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Posts for tag: gummy smile

By Mendelson Family Dentistry, PA
March 24, 2019
Category: Dental Procedures
Tags: gummy smile  

A beautiful smile is a balanced smile, especially in regard to your gums. A normal smile usually shows 4 mm or less of gum tissue along with about 10 mm of tooth length. But if your gums show more than that, your smile may seem too gummy. In terms of perceived balance, this could detract from your smile's attractiveness.

Fortunately, you don't have to live with a gummy smile—there are various ways to correct or minimize its effect. First, though, we'll need to determine the underlying cause before deciding on the best treatment. And, there are several possible causes, the obvious being too much gum tissue present. Teeth that appear shorter due to wear or incomplete eruption could also make the gums appear larger.

We may be able to correct these size problems by surgically removing and reshaping excess gum tissues and possibly the underlying bone to reveal more of the teeth. We can also bond composite resins or porcelain veneers to shorter teeth to make them appear larger.

But not all gummy smile problems pertain directly to the teeth and gums; instead, it could be your upper lip moves too far up as you smile (hypermobility). Or, your upper jaw may be too long for your face, which can also cause too much of the gums to show during smiling.

With upper lip hypermobility, we may be able to inhibit the lip muscles' movement temporarily with Botox injections that partially paralyze the muscles (the effect eventually wears off, so this treatment will need to be repeated). A periodontist, an oral surgeon, or a plastic surgeon could also permanently alter the upper lip movement through a surgical procedure. Surgery may also be necessary for an abnormally long upper jaw: orthognathic surgery re-positions the jaw to the skull, which can lessen the amount of gums showing.

If your smile is too gummy, we can transform it. But first, let's find out what the real cause is with a comprehensive dental examination. Once we know, we can better advise you on the best way to bring beautiful balance to your smile.

If you would like more information on improving a gummy smile, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Gummy Smiles.”

By Mendelson Family Dentistry, PA
August 07, 2018
Category: Dental Procedures
Tags: uneven gums   gummy smile  

Uneven gumsHow your dentists in Owings Mills, MD, can help with treating excessive or uneven gums

If you have excessive, uneven gums, chances are people are noticing your gums and not your beautiful smile. It’s time to expose those beautiful teeth once again. Your dentists at Mendelson Family Dentistry in Owings Mills, MD, want to introduce you to treatments that can reshape your gums and bring your smile out.

Excessive, uneven gums can be caused by a lot of factors. Genetics, medical conditions, and some medications can all cause overgrown, puffy, uneven gum tissue. Poor oral hygiene can also dramatically affect your gums. Gum tissue should normally appear pink and firm, but plaque and bacteria accumulation from not brushing and flossing can cause inflammation, swelling, and redness. Instead of your gums looking healthy, poor oral hygiene makes your gums look swollen and bulky.

At Mendelson Family Dentistry, there are several treatments available to reduce excessive gum tissue, restore the aesthetic contours of your gums, and expose more of your beautiful teeth for the world to see. Consider:

  • Cosmetic gum surgery, using a laser to reshape and recontour gum tissue to re-establish the proper proportion of gum to tooth. Laser treatment is performed with local anesthetic and requires no incisions and minimal downtime.
  • Cosmetic gum lift surgery to reposition your gums, making your teeth look longer and more exposed
  • Gum grafting to cover exposed tooth roots caused by receding gums; gum grafting uses tissue from another area of your mouth, or medical-grade grafting material to replace missing tissue.

In addition to surgical options, it’s critical to establish what caused your excessive, uneven gum problem, so you and your dentist can help prevent the problem from recurring. If you have gum problems from poor oral hygiene, your dentist and dental hygienist can help you establish a regular program of excellent oral hygiene you can practice at home, to keep your smile in top shape.

Your dentists may also recommend periodontal therapy appointments to help keep your teeth clean and keep bacteria levels low, to prevent disease. By monitoring and maintaining the health of your mouth, you can keep your gums firm, pink, and healthy looking.

If you have excessive, uneven gums, you can help your gums and your smile by calling the dentists at Mendelson Family Dentistry in Owings Mills, MD. Call today and save your smile!

By Mendelson Family Dentistry, PA
January 09, 2017
Category: Oral Health
Tags: gummy smile  

What makes a beautiful smile? The teeth, of course: bright, evenly shaped and precisely aligned with each other. But your teeth can be as perfect as can be and your smile will still appear unattractive.

The reason? Your gums show more than they should when you smile.

What's considered a gummy smile is largely a matter of perception that can vary from person to person. As a rule of thumb, though, we consider a smile “gummy” if four millimeters (mm) or more of the gums show.

Fortunately, we can minimize the gums' prominence and make your smile more attractive. But what methods we use will depend on why your gums stand out. And it's not always because of the gums themselves.

It could be your teeth didn't erupt normally during dental development. Mature crown (the visible part of the tooth) length is normally about 10 mm with a width about 75-85% of that. But an abnormal eruption could result in teeth that appear too short, which can make the gums stand out more. We can correct this with a surgical procedure called crown lengthening in which we remove excess gum tissue and, if necessary, reshape the underlying bone to expose more of the tooth crown.

Another potential cause is how far your upper lip rises when you smile. Normally the lip rises only enough to reveal about 4 mm of teeth. In some cases, though, it may rise too high and show more of the gums. We can modify lip movement in a number of ways, including Botox injections to temporarily paralyze the lip. A more permanent solution is a lip stabilization procedure. It sounds bad, but it's a fairly simple procedure to surgically reposition the muscle attachments to restrict movement.

Your gummy smile may also result from an upper jaw too long for your facial structure. We can correct this with orthognathic (“ortho” – straighten, “gnathos” – jaw) surgery. During the procedure the surgeon permanently positions the jaw further up in the skull; this will reduce the amount of teeth and gums displayed when you smile.

Discovering the true cause of your gummy smile will determine how we treat it. After a complete oral examination, we can then discuss your options to transform your smile into a more attractive one.

If you would like more information on treating gummy smiles and other cosmetic problems, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Gummy Smiles.”

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Mendelson Family Dentistry, PA

11300 Reisterstown Rd Owings Mills, MD 21117-1812