Correcting a gummy smile

This technique is particularly suitable when the upper lip elevator muscle is overactive. Treatment involves precise, targeted injections that reduce muscle contraction, thereby limiting how far the lip rises when smiling. This non-invasive procedure is performed without anaesthetic. Results become visible after a few days and last for around 6 months. As the effect is reversible, it is an excellent way to preview the benefits of a more permanent solution.

Orthodontic treatments, particularly mini-screw-assisted tooth intrusion, can help correct a gummy smile caused by dental misalignment. Intrusion moves the teeth slightly inwards, by an average of 2 mm, using temporary mini-screws placed under local anaesthetic with the aid of a gel, which generally avoids the need for injections. However, the scope of this procedure is limited, and the overall orthodontic treatment takes 12 to 24 months.

A gingivectomy removes excess gum to expose more of the tooth, while gingivoplasty reshapes the gum line to create an aesthetically pleasing contour. Performed under local anaesthetic, these procedures, using a scalpel, electrosurgery or laser, take 30 to 60 minutes. Results are long-lasting, with healing completed within a few weeks. Bleeding, swelling or sensitivity may occur, but these effects are generally temporary.

This well-established procedure involves making an incision inside the upper lip to lower it and limit how far it rises when smiling. Performed under local anaesthetic, this outpatient technique uses dissolvable stitches. Any moderate swelling and pain can be managed with simple painkillers. The result is visible immediately but can be fully appreciated after 3 weeks. The effects last for several years and may be permanent in mild cases. Complications are rare and may include bruising, discomfort or a temporary mucocele.

This maxillofacial surgery is intended for gummy smiles caused by excessive vertical growth of the upper jaw or severe malocclusion. It provides lasting correction of skeletal imbalances that orthodontics alone cannot treat. After orthodontic preparation, the surgeon repositions the jaw through invisible incisions inside the mouth, sometimes in conjunction with surgery on the lower jaw. A hospital stay generally lasts 36 hours, and full recovery may take several months, with a soft diet and functional rest. Results are permanent, but the risk of numbness, infection or aesthetic changes requires careful planning and multidisciplinary care.