Teeth lengthening is an aesthetic-periodontal procedure that makes teeth appear longer and more balanced by adjusting the level of the gums in a planned manner. This aligns the smile line. The “gummy smile” appearance softens. Symmetry is enhanced. The procedure is often completed in a single session. A laser or scalpel is used. Bone intervention is added when necessary. It begins with an examination. Photographs, measurements, and radiographs are evaluated.
Digital smile design can be helpful. The healing process is manageable and short. Care instructions are clearly provided. If compliance is high, the results are permanent. In this content, I have explained the methods, suitable candidates, process, risks, and alternatives in simple language. You will find everything you need to know to make a decision, step by step. The goal is clear: a natural, balanced smile that complements the face.
What is gum contouring?
Gum contouring is the reshaping of excess gum tissue and increasing the visible part of the tooth crown. The goal is natural. The gum line is harmonized with lip movement and the smile line. Planning is personalized. Periodontal health is a prerequisite. Chewing pattern, tooth alignment, and gum thickness are examined. If necessary, the bone contour is also adjusted. Laser reduces bleeding. It increases comfort. Scalpels and drills provide control. Correct patient selection determines success. The result corrects the short appearance of the teeth. It adds rhythm to the smile. The treatment can be combined with procedures such as laminates or whitening. This completes the aesthetic line.
Key benefits:
- Alignment of the smile line
- Teeth appear longer
- Balance in pink-white aesthetics
Suitable candidates and preliminary evaluation
Tooth lengthening is suitable for people whose teeth appear short and who have a noticeable gummy smile. Expectations are discussed during the initial consultation. Lip dynamics are observed using photographs and videos. Oral hygiene is evaluated. Periodontal pocket depth is measured. The bone level is checked with an X-ray. A history of teeth grinding is inquired about. Smoking can affect healing. Systemic diseases and medications are recorded. The plan is drawn according to the prosthetic goal. If laminates, veneers, or bonding are considered, the timing is adjusted. Realistic goals are clarified. The goal is not just to lengthen the teeth. It is to achieve harmony with the entire face.
Suitability check:
- Stable gums and bone
- Good hygiene and regular care
- Balanced occlusion and function
- Realistic aesthetic expectations
Application methods: gingivectomy, gingivoplasty, crown lengthening
Tooth lengthening is performed using three basic approaches. Gingivectomy involves removing excess gum tissue. Gingivoplasty involves softening the contour and aesthetically shaping the edges. In cases where the bone is high, “crown lengthening” is necessary. This safely exposes the tooth crown. Lasers can reduce bleeding and procedure time. Scalpels allow for precise tissue control. The choice is made based on tissue thickness, tooth position, and smile line. A symmetry guide is determined for each tooth. The goal is a natural papilla form. The result is a contour that is compatible with lip movement. If revision is necessary, it is completed with minor adjustments.
Method summary:
- Gingivectomy: Removal of excess tissue
- Gingivoplasty: Aesthetic shaping
- Crown lengthening: Bone-contour arrangement
- Laser-assisted application: Comfort and speed
Treatment process and recovery
The process begins with an examination and digital plan. Local anesthesia is administered on the day of the procedure. The session is short. It is possible to return to social life on the same day. Gentle care is required for the first 24 hours. Soft foods are recommended. Very hot and spicy foods should be avoided. Medications prescribed by the doctor should be taken regularly. Brushing should be done with a soft-bristled toothbrush. Mouthwash is helpful. Swelling is mild and temporary. A follow-up appointment is scheduled. The contour settles within a few weeks. If laminates or whitening are considered, they are started at the appropriate stage. After tooth lengthening, the smile line becomes more pronounced. Photographic follow-up is beneficial.
Tips to speed up healing:
- Gently rinse with warm salt water
- Use a soft brush and light pressure
- Avoid smoking and alcohol
- Attend follow-up appointments
Risks, care, and permanence
As with any surgical procedure, there are risks. Temporary sensitivity may occur. Bleeding is minimal and short-lived. Although the risk of infection is low, hygiene is important. Excessive tissue removal is undesirable. Therefore, a measured plan is essential. If nighttime teeth grinding is present, a mouthguard is recommended. Regular dental scaling is planned. Instruction on flossing and interdental brushes is provided. When done correctly, tooth lengthening provides a permanent effect. The contour is preserved for years. Lifestyle habits affect the results. Regular check-ups catch minor deviations early. This keeps the aesthetic line stable.
Points to note:
- Adherence to hygiene protocol
- Use of night guard
- Professional cleaning intervals
- Avoidance of traumatic brushing
Alternatives to complete the smile line
Tooth lengthening is the main step in most cases. However, it may not meet every goal on its own. Composite bonding can be added for minor imperfections. Whitening is performed for color matching. Porcelain laminates are considered for shape and light play. Short orthodontic solutions are planned for mild crowding.
Botulinum toxin applications can help if the lip-tooth ratio is problematic. Each combination is personalized. Timing is important. First, the tissue heals. Then, aesthetic restoration is performed. The ultimate goal is simple: to produce a smile that is harmonious with the facial features, natural, and balanced. Longevity is achieved with proper care and regular check-ups.
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