Treatments

Gummy Smile Correction

A gummy smile causes the gums to appear disproportionately large in comparison to the teeth.

About This Treatment

There isn’t a scientific definition for a gummy smile because the beauty seen in each smile is based on perception. But a smile showing less than two mm of gum tissue between the upper lip and the teeth is considered non-gummy, while a smile showing more than that is typically referred to as gummy.

The gummy smile correction aims at reducing the gumline, which means it extends the length of the teeth, improving their appearance. This procedure is for patients who desire a more balanced smile that highlights more of their teeth.

By making minor changes to the shape and contour of the gums, the appearance of your smile can be radically transformed. Gum recontouring can have many benefits:

  • Elongating appearance of “short teeth”
  • Maximizing smile symmetry
  • Reducing redness along the gum line
  • Improving gum health
  • Improving the gum-to-tooth ratio
  • Enhancing results of other cosmetic dentistry procedures

Some of our patients request a gummy smile correction because their teeth appear too short due to excess gum tissue or because their teeth are too short due to grinding. Therefore by adjusting the gum tissue, their teeth can appear longer.

  • Immediate results
  • Does not impede patient’s speech
  • Does not affect the other facial muscles
  • Little to no recovery time
  • A beautiful, broad smile
  • Restored confidence
  • Improved facial aesthetics

 

Crown Lengthening

Crown lengthening can be performed when there isn’t enough of the tooth surface exposed for a crown to be properly fitted .This can be the case with severely chipped or broken teeth and those with severe tooth decay. 

Crown lengthening reduces and recontours the gum tissue and the bone around a tooth so that there is more tooth above the gum’s surface. A properly fitted crown allows for better oral hygiene and comfort. 

Some patients may seek out a lengthening for cosmetic reasons, in order to alter a gummy smile. Gum recontouring is also crown lenghtening and ideal in situations where teeth are too short and a portion of the crown is hiding below the gum ( teeth are under-erupted)

 

Lip repositioning

Lip repositioning is a procedure that permanently corrects a gummy smile by lowering the natural placement of the upper lip and drastically minimizing the exposure of gums. 

The surgery limits the movement of hyperactive muscles in the upper lip, and is done by removing tissue from inside of the upper lip, to restrict the retraction of elevator muscles, reducing the appearance of the gums. 

The surgery results in improved smiles and does not impede patients’ speech or other facial muscles.

A normal gum tissue display between the upper lip and teeth present in a “normal” smile is about 1–2 mm. In contrast, an excessive gum-to-lip distance of 4 mm or more is generally considered aesthetically “unattractive” by patients and dental care providers.

 In this case, it is often the result of hyperactive elevator muscles that are responsible for the movement of the upper lip, which drastically rise when speaking or smiling, resulting in an excessive display of gum tissue.

When the elevator muscles are hyperactive, a surgical lip repositioning procedure can be performed to improve the gummy smile.

Benefits of Surgical Lip Repositioning

  • Immediate results
  • Does not impede patient’s speech
  • Does not affect the other facial muscles
  • Little to no recovery time
  • A beautiful, broad smile
  • Restored confidence
  • Improved facial aesthetics

My experience with Dr. Germain has been nothing short of a pleasure. The attention to care and comfort is second to none and it’s a genuine joy to go to the dentist when being seen by Dr. Germain. She has taken her time inside and outside of our normal appointments to ensure that I am getting the treatment that I need to be confident about my teeth and oral hygiene. Superb knowledge and facilities, top tier professionalism but also a reassuring and friendly presence – couldn’t recommend her more highly.

-Google Reviews

Frequently Asked Questions

Why do I have a gummy smile?

This may be attributable to one of the following:

  • Short upper lip
  • Hyperactive muscles in the upper lip 
  • Excessive gum tissue
  • Small teeth
What are the types of gummy smile treatment?

1- aesthetic crown lengthening or also called gum lift, gum contour recontouring ( hyperlinks)

2- Surgical Lip repositioning ( in blue as hyperlink)

What to expect after gummy smile surgery / after crown lengthening?

Due to the medication prescribed after the procedure, recovery from aesthetic crown lengthening is generally smooth. Patients will be asked to ice the area for 24 hours and to take anti-inflammatories for a few days. A custom postoperative regimen will be given to patients based on their personal treatment needs. During the first few days after the procedure, the team at Identity clinic recommends that patients eat bland, soft foods, and avoid consuming anything too hot. Patients should also refrain from drinking alcohol and engaging in strenuous physical activity (such as going to the gym or lifting weights) to prevent excessive bleeding. 

What happens during a lip repositioning procedure?

A surgical lip repositioning treatment is performed by removing two strips of tissue from inside the upper lip, creating what’s known as a partial thickness flap, and restricting the movement of the hyperactive elevator muscles. The upper lip is then secured in a new, lower position, resulting in limited movement and a dramatically reduced gum display. This simple solution reduces the appearance of the gums  and will improve the smile aesthetic of the patient.

Our Treatments

Client Reviews

Highly recommend Dr Germain and her colleagues. Not only she has a great personality, she makes sure that the BEST job is provided and the patient is happy with her job. Best experience I had in a dental practice.
Maryam Javidan
Maryam Javidan
Dr Germain did my orthodontist work. She has done a tremendous job and was really attentive to answering my numerous questions.
She was also available to deal with my queries even out of office hours.
I highly recommend dr German for anyone looking for a truly caring and qualified dentist.
Grégoire Pennec
Grégoire Pennec
My experience with Dr. Germain has been nothing short of a pleasure. The attention to care and comfort is second to none and it’s a genuine joy to go to the dentist when being seen by Dr. Germain. She has taken her time inside and outside of our normal appointments to ensure that I am getting the treatment that I need to be confident about my teeth and oral hygiene. Superb knowledge and facilities, top tier professionalism but also a reassuring and friendly presence - couldn’t recommend her more highly.
Ryan Couch
Ryan Couch
Dr. Alexandra is the best dentist you can find in London! I contacted her for an emergency and I got an appointment within 1 hour! She is not only an amazing doctor but also a lovely person. I would definitely recommend her.
Benedetta Bisetto
Benedetta Bisetto
I was very nervous going to the dentist after too many years avoiding it. Dr. Germain was amazing! Professional but down to earth, she was able to put me at ease. Setting up appointments with her assistant, Chloe has been a breeze and very client-centric. Definitely recommend!
Saul Palomera
Saul Palomera
Dr. Germain is the best dentist I’ve ever had. She is incredibly thorough, uses the latest technology, and is totally present and focused during visits. I actually look forward to cleanings with her! The relaxing music and overall environment help. :) I recommend her enthusiastically!
Sonia Miranda Tekle
Sonia Miranda Tekle
Dr Germain has literally changed my life for the better! Thanks to her amazing meticulous work, she was able to conduct the best smile makeover for me.

I’m over the moon with my new smile!
Sam EA
Sam EA
Yay! Finally found a good dentist in London. Dr. Germain does all the right checks (lymph-nodes, tongue and mouth check, jaw, etc) and her cleaning is the best I've had in London. She doesn't waste time trying to upsell you on things (this can be common in the US) but she'll answer all your questions and provide an opinion on options and cost and leave it with you -- which is great. Definitely my primary dentist now.
E K
E K
Excellent dentist with a wonderful sense of humor, patient-focused, available and sympathetic. I had total confidence visiting the office multiple times during the pandemic. She has a very good associated periodontist. If you are looking for an American-style dentist I highly recommend Dr. Germain. She is also experienced with US dental insurance forms.
Robin Abrams
Robin Abrams
Dr. Germain is an OUTSTANDING dentist! She exceeded my expectations in delivering the highest quality results and a smile that brings me so much confidence. She is professional, thorough, efficient and cares about me as a patient. She's proactive and checks in post-dental work to make sure all is going smoothly; I couldn't recommend her enough! She has made visits to the dentist much more positive than any other dentist!
Georgina Fitzpatrick
Georgina Fitzpatrick
Dr. Germain is incredible about seeing the whole picture, made the biggest difference to my face, teeth and I’m incredulous more dentists are NOT like her but wow! I am LUCKY to have found her. She is incredibly tenacious about getting results you are happy with. Her ethics are second to none. The people she co-ordinates with are incredible. Her team are wonderful. She works for you. I now have my gum lines fixed, a set of straight, all natural looking teeth (I showed her my picture before accident so I look like me again!) and my whole face looks fresh. Taken years of me. I can smile!!!
Akashia LondonTalent
Akashia LondonTalent
Dr Germain is an excellent dentist and a lovely, warm and caring person. She is highly knowledgeable and skilled and takes the time to fully explain everything she does so that you feel comfortable and informed as the patient. As a Canadian, I previously had avoided dentists in the UK, preferring to wait until I returned to Canada several times a year to go to a dentist I trusted. I searched long and hard for a dentist I felt confident in in London, and I am so happy to have found an excellent dentist in Dr Germain. I would highly recommend her!
Hayley Jones
Hayley Jones
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