We all become more beautiful with a smile; But some people do not like their smile because they have a gingival smile. If you want to know what a gingival smile is and how it can be corrected, join us in this article on “How”.
How is a gingival smile a smile?
A real and beautiful smile is a smile in which the corners of your lips are pulled up and your eyes full of passion are narrowed a little. When your face is so happy, you can easily communicate with those around you. However, this happiness is not enjoyable for some people; Because part of their gums appear when they laugh. This condition is called a gingival smile.
First of all, it must be said that the beauty or ugliness of the gingival smile is a matter that depends on the aesthetics and feelings of people. Some people never find this kind of smile ugly. This type of smile is also very common. When a person laughs and his gums are seen more than usual, his smile is of the gum type.
Everyone defines a gingival smile based on how they feel about it. However, according to dentists, if a person’s gums appear 2 mm when laughing (in men) and 3 to 4 mm (in women), the person has a gingival smile.
What causes a gingival smile?
In general, there are several reasons for a gingival smile, the most important of which are the following:
- The upper front teeth are overgrown;
- The upper jaw is longer than the lower jaw;
- The size of the teeth is out of proportion to the gums and they are shorter compared to it;
- Gum tissue overgrows and covers most of the crown surface of the tooth;
- The upper lip is shorter than the lower lip or rises too high when laughing.
However, the following are far more common in creating a gingival smile than other reasons:
1. Differences in tooth growth and jaw problems
Sometimes the type of tooth growth causes a gingival smile, a condition that varies from person to person and may be inherited. If your gums cover most of the surface of the teeth, which is called inactive altered growth (APE), you will have a gingival smile.
Also, if the front teeth of your mouth grow too much, your gums will grow as much as this condition, also called “tooth-gingival protrusion”, which will make you gum smile. Sometimes gingival smile occurs due to a condition called high vertical growth of the maxilla. In this case, the maxillary bones are raised more than usual.
2. Differences between the lips
Sometimes the muscles of your upper lip are overactive and cause the gums to smile. In fact, when you laugh, your upper lip moves too high.
3. Oral and dental diseases and some medications
Sometimes your mouth and teeth get diseases that cause the gums to overgrow around your teeth. This condition is called gingival hyperplasia (overgrowth of the gums). Medications used to treat seizures or high blood pressure, as well as drugs that suppress the immune system, may be involved in gingival hyperplasia.
Gingival hyperplasia must be treated; Because if left untreated, it eventually turns into a puree. Puree or disease of the tissues around the tooth is an infectious disease of the gums and other tissues that support the tooth. In this disease, blood usually comes out of the teeth and the mouth stinks and becomes infected.
Treatment methods for gingival smile
If you are unhappy with your gingival laughter, there are several ways to treat it:
1. Gingival smile surgery with contouring method (gum lift)
The method of contouring (gingival lift) or correcting the gingival smile with laser treatment is done when your gums are too much on the surface of your teeth. In this procedure, the surgeon removes excess gum tissue, exposing a larger area of your teeth.
Contouring surgery process
- The surgeon first puts your gums under local anesthesia so that you do not feel any pain during the surgery;
- Then, with the help of a small surgical knife or laser, they cut a part of your gums or change it in such a way that more part of the surface of your teeth appears;
- By 1 week after surgery, your gums are likely to bleed a lot and you will feel pain;
- It may take more than one operation to achieve the desired result, which may be long-term or even permanent.
2. Lip augmentation surgery
If your smile is gingival due to the position of your lips, your dentist will recommend lip replacement surgery. In this type of surgery, the location of the lips will change according to your teeth. The dentist-surgeon does this by removing part of the connective tissue from the lower part of your upper lip. This prevents the lifting muscles in your lips and nose from pulling your lips too high above your teeth.
The surgical process of changing the position of the lips
- Surgery is performed under local anesthesia so that you do not feel pain;
- When your mouth is anesthetized, the dentist makes two small incisions under your upper lip and removes the connective tissue in that area completely;
- After the connective tissue is removed, the dentist sutures the incisions;
- Surgery takes 45 minutes to 1 hour;
- After surgery, the dentist prescribes antibiotics and painkillers to prevent possible infection and pain;
- Recovery usually takes about 1 week.
Studies have shown that most people who have had this type of surgery are satisfied with the results up to 2 years after surgery. The results of this type of surgery will most of the time be permanent, but there is a possibility that the gingival smile will return.
3. Maxillofacial Surgery
If your jaw misalignment causes more of your gums to appear, your dentist or oral surgeon may suggest jaw surgery to correct the gingival smile. This process coordinates the lengths of your upper and lower jaws. This type of treatment requires a lot of preparation in advance.
You should consult an orthodontist and maxillofacial surgeon before this surgery. One or more scans of the mouth and jaw may be taken to determine the amount of jaw overgrowth and inconsistency. Sometimes orthodontic brackets or other orthodontic instruments should be used before jaw surgery to ensure that your teeth and the arches of your mouth are well aligned.
Jaw surgery process
- During this surgery, you will be under general anesthesia and therefore will not stay awake during the procedure;
- The surgeon removes part of your upper jawbone to align the length of the upper and lower jaws;
- The jawbone is reconnected with metal plates and small screws. Also, if the mandible is too far back, the surgeon may have to adjust it as well;
- After surgery, you should be hospitalized for 2 to 4 days to carefully evaluate the results;
- You may have to use elastics or other intermaxillary tools to hold your jaw in place during your recovery;
- The recovery period usually lasts 6 to 12 weeks and may be associated with jaw pain.
4. Use of temporary anchor devices
If you do not want surgery, consult your dentist and see if you can use temporary anchors to correct your gingival smile. With this tool, your teeth are extracted and placed in their proper place, and your gum smile is partially healed.
Tips on temporary anchors
- Temporary anchors are small screws that are inserted into the bone inside your gums;
- These screws are usually placed in the office of an oral or maxillofacial surgeon;
- The site is placed under local anesthesia before the screws are inserted.
5. Correction of gingival smile with Botox
Gingival smile can be corrected by injecting botulinum toxin, also called Botox. In fact, this treatment is suitable for people whose smile goes too high above the gum line when laughing. Botox injections can paralyze the muscles that lift the lips and the smile will no longer be the gums.
In a study of 23 women who had a gingival smile, 99.6% of them found a very good difference in the type of smile that was no longer gingival 2 weeks after the injection. Botox is cheaper than surgery and less invasive. However, it should be repeated every 3 to 4 months. In addition, excessive use of Botox may cause asymmetry in the smile.
6. Use hyaluronic acid to correct gingival smile
Another method that temporarily corrects the gingival smile due to excessive lip mobility is the injection of hyaluronic acid fillers. These fillers restrict the movement of muscle fibers around the lips and last for 8 months. Of course, do not forget that injectable fillers are not safe and although their side effects are rare, they can cause some of the following problems:
- Blood supply to the body is impaired and parts of the body tissues are destroyed or the person suffers from blindness or stroke;
- The immune system may react to hyaluronic acid to form nodules or granulomas. A nodule is an abnormally round, almost stiff structure that may occur in different parts of the body. Granuloma is a tumor that develops from fleshy buds and is an inflammatory symptom that occurs in many diseases following chronic stimulation of the immune system.
Orthodontics is the easiest and most effective way to correct excessive protrusion of teeth. This method takes a while; But the least invasive method is to correct the gingival smile. To change the position of the gums, it is enough to place orthodontic tools on the upper front teeth, and after a while, the gums become less visible when smiling.
8. Veneer or crown
Another treatment method that is simple but effective is the treatment of crown wear, which becomes shorter over time. Also, using dental veneers can change the size and appearance of the teeth and achieve a more balanced smile.
If a gingival smile bothers you to the point that it affects your self-esteem, it is best to look for one way to correct a gingival smile. Consult your dentist and choose one of the most suitable methods. If you have experienced such treatments before, we would be happy for you to tell us about your experience.