Post-Braces Changes: Small Teeth and Gums Concerns

The braces have been removed, but the teeth appear smaller?

Hello, doctor.
I just had my braces removed, but my teeth appear much smaller now.
They were already quite short before, and it seems that wearing braces may have caused my gums to swell.
Recently, I saw news reports about dental contouring, and I learned that thick gums can also be trimmed, so I am very interested in trying that.
However, I am unsure which type of clinic to consult for dental contouring.
Additionally, I have dentures, so I am concerned about whether gum reduction would affect them.
I would also like to know about the potential costs involved.
Thank you for your explanation.

Ya Ling, 20~29 year old female. Ask Date: 2004/05/27

Dr. Chen Yingfang reply Dentistry

Gingival hypertrophy may be caused by inadequate brushing, so it is important to thoroughly clean your teeth first.
I hope you will discuss this further after your visit to the clinic.

Reply Date: 2004/05/27

More Info

After having braces removed, many patients experience changes in their teeth and gums, which can lead to concerns about aesthetics and functionality. Your observations regarding your teeth appearing smaller and the potential swelling of your gums are valid and warrant further discussion.

Firstly, it’s important to understand that orthodontic treatment can sometimes lead to changes in the appearance of your teeth and gums. When braces are removed, the teeth may appear smaller due to the adjustment in their alignment and the surrounding gum tissue. If your gums have become swollen, this could be due to several factors, including inflammation from plaque buildup, irritation from the braces, or even changes in your oral hygiene routine during treatment. Swollen gums can make the teeth appear shorter or smaller than they actually are.

Regarding your interest in gum contouring or gingivectomy (the surgical removal of gum tissue), this procedure is often performed to improve the aesthetics of the smile, especially if the gums are disproportionately thick or if there is excessive gum tissue covering the teeth. However, it’s crucial to consult with a qualified dental professional who specializes in cosmetic dentistry or periodontics. They can assess your specific situation, including the condition of your gums and any existing dental work, such as your dentures, to determine the best course of action.

If you have dentures, it’s essential to discuss this with your dentist before considering any gum surgery. The removal of gum tissue can affect the fit and stability of your dentures, and adjustments may be necessary afterward. Your dentist will be able to provide guidance on how to proceed safely without compromising the function of your dentures.

As for the costs associated with gum contouring, prices can vary widely depending on the complexity of the procedure, the geographic location of the dental practice, and the specific techniques used. On average, gum contouring can range from a few hundred to several thousand dollars. It’s advisable to consult with multiple dental professionals to get estimates and understand the potential costs involved.

In summary, if you are concerned about the appearance of your teeth and gums post-braces, it’s best to schedule a consultation with a cosmetic dentist or periodontist. They can evaluate your oral health, discuss your aesthetic goals, and recommend appropriate treatments tailored to your needs. Additionally, maintaining good oral hygiene and regular dental check-ups will help ensure that your gums remain healthy and that any concerns are addressed promptly.

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