Correcting Gum Exposure: Cosmetic Solutions for a Confident Smile - Plastic Surgery

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Exposed upper gums


Hello Dr.
Luo, I have a tear in the frenulum connecting my upper gums and upper lip, which occurred when I fell.
As a result, every time I smile, my upper gums are exposed.
I would like to know if it is possible to undergo a surgical procedure to correct this.

pp, 20~29 year old female. Ask Date: 2000/11/09

Dr. Luo Qihua reply Plastic Surgery


The frenulum between the upper gums and the upper lip, if only injured, should not cause gum exposure.
It is possible that the exposure of the gums is due to scar contraction pulling the upper lip mucosa upward.
A direct consultation with a plastic surgeon is necessary for assessment and to determine a course of action.

Reply Date: 2000/11/09

More Info


Correcting gum exposure, often referred to as "gummy smile," can indeed be addressed through various cosmetic solutions. Your concern about the visible gum line when you smile, especially after experiencing an injury that affected the connective tissue between your upper lip and gums, is valid. This condition can impact not only aesthetics but also self-confidence.


Understanding Gummy Smile
A gummy smile occurs when an excessive amount of gum tissue is exposed when a person smiles. This can be due to several factors, including:
1. Excessive Gum Tissue: Some individuals naturally have more gum tissue, which can lead to a gummy appearance.

2. Short Upper Lip: A shorter upper lip can cause the gums to be more visible when smiling.

3. Teeth Position: If the teeth are not fully erupted or are positioned in a way that makes the gums more prominent, this can contribute to the issue.

4. Muscle Activity: Overactive muscles that elevate the upper lip can also lead to excessive gum exposure.

In your case, the injury you described may have altered the normal function of the muscles and connective tissue around your lips and gums, exacerbating the issue.


Cosmetic Solutions
There are several cosmetic procedures that can help correct gum exposure:
1. Gingivectomy: This surgical procedure involves the removal of excess gum tissue to create a more balanced smile. It can be particularly effective if the issue is primarily due to excessive gum tissue.

2. Lip Repositioning Surgery: This procedure involves repositioning the upper lip to reduce the amount of gum that is visible when smiling. It can be beneficial for individuals with a short upper lip.

3. Botox Injections: In some cases, Botox can be used to temporarily relax the muscles that elevate the upper lip, thereby reducing gum exposure when smiling. This is a less invasive option and can be a good starting point to see if you like the results.

4. Orthodontic Treatment: If the position of your teeth contributes to the gummy smile, orthodontic treatment may be necessary to align the teeth properly.

5. Crown Lengthening: This procedure involves reshaping the gum line and may also include the removal of some bone to expose more of the tooth structure, making the teeth appear longer and the gums less prominent.


Considerations and Side Effects
Before proceeding with any cosmetic procedure, it is crucial to consult with a qualified dental or oral surgeon who can assess your specific situation. They will consider factors such as the extent of gum exposure, the health of your gums, and the overall structure of your teeth and jaw.

Potential side effects of these procedures can include:
- Swelling and Discomfort: Post-operative swelling and discomfort are common but usually resolve within a few days.

- Infection: As with any surgical procedure, there is a risk of infection, which can be managed with proper care and antibiotics if necessary.

- Changes in Smile: While the goal is to enhance your smile, there is a possibility of dissatisfaction with the results, which is why thorough consultation and planning are essential.


Cost Considerations
The cost of these procedures can vary widely based on the complexity of the case, the specific procedure chosen, and the geographic location of the practice. It's advisable to discuss financial options with your provider, as many cosmetic procedures may not be covered by insurance.


Conclusion
In summary, correcting gum exposure is certainly achievable through various cosmetic solutions. Given your history of injury, it is essential to have a detailed evaluation by a dental professional who can recommend the best course of action tailored to your needs. Addressing this concern can significantly enhance your confidence and overall satisfaction with your smile.

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