What is a gummy smile?
A gummy smile is when a lot of gum shows above the upper teeth when you smile โ usually more than 3โ4 mm. It isn't a health problem in itself, but many people find it makes their teeth look short and affects their confidence. The good news: there are several solutions depending on the cause โ and it's at the heart of Dr. Banan Alhawamdeh's specialty in gum surgery and gum aesthetics.
Causes of a gummy smile
| Cause | What it means | Likely solution |
|---|---|---|
| Excess gum over the teeth | Gum covers part of the tooth, so it looks short | Gum contouring |
| Hypermobile upper lip | The lip lifts higher than usual when smiling | Lip procedures or supportive treatment, case by case |
| Vertical excess of the upper jaw | The upper jaw is vertically longer | Orthodontics; jaw surgery in severe cases |
| Short or worn teeth | The teeth themselves are short | Crown lengthening with crowns or veneers |
| Gum overgrowth | From inflammation or some medications | Treat inflammation, then reshape |
Often more than one cause is involved, so the right treatment starts with an accurate diagnosis โ not a one-size-fits-all procedure.
Treatment options
1. Gum contouring (gingivectomy)
Removing a precise amount of excess gum and reshaping the gumline so teeth show at their natural length. Done under local anaesthesia, with usually quick healing.
2. Surgical crown lengthening
When bone sits too close to the gum margin, trimming gum alone isn't enough โ the bone is reshaped too, so the result stays stable and the gum doesn't grow back.
3. Combining with cosmetic dentistry
After gum contouring, the result can be completed with veneers or whitening for a complete smile makeover.
4. Orthodontics
Where tooth or jaw position is involved, orthodontics may be part of the solution.
After gum contouring
- Mild discomfort for a few days, managed with regular painkillers.
- Soft food; avoid very spicy or hot food in the first days.
- Gentle cleaning of the area as instructed.
- The final gumline settles over a few weeks.
Frequently asked questions
Can a gummy smile be treated with laser?
Yes, gum contouring can often be done with a laser, reducing bleeding and speeding healing. The right approach depends on the cause.
Will the gum grow back after contouring?
With correct diagnosis โ and bone reshaping when needed โ results are stable. Trimming gum without considering bone level can lead to some regrowth.
Is the procedure painful?
It's done under local anaesthesia, and most patients describe the discomfort afterwards as mild and temporary.
Book a gum aesthetics consultation
A gummy smile needs a periodontist to diagnose the cause accurately. Book your consultation with Dr. Banan Alhawamdeh in Sweifieh, Amman. Book your appointment.