A member asked:

Is it possible for an upper frenectomy to cause a gummy smile?

6 doctors weighed in across 4 answers
Dr. Tamer Abdel-azim answered

Specializes in Prosthodontics

Smile: A frenectomy is a procedure that involves removal of a frenum, which is usually connected to the inside of the lip. A "gummy" smile is caused by excessive display of gingival (gum) tissue.

Answered 3/24/2017

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No: Frenectomy removes extra, thick, or improperly attached gum tissue from between front teeth. Gummy smile is from gum tissue on teeth placed too far down, short upper lip, vertical maxillary excess. Solution may be to reshape the gums, intrude the teeth, or surgically lift the upper jaw. Ask your Dentist if you should see Prosthodontist, Oral Surgeon, Orthodontist, or all three

Answered 6/29/2018

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Depends: If the upper frenum was too thick and has a muscle pull causing a diastema between the two front teeth,then cutting it might contribute to the further elevation of the upper lip, Depending on the severity of the gummy smile,a very fast,simple and effective way of restoring gummy smile is by Botox injection:) Two one unit injection at the bottom of the nesalis muscles at nose base takes care of it.

Answered 12/26/2020

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Dr. Paul Grin answered

Specializes in Pain Management

"Gummy" smile: Upper frenectomy will not cause a "gummy" smile. A frenectomy (minor surgery) can also be performed to remove a section of tissue that attached to the gingival tissue between two teeth and used for orthodontic purpose. There are a few of ways to fix a "gummy smile" and it all depends on your unique situation. Talk to your dentist for more information.

Answered 6/29/2018

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