A "gummy smile," or excess gingival display, is a condition where too much pink tissue can be seen when a person speaks or smiles.
Approximately 7% of men and 14% of women have excess gingival display in full smile. A gummy smile is usually associated with an enlarged upper jaw, a short upper lip, short upper front teeth, or a forward position of the front teeth. This condition may also result from disproportionate lip length or tooth height.
A gummy smile can be corrected by orthodontic treatment, periodontal surgery, jaw surgery, or a combination of these procedures. In general, active treatment time with orthodontic appliances ranges from 1 to 3 years. The actual time depends on the growth of the patient's mouth and face, the cooperation of the patient, and the severity of the problem.
Custom-made appliances are designed by the orthodontist according to the problem being treated. They may be removable or fixed (cemented and/or bonded to the teeth), and made of metal, ceramic or plastic. By placing a constant, gentle force in a carefully controlled direction, braces can slowly move teeth through their supporting bone to a new desirable position.
The actual cost of treatment depends on several factors, including the severity of the patient's problem and the treatment approach selected.
You will be able to thoroughly discuss fees and payment options prior to beginning treatment. Most orthodontists offer convenient payment plans to patients. Generally, treatment fees may be paid over the course of active treatment. Arrangements commonly offered in orthodontic offices may include an initial down payment with monthly installments, credit card payment, finance company agreements, and other innovative ways to make treatment affordable.