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Gum Lift / Crown Lengthening
GUM LIFT (GUMMY SMILE) / CROWN LENGTHENING
You cannot underestimate the role that gums play in the overall appearance of the mouth. A tooth that appears short and square gives the look of gummysmile which ages you. Removing excess gum tissue gingivetomy and reshaping the remaining gum tissue gingiveplasty, are efficient ways to reveal more of your teeth.
As a result, short teeth appear longer, and your smile looks more balanced. The procedure, takes less than an hour per arch. It is a very safe procedure; there are no stitches, rarely swelling and the result are immediate.
Gums are reshaped for numerous reasons. Some patients have gums that have not receded after the permanent tooth erupts, while other have lips that allows a lot of gums to show when a person smile.
Gum Lift is normally only done on the front teeth as these are the ones that are most visible when a person smiles mainly from Pre-Molar to Pre-Molar.
To begin, our specialist will administer a local anesthesia where they then cut and reshape the gum line to make it more ever and visually appearing. The procedure is quick and gums can be lowered or raised depending on the need.
Gum Lift is especially helpful when a patient is also getting other cosmetic dentistry work done. It is more visually appealing to have gums when Veneers are being applied; Follow-up visits are equally important to keep the beautiful smile too. Gum Lift can make a huge difference in the appearance giving the patient a truly beautiful and winning smile.
There are many ways to fix Gummy Smile, depending on the severity of the case.
- If the gums are covering much of the area of the teeth, a simple surgery is performed to remove 1-2mm of the access gum to increase the length of the teeth. This treatment is a very common procedure done by cosmetic dentist in daily routine work to improve smile line.
- If the access gum is covering much of the area of the teeth and there is access bone and tissue covering the root area, the surgery is performed to remove 1-2mm of access gum and a bone grinding is done on the front surface of the root by lifting the whole area of the gum from Pre-Molar to Pre-Molar and leaving enough bone to cover the root. Gum is then stitched back and healing time will be 3-4 weeks to get a beautiful smile.
- If the tooth is too long, when smile too much, the teeth is shown or too much gum receding from aggressive brushing, grinding or periodontal disease which leads to sensitivity to hot and cold liquid drinks. Gum recession can also occur by using hard toothbrush. If patients already have gum recession, a soft toothbrush is recommended to use.
To restore the gum line to its normal position, first of all the possible causes of gum recession must be dealt with. Proper brushing habit must be taught and learned. Bite guards should be worn consistently, if clenching and grinding habitual. These are surgical procedures to restore gum line by doing “connective tissue graft” by removing a thin piece of tissue from patient’s palate, and then a tissue flap is made by extending from the recession site the adjacent teeth. Then the gums are elevated or peeled away from the underly gum or bone. This will allow a space in the gum where the graft is stitched.
The disadvantage of this procedure is moderate pain from palatal wound where the graft is taken out for 3-4 weeks and the graft tissue may not match the surrounding tissue.
Follow-up is very important in this kind of treatment and the most important part is to change the behavior of brushing otherwise the gums will recede again.
- For severe cases of gummy smile and excess bone plus upper jaw too long or with lower jaw too protrude.
This is a very severe case, a major surgery and long time follow-up will be required with the team of Surgeon, Orthodontics, Cosmetic Dentist, and Periodontitis.
Maxillary Osteotomy Surgery will be advised in these cases. The jaw can move upward, the final position of maxilla in the vertical plane is determined by the amount of upper incisor tooth that is visible below the upper lip at rest when smiling.
Lefort 1 Osteotomy involves separating the maxilla and the palate from the skull above the roots of the upper teeth through an incision of the upper lip. The maxilla is fixed in the new position with titanium screws and plates.
The surgery will take about 2-4 hours under general Anesthesia and patient have to be admitted in the hospital for minimum 5 days. The operation is frequently carried out with the mandibular Sagittal split osteotomy.
Bimaxillary Osteotomus takes around 5 hours to complete. Cosmetic improvement is starting for those individuals requiring these procedures and with proper planning is the key success for the outcome.