Surgical Treatment of the “Gummy Smile”

By Marc P. Stanard, DDS, PC

Improving Periodontal Dental Health

A “gummy smile” is a condition where a significant portion of the gums is visible when a person smiles, often making them self-conscious about their appearance. While it’s primarily considered a cosmetic concern, a gummy smile can sometimes be indicative of underlying periodontal issues.

Understanding the Gummy Smile

A gummy smile can occur due to several factors, including excessive gum tissue growth, abnormal tooth eruption, or a hyperactive upper lip muscle. In some cases, it’s a result of underlying periodontal issues such as gum recession or bone loss around the teeth.

Surgical Treatment Options

Gingivectomy: A gingivectomy is a common surgical procedure for addressing excessive gum tissue. During the procedure, the periodontist removes the excess gum tissue to reveal more of the teeth, improving the smile’s aesthetics. This surgery can be performed with a scalpel or laser, ensuring minimal discomfort and a quicker recovery.
Crown Lengthening: When a gummy smile is caused by short teeth rather than excessive gums, crown lengthening can help. The periodontist removes gum tissue and, if necessary, bone to expose more of the tooth’s surface, creating a more balanced smile.
Lip Repositioning: In cases where a hyperactive upper lip muscle contributes to a gummy smile, a lip repositioning surgery can be performed. This procedure shortens the upper lip’s range of movement, reducing the amount of gum displayed when smiling.

The Benefits for Periodontal Health

While surgical treatment of a gummy smile is primarily cosmetic, it can have some positive effects on periodontal dental health by promoting improved oral hygiene. Excessive gum tissue can make it difficult to maintain proper oral hygiene, increasing the risk of gum disease. Surgical correction allows for easier access to clean the teeth and gums effectively.Surgical treatment of a gummy smile not only enhances the aesthetics of one’s smile but can also contribute to improved periodontal dental health by facilitating better oral hygiene and addressing underlying issues like gum recession. If you’re concerned about your gummy smile, consult with a periodontist to explore the available treatment options tailored to your unique needs.