Gummy Smiles

It seems today that every dentist is a cosmetic dentist. This represents a fairly recent phenomenon. Since cosmetic dentistry is not a specialty recognized by the American Dental Association, how does one determine who's good, and who's not?

Below are four criteria that I would recommend using in your selection of a cosmetic dentist:


  • EDUCATION: There are many continuing education courses offered in cosmetic dentistry, and most of them are quite good. A cosmetic dentist must be dedicated to expanding his learning and increasing his knowledge through regular participation in these courses. This is a critical component of a cosmetic dentist's development of his or her own philosophy and technical expertise.

  • EXPERIENCE: While education is extremely important, it is of little relevance if not used in practice. The more cases a cosmetic dentist completes, the more capable that professional becomes in visualizing results, anticipating challenges, and knowing which techniques will produce the optimum result for the client. Cosmetic dentistry is extremely technical, and a clinician's skill set develops over time.

  • LAB SUPPORT: Most cosmetic dental cases involve the fabrication of a porcelain crown and/ or veneer. These items are made in a dental laboratory by specially trained personnel. This dental laboratory technician, or ceramist, is responsible for translating the cosmetic dentist's specific information on your case into a well-crafted and natural-looking product. In this sense, the ceramist is a true artist. In order to achieve a high level of proficiency, this individual must have benefited from the experiences of completing many cases. Ideally, the cosmetic dentist should have the same highly skilled ceramist complete all of his or her cases. This scenario would result in consistently beautiful results. In order to achieve this, the cosmetic dentist must have an established relationship with a high-quality dental laboratory.

  • REFERENCES: A cosmetic dentist should be able to provide a list of clients on whom he or she has completed cosmetic procedures. This is the best way for a potential client to gauge the patient's experience with their cosmetic dentist and their degree of satisfaction with the final product.

Hopefully, these guidelines will help in the process of selecting the cosmetic dentist who is right for you

schedule an appointment, contact us.

Gummy Smile.Some people feel self-conscious about smiling because they believe their gums are too prominent. Though we each have our own definition of what makes a smile beautiful — including how much gum is too much — a smile will usually be perceived as “gummy” when 4 millimeters (just over an eighth of an inch) of gum tissue shows. If your smile looks gummy to you, it's important to figure out exactly what's causing this. Only then can the appropriate cosmetic dental or periodontal (gum) procedures be recommended to give you a more pleasing appearance of the gums and teeth.

Causes

Gummy smiles may be caused by one or more factors relating to the gums themselves, the teeth, or even the lip or jaw. Each of these areas will require a different approach to solving the problem. Let's look at some of the ways a gummy smile can be corrected:

Gums. If your teeth appear too short in relation to your gums, it could be that they are being covered up by too much gum tissue. This problem can be solved with a periodontal plastic surgery technique called “crown lengthening,” which involves removing and reshaping the excess tissue to expose the full length of teeth.

Teeth. There are natural variations in the tooth-eruption process that can result in shorter than normal teeth and gumminess of the smile. If that's the case, your teeth can be made to appear longer by capping (crowning) them or covering them with thin porcelain veneers. It's also possible that your teeth have become worn down over time, especially if you have a grinding habit. When this happens, it can cause what is known as compensatory eruption. To compensate for the wear and maintain a functional bite, the teeth actually begin to move (or erupt) very slowly outward from the gum. This makes the smile appear gummier because the gums, which are attached to the teeth, move with them as they erupt. In some cases orthodontic treatment can be used to move the affected teeth back up into correct position. Afterwards, the worn-down teeth would usually be restored with porcelain crowns or veneers.

Lip. On average, the upper lip moves 6 to 8 millimeters from its normal resting position to a full smile. If the lip is hypermobile, meaning it rises much farther up, more gum tissue will be revealed. Here the action of the muscles that control the lip will need to be modified so they don't raise it quite so high. Treatment can range from Botox shots that temporarily paralyze the muscles (for about six months), to surgery that permanently restricts how high the lip can move, referred to as a lip stabilization procedure.

Jaw. Sometimes the upper jaw (maxilla) is too long for the face, a condition referred to as Vertical Maxillary Excess. If this is the case, the jaw would need to be repositioned with orthognathic surgery (“ortho” – straighten; “gnathos” – jaw). Of all the treatment listed here, this one is the most complex — but it can achieve dramatic results.

As you can see, there is no one-size-fits-all approach to correcting a gummy smile. However, there are various techniques that can achieve dramatic improvements.

Related Articles

Gummy Smiles - Dear Doctor Magazine

Gummy Smiles Sometimes a smile doesn't look as appealing as it could because the gums appear too prominent. If this describes your smile and it's something you want to change, chances are you can be helped by one of several available treatments. But first your dentist will need to determine exactly why your smile looks gummy to begin with. Find out the various causes and treatments... Read Article

Periodontal Plastic Surgery - Dear Doctor Magazine

Periodontal Plastic Surgery Millions of Americans have some degree of gum recession — a loss of the tough, pink tissue that surrounds teeth. Receding gums can cause anything from minor tooth sensitivity to tooth loss in very severe cases. Fortunately, the field of periodontal plastic surgery has made enormous strides in devising techniques, including grafting, to deal with the problem of lost or damaged gum tissue... Read Article