Is gum exposure eligible for surgical correction?
I am very concerned because my gums are very prominent when I smile, but they do not show when I talk.
I wonder if it is possible to undergo cosmetic surgery for this issue.
If so, which hospitals offer consultations, and what is the approximate cost?
Wei Qi, 20~29 year old female. Ask Date: 2003/08/26
Dr. Luo Qihua reply Plastic Surgery
Hello: You may consider injecting botulinum toxin into certain muscles near the upper lip to improve the condition.
However, it requires two to three injections per year, with each session costing several thousand dollars (over 4000 NTD).
You can visit a nearby clinic with a plastic surgeon or cosmetic surgeon.
Dr.
Kwei-Hua Lo from Hsinchu City Hospital's Department of Plastic Surgery.
Reply Date: 2003/08/26
More Info
Gum exposure, often referred to as "gummy smile," can indeed be corrected with cosmetic surgery. This condition occurs when an excessive amount of gum tissue is visible when a person smiles, which can lead to self-consciousness and dissatisfaction with one's appearance. Fortunately, there are several surgical and non-surgical options available to address this issue.
Surgical Options
1. Gingivectomy: This procedure involves the surgical removal of excess gum tissue. It is typically performed by a periodontist or oral surgeon and can significantly reduce the amount of gum visible when smiling. The recovery time is relatively short, and the results can be quite satisfying for patients.
2. Orthognathic Surgery: In cases where the gummy smile is due to the positioning of the jaw, orthognathic surgery may be necessary. This type of surgery realigns the jaw and can help improve the overall facial aesthetics, including the appearance of the gums. This is a more invasive procedure and typically requires a longer recovery period.
3. Botox Injections: For some patients, Botox can be used to relax the muscles that elevate the upper lip, thereby reducing the amount of gum that is exposed when smiling. This is a non-surgical option that can provide temporary results, usually lasting several months.
4. Crown Lengthening: This procedure involves reshaping the gum line and may also include removing some bone to expose more of the tooth structure. This can create a more balanced smile and is often performed in conjunction with other dental procedures.
Non-Surgical Options
In addition to surgical options, there are non-invasive treatments that can help improve the appearance of a gummy smile. These include:
- Veneers or Crowns: Dental veneers or crowns can be used to lengthen the appearance of the teeth, which may help balance the smile and reduce the visibility of the gums.
- Orthodontics: In some cases, braces or clear aligners can help reposition the teeth and jaw, which may alleviate the gummy smile.
Considerations and Costs
When considering gum exposure correction, it is essential to consult with a qualified cosmetic or dental surgeon who specializes in this area. They can provide a thorough evaluation and recommend the most appropriate treatment based on your specific needs.
Costs can vary widely depending on the procedure chosen, the surgeon's experience, and the geographical location of the practice. For example, a gingivectomy may cost anywhere from $500 to $3,000, while orthognathic surgery can range from $20,000 to $40,000 or more, depending on the complexity of the case. Botox injections are generally less expensive, costing around $300 to $800 per treatment.
Finding a Provider
To find a qualified provider, you can start by searching for oral surgeons or periodontists in your area who specialize in cosmetic procedures. Many dental schools also offer services at reduced rates, which can be a good option if you're looking for more affordable care. Additionally, consulting with your general dentist can provide referrals to trusted specialists.
Conclusion
In summary, gum exposure can be effectively corrected through various surgical and non-surgical methods. The choice of treatment should be based on the underlying cause of the gummy smile, personal preferences, and budget. A thorough consultation with a qualified professional will help determine the best course of action to achieve the desired aesthetic results. Remember, the goal is to enhance your smile while ensuring that you feel confident and comfortable with your appearance.
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