Gummy smile
A "gummy smile" occurs when a large portion of the gum tissue shows above the upper teeth when a person smiles. About 5% of the population have a noticeable gummy smile. While some degree of gum display is normal, excessive gum visibility can affect the balance of the smile and a patient's confidence. At Perio Dental in Abbotsford, Dr. Mansur Roy evaluates the cause and recommends the least invasive, most effective solution tailored to each patient.
Common causes
Gummy smile may result from one or more of the following:
- Altered passive eruption — delayed gum recession after tooth eruption that leaves too much tissue covering the crowns
- Excessive gingival display due to hyperactive upper lip muscles
- Vertical maxillary excess — a skeletal growth pattern where the upper jaw is longer than normal
- Short upper lip or other soft-tissue variations
Diagnosis
A comprehensive assessment includes clinical measurements, dental radiographs, and sometimes facial analysis. We assess tooth proportions, gum levels, lip activity during smiling, and jaw relationships. This helps determine whether the issue is primarily dental, soft-tissue, or skeletal — and therefore guides the appropriate treatment.
In childhood when teeth erupt normally the gums recedes to expose the crown leading to normal smile.
Treatment options
Treatment is individualized. Options typically include:
- Gingival recontouring (gingivectomy) — conservative removal of excess gum tissue to expose more tooth surface
- Open flap procedure (open flap debridement) — used when deeper access to bone and root surfaces is required for stable, long-term results
- Apically positioned flap with ostectomy — when bone removal is needed to reposition the gum for stable results
- Orthognathic or orthodontic approaches — for skeletal causes, combined orthodontic and surgical correction may be recommended
Expected results and recovery
Less invasive procedures such as gingival recontouring have quick recoveries — minimal discomfort and return to normal activities in a few days. More extensive procedures requiring bone reshaping have a longer healing period but deliver stable, esthetic outcomes. Dr. Roy emphasizes conservative techniques and aesthetic planning to maintain natural-looking gums and teeth.
Many patients report improved self-confidence and social comfort after treatment. Correcting a gummy smile can have a meaningful positive impact on psychological wellbeing, social interactions, and professional confidence.
Why choose Perio Dental?
Dr. Roy brings specialized periodontal training and microsurgical expertise to gummy smile treatment. Treatment plans focus on long-term tissue stability and natural aesthetics. Patients in Abbotsford and surrounding communities appreciate the clinic's patient-centered approach and predictable results.
Ready to improve your smile?
Schedule a consultation to determine the cause of your gummy smile and discuss tailored treatment options. We will review expected outcomes, recovery, and costs to help you choose the best path forward.
