The choice of treatment depends on cause of gummy smile. So a thorough evaluation of
gums, teeth, bone with imaging scans and assessment of family history should be done to
determine the cause and the suitable treatment.
If gummy smile is due to overgrown gums, contouring or reduction of gum line
(gingivectomy) can be done to lengthen the teeth visible in mouth. It can be done with
laser or surgical means, is done under anaesthesia and will reshape the gum line
keeping in mind, the ideal anatomy of an aesthetic smile.
This would be the preferred choice, in cases of abnormal jaw development being the
reason for gummy smile. In that way, problems related to bite are corrected and
appearance of gums is reduced, making smile more attractive.