Excess gum tissue can create the appearance of short teeth and a "gummy" smile. It can also make your oral health more difficult to manage. A periodontist, or gum specialist, can remove excess gum tissue to give your mouth a new look.
A number of factors can cause "gumminess,” including inadequate normal gum recession, irritation from braces, mouth breathing, medications, and high lip lines.
Gummy smiles are often caused by
attrition, a condition where the teeth have been severely worn down. Bad habits such as nighttime teeth grinding (
bruxism) can cause this wear. This problem can be corrected by tooth lengthening surgery, topped off with caps or crowns to cover the newly lengthened teeth.
There are three common procedures we use to correct a gummy smile. A gingivectomy/gingivoplasty involves removal of gum tissue. The underlying bone is not exposed. The patient may experience pain during the procedure, but usually not after. A laser may be used during this procedure
Flap Surgery is sometimes required for short or worn down teeth, or for thick or irregular bone contours. Post-operative care includes sutures, or stitches, and a periodontal dressing to cover the healing gums. This surgery tends to bring more discomfort than a gingivectomy.
During a crown lengthening, the cosmetic dentist or periodontist shifts your gums to a position that reveals more of your teeth and less of your gums. This procedure is also known as gum lift or gum re-contouring, and may involve cutting out gum and bone around the teeth.
If you live in the NYC area, and are considering surgery to correct a gummy smile, please
contact Dr. Iott & Associates today to arrange a consultation.
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