What Is a Gummy Smile and How Can Periodontal Surgery Fix It?

A confident smile can make a lasting impression, but for some people, excessive gum tissue causes what’s known as a “gummy smile.” This condition can make teeth appear smaller and affect how balanced your smile looks. Fortunately, modern periodontal techniques can correct this concern. With cosmetic periodontal surgery, you can achieve a more natural tooth-to-gum ratio and regain confidence in your smile’s appearance.

At Schrott Perio Implants in Belmont, MA, our periodontists Dr. Schrott and Dr. Assadourian specialize in advanced treatments that improve both oral health and aesthetics. If you’ve ever felt self-conscious about showing too much gum when you smile, understanding your options can help you make an informed decision about your treatment.

What Causes a Gummy Smile?

A gummy smile can result from several factors, including genetics, jaw alignment, and how your teeth and gums developed. In many cases, the issue is simply that the gums cover too much of the teeth. This can happen naturally, or it may be due to how the teeth erupted through the gums. Other possible causes include:

  • Short or worn-down teeth
  • Excessive upper lip movement when smiling
  • An overgrown upper jaw (vertical maxillary excess)
  • Certain medications that cause gum overgrowth

While a gummy smile isn’t usually a health concern, it can make people feel less confident about their smile’s appearance. The good news is that a periodontist can offer several effective solutions tailored to your unique needs.

How Cosmetic Periodontal Surgery Can Improve Your Smile

When it comes to addressing a gummy smile, one of the most effective treatments is cosmetic periodontal surgery. This procedure involves carefully reshaping or removing excess gum tissue to reveal more of the natural tooth surface. In some cases, it may also involve adjusting the underlying bone structure for long-lasting, symmetrical results.

During the procedure, your periodontist numbs the area to ensure comfort. Then, precise surgical techniques are used to contour the gumline and create a more balanced appearance. Depending on your situation, your provider may recommend one of the following:

  • Crown Lengthening: Removes and reshapes excess gum and bone tissue to expose more of each tooth’s surface.
  • Gingival Contouring: Removes gum tissue only without removing bone to enhance the proportions of your smile.
  • Lip Repositioning: Reduces the upward movement of the upper lip to reveal less gum tissue when smiling.

Benefits of Periodontal Surgery for a Gummy Smile

Choosing cosmetic periodontal surgery can offer several benefits beyond improving the appearance of your smile. These include:

  • A Balanced, Natural Look: By exposing more of your teeth, your smile appears more proportionate and aesthetically pleasing.
  • Increased Confidence: Many patients feel a renewed sense of self-esteem once they can smile freely without hesitation.
  • Long-Term Oral Health: Correcting excessive gum coverage can make it easier to maintain proper hygiene by allowing better access for brushing and flossing.
  • Customized Results: Every procedure is personalized based on your unique facial structure, gum line, and desired outcome.

Drs. Schrott and Assadourian take great care to ensure your results complement your natural features while promoting optimal gum health.

What to Expect During Recovery

Most patients find recovery from cosmetic periodontal surgery to be smooth and relatively quick. You may experience mild swelling or tenderness for a few days, which can be managed with over-the-counter medication and a soft food diet. Your periodontist will provide detailed aftercare instructions to promote proper healing.

Good oral hygiene is essential during recovery, but you’ll need to follow specific guidelines to avoid disturbing the treated areas. Most people can resume normal activities within a day or two, though full healing may take a few weeks depending on the extent of the procedure.

Is Cosmetic Periodontal Surgery Right for You?

If you’ve been hiding your smile because you feel it shows too much gum, cosmetic periodontal surgery could be the ideal solution. The best way to determine this is through a professional consultation with a periodontist who can assess your smile and recommend a customized treatment plan.

At Schrott Perio Implants, we use advanced technology and a compassionate approach to ensure every patient receives the best possible care. Whether your goal is to enhance your smile’s appearance or improve gum health, our team can help you achieve a natural, confident result.

Frequently Asked Questions About Cosmetic Periodontal Surgery

How long does cosmetic periodontal surgery take?

The procedure typically takes about one to two hours, depending on how many teeth are being treated and the complexity of your case. Your periodontist will provide an estimated timeline during your consultation.

Is cosmetic periodontal surgery painful?

Thanks to local anesthesia and modern techniques, most patients experience little to no discomfort during the procedure. Mild soreness afterward is normal and can be managed with recommended pain relief methods.


At Schrott Perio Implants, we specialize in advanced periodontal care and dental implant procedures that promote both oral health and natural aesthetics. Our team is dedicated to helping every patient feel confident in their smile through expert, compassionate care. Contact us today to learn more and schedule a consultation.