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Gummy Smile Cases

Gummy Smile

Gummy smile is a condition when excess amounts of gums are at display upon full smile.  Individuals with “altered passive eruption” often presents with gummy smile with teeth being shorter than usual.

In addition, gummy smile can also be due to the size of the jaw bone holding the teeth, overactive lips, certain underlying health conditions, and medications that lead to excess gum growth.  Depending on the cause(s), gummy smile can be treated with one or more of the following:

  • esthetic crown lengthening
  • gingivectomy
  • lip repositioning/reverse vestibuloplasty

Esthetic Crown Lengthening Cases

Case 1

“Gummy smile”due to altered passive eruption.

Note excessive gum display on smiling, square shaped teeth and uneven gum heights. Crown lengthening on upper incisors was performed. The outcome resulted in balanced gum heights, rectangular type teeth and complete symmetry of gum margins.

Case 2

Gummy smile” after braces

It is common to have short teeth after orthodontic treatment. Teeth are nicely align after orthodontic treatment but crown lengthening is recommended to fully display a beautiful smile and to give the teeth an ideal size. Crown lengthening was performed on all upper teeth. This treatment resulted in an excellent outcome.

Case 3

Esthetic gum surgery prior to veneers.

Upper central incisors looked short and to far down due to uneven gingival heights. Gum esthetic surgery was performed on the upper central incisors and veneers were placed on all upper incisors.

Case 4

Uneven smile after orthodontic treatment

The gum margin of the upper central incisors should be at the same level as the canines. Crown lengthning was performed to even the gum margins and give a symmetric smile

Case 5

Asymmetric smile.

Patient presented with an uneven smile due to different sized teeth. Gum recontouring was performed and new veneers were placed on all upper six front teeth.

Case 6

Gummy smile due altered passive eruption

Crown lengthening was performed on all upper teeth so the teeth had an ideal height.

Case 7

Short teeth due to excessive gum

Crown lengthening performed on all six front teeth. Veneers performed on all teeth to close spaces.

Case 8

Crown lengthening on all upper teeth

Note larger upper lateral incisors after treatment. Veneers were perfromed after to improce esthetics

Gingivectomy

Case 1

Gingivectomy

Short teeth after braces

During orthodontic treatment gums can become swollen. Teeth are aligned but look short due to extra gum covering them. Gingivectomy was performed in one visit with minimal discomfort.

Case 2

Gingivectomy

Short teeth prior, during and after braces.

Case 3

Gum overgrowth during orthodontic treatment

Swollen gums can grow over the braces preventing good oral higiene that can lead to decalification and cavities. .Gingivectomy was done during orthodontic treatment to prevent tooth damage and to restore the health of the mouth..

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