Can Braces Correct Insufficient Tooth Exposure When Smiling? - Dentistry

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Insufficient tooth exposure correction


Hello, doctor.
I would like to ask if orthodontic treatment with braces is effective for insufficient tooth exposure.
I am a bit troubled because I cannot fully show my upper teeth when I smile.
If braces cannot correct this issue, are there any other options available? Thank you for your response!

Ms. Chen, 20~29 year old female. Ask Date: 2021/07/24

Dr. Lin Jiayong reply Dentistry


Hello: If the issue is solely related to tooth alignment, general orthodontic treatment can achieve the desired results.
However, if you expect a significant change in facial appearance, it may be necessary to combine orthodontics with oral surgery to address the bone structure.
It is advisable to consult with an orthodontist for an X-ray evaluation before discussing the treatment plan in detail.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/07/24

More Info


When it comes to insufficient tooth exposure while smiling, braces can indeed play a significant role in correcting this issue, depending on the underlying causes. Insufficient tooth exposure, often referred to as "gummy smiles" or "tooth display," can be attributed to several factors, including the positioning of the teeth, the length of the upper lip, and the relationship between the upper and lower jaws.
Braces work primarily by aligning the teeth and correcting bite issues. If the problem is due to misaligned teeth or an improper bite, braces can help reposition the teeth to improve their visibility when you smile. For example, if your teeth are crowded or tilted, braces can straighten them, allowing for a more aesthetically pleasing smile. Additionally, braces can help in cases where the upper teeth are positioned too far back in relation to the lips, which can contribute to insufficient exposure.

However, if the issue is primarily due to the length of the upper lip or the vertical position of the teeth, braces alone may not be sufficient. In such cases, other treatments may be necessary. For instance, if the upper lip is too short or if there is excessive gum tissue covering the teeth, surgical options such as lip repositioning or gum contouring may be considered. These procedures can enhance the appearance of your smile by allowing more of the teeth to show.

Another option to consider is orthodontic treatment combined with cosmetic dentistry. For example, if braces are used to align the teeth, subsequent treatments such as veneers or crowns can be applied to enhance the appearance of the teeth and improve their visibility when smiling.

It's also essential to consult with an orthodontist or a cosmetic dentist who can evaluate your specific situation and recommend the most appropriate treatment plan. They will consider factors such as your dental health, the alignment of your teeth, and your overall facial aesthetics to create a personalized approach.

In summary, braces can be effective in correcting insufficient tooth exposure when smiling, particularly if the issue is related to tooth alignment or bite problems. However, if the cause is more complex, additional treatments may be necessary. A thorough evaluation by a dental professional will provide you with the best options tailored to your needs. Remember, achieving a beautiful smile is often a combination of orthodontics and cosmetic enhancements, so don't hesitate to explore all available avenues to achieve the smile you desire.

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