Gummy Smile Treatment
This common procedure involves the removal of gum tissue, bone or both to expose more of a tooth’s structure.
What is it used for?
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.
Crown lengthening is also frequently used to support cosmetic dental procedures. It is especially useful in cases where the gum extends too far down the length of the teeth causing them to appear unnaturally (gummy smile) short. This can also increase their vulnerability to periodontal disease. Removal of this “extra” gum tissue can restore a natural look and thus improve a smile.
Preparation
First Visit
You will visit for a consultation before the procedure. During the consultation, the specialist will review your medical history and your X-rays, and set a date for the surgery.
Cleaning
We will instruct you on how to keep the area clean after the surgery. You may receive a tooth cleaning before the procedure.
Temporary Crowns
If the tooth needs a crown, we may have a temporary crown put on the tooth to protect it. This also makes the crown-lengthening procedure easier because the tooth is already prepared for the crown, and we can see precisely how much soft tissue or bone will need to be removed.
Final Crowns
Once the area has healed completely (in about three months) we will prepare the tooth again, and make a new temporary crown before making the final crown.
Case Study
Gummy Smile
Gummy Smile FAQs
Does gummy smile treatment hurt?
Crown lengthening for a gummy smile is performed under local anesthesia, so you stay comfortable throughout the procedure. Afterward you may feel mild soreness and sensitivity, which is managed with prescribed medication and ice during the first two days. Our Houston team reviews aftercare so recovery stays smooth and predictable.
How is excess gum tissue removed during a gummy smile procedure?
Your Houston specialist makes small incisions to gently lift the gums away from the teeth, exposing the roots and underlying bone. Depending on your case, a little gum tissue or some bone is reshaped to reveal more tooth structure. The area is then cleaned and the gums are stitched into place.
How long is recovery after gummy smile crown lengthening?
Sutures are usually removed seven to ten days after surgery, with a follow up visit four to six weeks later. Gums should heal for about three months before a final crown is placed, which prevents shrinkage that could expose crown margins. Our Houston office guides you through each healing stage.
Are there any risks associated with gummy smile surgery?
As with any surgical procedure, there is a small risk of prolonged bleeding, infection, or temporary sensitivity once tooth roots are exposed. Removing bone around a tooth can also affect it long term. Our Houston prosthodontists discuss every consideration during your consultation so you can make an informed choice.
Will my teeth look longer after gummy smile treatment?
Yes, your teeth will appear longer because the gum line now sits lower, which creates a more balanced and natural smile. This change is purely cosmetic and is the goal of treatment. Our Houston team plans the reshaping carefully so neighboring teeth blend evenly for an attractive result.