There are many elements that make up an ideal smile; bright, healthy-looking teeth immediately come to mind. But the gum tissue that surrounds and supports those teeth also plays a big role in how appealing your smile will look.
There are various cosmetic issues involving gum (gingival) tissue. For example, your smile may look “gummy” due to altered tooth eruption — meaning you seem to display too much gum tissue when you smile, or your teeth appear too short. Tooth eruption is an active process by which the teeth move through the gum and bone to become visible in the mouth. But the process does not stop there; the gum and bone shrink back and stabilize to display more tooth. Typically, this process occurs somewhere around the late teens in girls and early twenties in boys. Natual variations in the tooth eruption process can lead to shorter than normal looking teeth. Or you may have an uneven gum line, meaning gum tissue covers some of your teeth more than others.
Sometimes it's the opposite problem — your teeth appear too long because your gum tissue has receded (pulled back), exposing tooth-root surfaces that were covered at one time. All of these cosmetic gum problems can be successfully treated with cosmetic procedures performed in the periodontal office.
Cosmetic Gum Problems
Excess Tissue. A gummy smile can be caused by excessive gum tissue covering more enamel surface of a tooth's crown (upper portion) than normal. If that is the case, a procedure known as “crown lengthening” can be performed, in which gum tissue (and sometimes a small amount of bone tissue) is removed to expose more tooth surface. Crown Lengthening
Uneven Gum Line. If you have an uneven gum line where some teeth are covered by more tissue than others, it is often possible to recontour (reshape) the tissue so that the gum line matches for a very pleasing effect. This can also be done with a procedure known as "crown lengthening" where a small amount of tissue is removed. Crown Lengthening
Receding Gums. Sometimes your gums can shrink down (recede), exposing a portion of your tooth roots. This causes a cosmetic problem because root surfaces, which have no enamel covering, tend to appear more yellow than the crowns of your teeth. Also, exposed roots can be more sensitive to cold or touch, and can be at greater risk of decay. There are various gum grafting procedures that can cover exposed roots, all of which involve moving gingival (gum) tissue from one site in the mouth to another. For example, roots can be covered with tissue from the roof of your mouth, which is of the same type; or adjacent (nearby) tissue can be moved over to cover an exposed root. Sometimes laboratory-processed tissue from another donor can even be used. All of these options can be discussed with you in more detail. Gum Grafting/Recession
What to Expect
All cosmetic gum surgery can be performed at the periodontal office — and it usually requires only a local anesthetic (numbing shot). If you would like a deeper level of relaxation, you can have an oral sedative; but this is not required and you would need a ride to and from your appointment. An examination is required to determine which treatment is in your best interests.
Soft tissues grafts may take a little longer to heal, particularly if tissue is taken from the roof of your mouth. If that's the case, you will have two sites that need to heal: the donor site from which the tissue was taken, and the recipient site where the tissue was attached. Both of these sites will require stitches. You will need to eat a softer diet and avoid chewing on that side of your mouth for a few days. Though full healing may take a few weeks, you will be able to resume your normal activities the very next day. Whichever kind of cosmetic gum surgery you may need, the procedures are routine and predictable — and they can do wonders for your smile!
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 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