Treatment of gummy smiles depends on the severity and cause of the problem:
- Braces: orthodontic treatment especially in growing patients can result in a significant improvement of gummy smiles especially if orthopedics are also used (e.g. headgear treatment). Orthodontic treatment in older adolescents or adults to correct gummy smiles is usually more complicated and might not completely resolve the problem.
- Braces followed by jaw surgery: cases of severe cases of gummy smile caused by a skeletal problem can be corrected by a combination of orthodontics and jaw surgery. This treatment results in drastic improvement and elimination of the problem.
- Gum surgery to remove gingival overgrowth: if the gummy smile is caused by gingival overgrowth a surgical procedure to remove the excess gingival tissues can be performed to improve the smile appearance.
- Botox (botulinum toxin) injections: Botox injections cause a temporary paralysis of muscles. A very minor injection in the upper lip reduces the lifting action of lip muscles thus reducing the display of gum tissues. Injections have a temporary effect and should be retaken every few months.