A member asked:

I was told by my periodontics that a gingivectomy would be good for me. i have a gummy smile, should i?

10 doctors weighed in across 7 answers
Dr. John Van der Werff answered

Specializes in Dentistry

Hard to tell: Without seeing you it is hard to tell. You could consider a second opinion. Ask... Are there any other options... If so what would would be involved... Make sure you understand all the possible consequences.

Answered 3/21/2015

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Depends: If you want the esthetic improvment or need the hygienic improvment, a gingivectomy can be a good option but if you don't want it and you already have healthy gums...Don't feel that you have to. I do believe you would like the result if it were done well. Good luckdent.

Answered 3/21/2015

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Dr. Dinh Bui answered

Conditionally: Gingivectomy is one of many approaches to treat gummy smile. If you have thick band of attached gingiva and the anterior maxillary teeth is hypoerupted, then gingivectomy can be carried out. If there is not enough attached gingiva, then apical position flap is used. If you teeth is already fully erupted, you may want to intruded orthodontically. Some skeletal related cases may need surgery.

Answered 3/8/2013

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That's one option : It really depends on the condition of your front teeth, and the amount of gum ( gingiva) you have and the relation between your upper and lower jaws, do you have a normal bite? , so treatment would be gingivictomy if that's the only problem with your gummy smile, or braces if you don't have the wright bite, by repositioning the teeth ( intrusion) to show less gums.

Answered 12/10/2013

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It depends: If the teeth look short, a gingivectomy (cutting off gum) should help esthetics- but only if you have plenty of non-mobile gum to allow this. If not, sliding the gum up would be better. You do not want your teeth to look too long either. Intrusion of teeth could cause root resorption. See another periodontist for a 2nd opinion.

Answered 12/9/2013

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Dr. Gregory LaMorte answered

Specializes in Periodontics

Personal choice: Is there a medical reason for the procedure? Is it elective to improve your aesthetic appearance? Perhaps a second opinion is in order.

Answered 7/16/2013

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Dr. Paul Grin answered

Specializes in Pain Management

You should: follow the advice given by your periodontist for the best outcome. A Gingivectomy is commonly used to improve the appearance of a gummy smile.

Answered 2/26/2016

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