Patient Education
Cosmetic DentistryGum Contouring: Reshaping Your Gumline for a Balanced Smile
Excess gum tissue can make teeth look short or uneven. Learn how laser gum contouring works, recovery expectations, and who is a good candidate.
- Cosmetic Dentistry
- Gum Disease
- Smile Makeover
What Is a Gummy Smile?
A “gummy smile” is one where a significant amount of gum tissue shows when you smile. When you smile, some gum tissue always shows, and that’s completely normal. However, if more than 3 or 4 millimeters of gum tissue is visible, or if the gum contour is uneven, it can make your teeth look shorter than they actually are and affect the overall balance of your smile.
This isn’t a health problem. Your gums are healthy and fine. It’s purely an aesthetic concern. However, if it bothers you, gum contouring can reshape your gumline to show less tissue and create a more balanced appearance.
The good news is that gum contouring is one of the most transformative procedures in cosmetic dentistry. A small change in how much gum is visible can completely change how balanced and attractive your smile appears. Many patients are amazed at the difference a couple millimeters makes.
Why Gum Contouring Works
Your teeth have a specific proportion. Ideally, the visible portion of your tooth from gum to tip is taller than it is wide. If excessive gum tissue covers the top portion of your tooth, it makes the tooth appear shorter and wider, which changes these proportions and affects the overall appearance.
By removing a small amount of gum tissue, your dentist exposes more of the crown of the tooth. This lengthens the visible tooth surface, improving the proportions and creating a more balanced smile. Plus, if your gumline is uneven, contouring can create a more symmetrical contour that frames your teeth evenly.
The laser used for gum contouring vaporizes excess gum tissue with precision. It seals blood vessels as it cuts, which minimizes bleeding and allows for very controlled results. The laser also cauterizes the tissue, which promotes faster healing.
The Procedure
Gum contouring is typically done using a soft tissue laser. Your dentist numbs the area with local anesthetic to ensure comfort. The anesthetic allows the dentist to work without causing pain, though you might feel vibration or pressure.
Using the laser, your dentist carefully removes excess gum tissue to expose more of your tooth crown. The dentist works on each tooth that needs contouring, creating an even, symmetrical gumline. The procedure typically takes 30 to 60 minutes depending on how many teeth need to be treated.
You’ll see immediate results. As soon as more tooth surface is exposed, your smile looks more balanced. However, some swelling is expected immediately after the procedure, so the final results become fully apparent after healing is complete.
Recovery and Healing
Healing from gum contouring is relatively quick. Most people experience minimal discomfort after the procedure. There might be some soreness or tenderness for a few days, but nothing severe. Over-the-counter pain relievers manage any discomfort.
You should expect some swelling in the gum tissue for a few days. This swelling will gradually reduce as the gums heal. After about a week, most swelling has resolved and you can see closer to the final results. Complete healing of the gum tissue takes about three weeks, though you can return to normal activities much sooner.
For the first week or so, eat soft foods and be gentle when brushing near the treated area. Your dentist will give you specific post-care instructions. Most people are told to use a gentle toothbrush, to avoid flossing in the treated area until it’s completely healed, and possibly to use a special antimicrobial rinse to prevent infection.
Who Is a Good Candidate
Anyone bothered by excess gum tissue showing in their smile is a candidate for gum contouring. You should have healthy gums and no active gum disease. If you have periodontitis or gingivitis, those need treatment first.
You should also have realistic expectations. Gum contouring can’t make your teeth longer; it just exposes more of the tooth that’s already there. If your teeth are naturally short, contouring can only help so much.
Good candidates are also committed to maintaining good oral hygiene. Gum contouring works best when you brush and floss regularly to keep your newly exposed gumline healthy. If you have a history of poor oral hygiene, your dentist will discuss what you can expect.
Gum Contouring as Part of a Smile Makeover
Many patients combine gum contouring with other cosmetic procedures. Whitening and gum contouring work beautifully together. Once your gumline is shaped and healed, whitening creates a bright smile with a beautiful frame.
Veneers or bonding are often done after gum contouring. If your teeth are going to be reshaped or resized with veneers, the gumline has already been established and the dentist can work with that contour to create harmonious results.
Some patients do gum contouring before orthodontia to achieve optimal aesthetics. Others do it as the final touch on a complete smile makeover.
Long-Term Results
Gum contouring results are permanent. Your dentist removes gum tissue, and that tissue doesn’t grow back. Your gumline remains reshaped indefinitely.
However, like all dental work, your results depend on how you care for your teeth and gums. Excellent oral hygiene keeps your gums healthy. Poor oral hygiene can lead to gum disease that changes your gumline even after contouring.
If you develop gum recession from aggressive brushing or from gum disease, your gumline can change. This wouldn’t undo your contouring, but it would alter your results. This is why maintaining excellent gum health is important.
Considering Gum Contouring
If you’ve felt self-conscious about showing too much gum when you smile, gum contouring could be transformative. It’s a relatively simple procedure with minimal recovery time and dramatic aesthetic results.
At Bonin Dental Care, Dr. Bonin uses soft tissue laser technology to create beautiful, natural-looking gumlines. If you’re interested in exploring whether gum contouring is right for you, schedule a consultation. We can evaluate your gumline, discuss your goals, and show you what gum contouring could accomplish for your smile. Contact us today to take the first step toward a smile you love.
Written by
Dr. Scott Bonin, DDSGeneral and cosmetic dentist at Bonin Dental Care in Windsor, California. USC School of Dentistry graduate, Navy veteran, and member of the American Dental Association, California Dental Association, and American Academy of Cosmetic Dentistry. Over 24 years of clinical experience serving Sonoma County families.
View full credentialsClinical note: This article is for educational purposes and does not replace a professional examination. Every patient's situation is unique. If you have questions about your specific dental health, please schedule an appointment or call (707) 838-1400.
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