Gum appearance is assessed alongside teeth and lip anatomy. An aesthetic concern alone does not require treatment; gum health is assessed first.
What Is a Gummy Smile, and What Causes It?
The amount of gum visible when smiling varies. Lip movement, tooth eruption, gum enlargement and jaw anatomy are assessed together.
- Hypermobile Upper Lip: The muscles that lift the upper lip become excessively active while smiling.
- Gingival Overgrowth: The gums extend farther over the teeth because of medication use, inflammation, or genetic factors.
- A Short Upper Lip: The upper lip is anatomically shorter than average.
- Skeletal Factors: Excessive vertical development of the upper jaw.
At Mustafa Saatçi Oral and Dental Health Polyclinic, we first identify the underlying cause and then recommend an appropriate surgical or non-surgical treatment protocol.
Treatment Options for Assessment
Method selection depends on findings. Not every option suits every patient.
1. Laser Gum Contouring (Gingivectomy)
In suitable cases, excess gum tissue may be reshaped with surgical instruments or a laser. Bone relationships and available tissue require prior assessment.
- Bleeding, pain, sensitivity and healing vary by method and person. Laser use does not mean a risk-free procedure or that sutures will never be needed.
2. Lip Repositioning
Surgical options limiting lip movement may be assessed in selected cases. Discuss suitability, possible recurrence and complications.
3. Crown Lengthening
When the visible portions of the teeth are anatomically short, the gum level is adjusted and, when necessary, minor changes are made to the supporting bone to expose more of the tooth. This procedure is often performed before laminate veneers or zirconia restorations.
Pink Aesthetics and Dental Restorations: Combined Treatment
In some cases, reshaping the gum tissue alone is not sufficient. If the teeth also have discoloration, shape irregularities, or crowding, gum contouring can be combined with porcelain laminate veneers or zirconia restorations.
Gum procedures and restorations are sequenced according to healing and tissue condition. Not every patient needs both.
Recovery and Aftercare
Care and recovery depend on the extent of the procedure. Follow your clinician’s individual instructions.
- Pain or sensitivity may occur. Discuss medicines and unexpected symptoms with your clinician.
- Nutrition: Avoiding spicy, acidic, and very hard foods is recommended during the first few days.
- Return to daily activities and reviews depend on the procedure and healing.

