Wanting to fix a gummy smile is entirely reasonable. After all the desire to have a proportionate appearance of gum versus teeth is ideal. Just as those who have larger looking teeth and desire more gum appearance, those with more gum tissue require more. But what is the treatment for gummy smiles?

Could braces be the solution?

The treatment for gummy smiles will depend on what the cause of the problem is. For those that have excessive gum showing, it may seem due to their bit, or the position of their teeth and jaw bone. Correcting the bite with orthodontic services can help. dentist services such as Invisalign and braces has shown some success in helping to minimize the appearance of a prominent gum line. Some dental practitioners will use, in combination with braces, a temporary anchorage device. This device is an implant that is inserted into the jaw bone above the teeth to provide a fixed, more stable point to allow more force to be applied.

In more extreme cases, the dentist may have to perform orthognathic surgery to correct the problem. For those that have moderate to severe gummy smiles, the dentist will suggest braces a year before the jaw surgery and up to a year after to ensure the bite is “locked into place.” dentists offer clear aligners to fit the needs of each of patients. dentist considers each patient’s unique needs and goals before recommending an orthodontic treatment plan. Once it’s done, your smile will be less gummy and your whole mouth will be healthier once your teeth are in alignment.

Braces can help with the excessive gingival display, in cases where the issue is related to jaw and teeth position issues and in milder cases. But they aren’t the only solution and won’t work for everyone. Treatment is based on the way. So for some patients gingivectomy, veneers, crown lengthening, or Botox may be used.

Scaling and Root Planning 

If your excess gum tissue is caused by an infection or inflammation, your dentist may take care of this with a scaling and root planing (SRP) treatment. Once the underlying issue is treated, your dentist can determine if you are still an ideal candidate for laser gum sculpting.

Root planning is the process in which any area of the tooth root that is infected by bacteria is cleaned. The treatment involves removing plaque and tartar and smoothing the root of the tooth where it sits beneath the gum line. Scaling is clearing away the tartar and plaque on surface of the teeth that is above the gum line. Both procedures are vital parts of maintaining good oral and dental health.

Prior to your treatment, a full evaluation of the health of your teeth and gums will be performed. This exam will include digital X-rays, and a visual exam to check for pockets forming in your gums. After the exam, dentist will advise you of the treatment you need to resolve your current dental issues, including scaling and root planning procedures.

For scaling, special instruments are used to remove plaque and tartar from the surface of your teeth. dentists use the most advanced equipment for this procedure. The tool removes the plaque from your teeth, as well as the surfaces of the tooth roots.

For root planing, the root of the tooth is smoothed with special dental instruments. When the roots are smoothed and cleaned of tartar, it is harder for bacteria to lodge and colonize, leading to gum disease.


To eliminate overdeveloped gum tissue and reveal more enamel, dentist performs laser gum sculpting (also called periodontal plastic surgery or crown lengthening). With advanced technology and techniques, he carefully remove little strips of gum until a higher gumline is achieved. The laser cauterizes the tissue to minimize bleeding during the procedure and make your recovery quicker in comparison to traditional gum surgery. Your dentist will use the laser to improve your gum tissue so your smile has the optimal ratio of gums to teeth. Depending on your precise needs, doctor offers different types of sedation to keep you comfortable while he contour your gumline.

Who Qualifies for Laser Gum Contouring?

Patients with a gummy or uneven gum line are typically eligible for laser gum contouring. Candidates should be in good oral health, however. If extensive decay or periodontal disease is present, our doctors will recommend restorative procedures before any cosmetic treatments are performed. During an initial consultation , dentist will perform a thorough assessment of your teeth, gums, and surrounding oral structures to determine if laser gum contouring is right for you.

Benefits of Laser Gum Contouring

Patients who undergo laser gum contouring can enjoy numerous advantages, especially compared to conventional gum contouring, including:

  • Reduced discomfort: Because our soft tissue diode laser cauterizes tissues as it cuts, patients feel little to no discomfort after their procedure. While local anesthesia can still be administered for your comfort, it is often not necessary.
  • Reduced bleeding: As the laser removes excess tissue, it seals the wound. Therefore, patients experience virtually zero bleeding during and after their procedure.
  • Improved accuracy:  laser incises close to the gum line, allowing your doctor to perform the procedure with incredible precision. The result is a balanced, aesthetically pleasing smile.
  • Quicker recovery: Because laser gum contouring eliminates the need for sutures, patients can enjoy a faster healing period compared to traditional gum contouring.

Furthermore, laser gum contouring can even help improve your oral hygiene. When extra gum tissue is present, bacteria can hide between the teeth and gums, increasing the risk of decay and gum disease. By eliminating excess tissue, laser gum contouring makes these areas easier to clean.


If your gummy smile is caused by a hyperactive upper lip, you may ask your dentist about BOTOX. Similar to the way injections of BOTOX relax facial muscles to correct lines on your forehead, BOTOX can be used in the area between your nose and lips to temporarily limit the rise of your lip when you smile so your gums remain covered. While many dental offices do not perform BOTOX injections, they can usually recommend a skilled plastic surgeon to help you.


You should consider Botox as a gummy smile treatment if you want the following:

  • To avoid pain. Botox is a relatively painless option with no recovery period. You will be able to continue with your daily routine immediately after treatment.
  • Fast results. The effects of gummy smile treatment fully apparent within 3-4 days of treatment.
  • A natural appearance. Experienced professionals know just how much Botox to use for gummy smile treatment to bring the best results.
  • A customized smile. Botox can last three months or more. If you are happy with the results, you can return two or three times a year to maintain your smile. Similarly, you have the option to adjust the number of injections you receive in each visit to better tailor your smile.
  • To save money. A few units of Botox is more affordable than surgery.

The only way to be certain that botox is the right gummy smile treatment for you is to receive a consultation. Schedule your consultation today to sit down with a medical aesthetic provider to discuss your medical history and determine whether Botox will meet your goals.

lip repositioning surgery

Lip repositioning surgery is a relatively simple procedure, which has few post-op complications and may be a permanent treatment for excessive gingival display. This procedure also is successful in increasing lip volume and for the correction of an asymmetrical smile.