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

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

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 3

Short teeth due to excessive gum

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