Tooth Shaping, Lengthening and Sculpting
Many patients feel that their teeth are too short and their smile does not have the normal amount of tooth showing and too much gum showing when they smile. They want an esthetically appealing smile that comes from the proper balance. In many instances the solution is as simple as sculpting the gums with radio, electro, or laser surgery. In effect going from the appearance on the left to the one on the right.
Large gums or short teeth can give your mouth an imbalanced, “gummy” look. Excess gum tissue can create the appearance of short teeth and a “gummy” smile—and make your oral health more difficult to manage. Fortunately, treatment options can give you a beautiful new smile.
A number of factors can cause “gumminess” from slow or inadequate eruption, irritation from braces, mouth breathing, certain medications or simply a higher placed lip line.
Gummy smiles can also be caused by a condition where the teeth have been severely worn down and are too short both esthetically and functionally. Bad habits such as nighttime teeth grinding can cause this wear. This problem can be corrected by tooth lengthening surgery, topped off with caps or crowns to cover the newly lengthened teeth
Crown lengthening is done when a tooth needs to be restored, but there is not enough tooth structure above the gum line to support a filling or a crown.
This can happen when a tooth breaks off at the gum line, or a crown or filling falls out of a tooth that has extensive decay underneath. If your dentist wants to repair the tooth using a crown or a large filling, he or she may need to expose more of the tooth by removing some soft tissue or bone.
In some cases, a condition called gummy smile — when an unusually large amount of gum tissue shows around the upper teeth — can be treated using crown lengthening.