Fixing a Gummy Smile: The Full Menu of Options
From Botox to surgery, here are all the ways to address a gummy smile — and how to choose.
Dr. Sofia Petrova
Lead Cosmetic Dentist
Diagnose first
A gummy smile has at least 4 possible causes — each with different best treatments.
Option 1: Botox into lip elevators
- 5-minute injection
- 3–4 months duration
- AED 800–1,500
- Best for: overactive upper lip
Option 2: Gum contouring (laser)
- Soft tissue reshaping
- Permanent (or long-lasting)
- AED 2,500–4,500
- Best for: short clinical crowns
Option 3: Crown lengthening with bone work
- Surgical repositioning of gum and bone
- 6–8 weeks healing
- AED 1,200–2,000 per tooth
- Best for: altered passive eruption
Option 4: Orthognathic surgery
- Jaw repositioning
- AED 60,000–120,000
- Best for: vertical maxillary excess
- Usually only when other facial features also warrant it
The combination approach
Most gummy smile treatments work best combined. A common plan: crown lengthening + veneers + annual Botox top-up.
References
- Journal of Periodontology
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Referenced sources
- Journal of Periodontology
Medical disclaimer. This article is informational and does not replace professional clinical advice. For a plan specific to your situation, book a consultation with a Paradise Dental specialist.
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