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Gummy smile is a smile that shows an excessive amount of gum tissues under the upper lip. The goal is to create a more toothy smile. There several treatment options for those with a gummy smile. Some surgical and some non surgical. The presence of a gummy smile should not be considered an abnormal condition or even unhealthy. It is just a normal variation of our anatomy. This does not stop those with a gummy smile from feeling self conscious in the way they smile. This may cause them to refrain from wide smiles.

What Is A Gummy Smile?

A gummy smile will make our teeth look short and stumpy. In reality, the gum tissue is just showing in proportion to your teeth than the rest of us. There are a variety of reasons for this. These can include:

Gummy Smile Las Vegas Marielaina Perrone DDS-Higher than normal bone levels.

-Possibility of Incomplete Eruption Of Teeth.

-Excess Gingival Tissues.

-Abnormally Thick Gingival Fibers.

-Thin lips.

-Upper Lip pulls up too high while smiling.

The gummy smile may present challenges beyond esthetics. Dental hygiene can be a real issues for the patients with excess tissue. This can lead to increased incidence of tooth decay as well periodontal disease development. The excessive gingival tissues will hinder attempts to keep areas clean and free of plaque and tartar. People with a gummy smile tend to present with puffy, red gum tissues. This is called gingivitis and is the earliest form of periodontal disease. It is reversible. Another note, is that most people notice a gummy smile only on front teeth but it can be present on back teeth as well.

Treatment For A Gummy Smile

An experienced, well trained cosmetic dentist will be well versed in treatment for a gummy smile. In fact, the gummy smile procedure can be one of the most rewarding for both dentist and patient alike. The change is immediate and patients report increased self confidence and ability to interact socially better than before.

Below you will find detailed list of gummy smile treatment options. The procedure used will depend on why the gummy smile exists.

Surgical Treatment Of Gummy Smile

Gingivectomy (another term is gingivoplasty which includes gum contouring). This dental procedure is simply removal of excess gingival tissue from around the teeth. Removing excess gingival tissue is just the first step. Your cosmetic dentist will remove and reshape the tissues for an esthetic result. You would be surprised how little gingival tissue is actually removed in most cases. Your dentist a laser, an electrical cautery unit, or make periodontal incisions to remove and reshape the gum tissues. Local anesthetic is necessary during gummy smile procedure for comfort. This gummy smile treatment will not require any sutures and generally the gum tissues heal within 1-2 weeks following the procedure. A gingivectomy is usually the recommended gummy smile procedure when only a few teeth are affected by the gummy smile issue. In other cases, bone tissues may need to be remodeled as well.

-Crown Lengthening. This gummy smile procedure allows for your dentist to remove bone tissues as well as gum tissues. This procedure can be a bit more advanced in technique but still fairly easy for most periodontists.

Non-Surgical Treatment Of Gummy Smile

Botox For Gummy Smile. The use of Botox is fairly new for treatment of gummy smile. The botox application relaxes the muscles (levator) in the upper lip causing the lip to not curl under or lift as high upon smiling. The botox relaxes the lip for a more balanced smile. This still allows you to smile, it just limits the height of the upper lip movement. The treatment lasts about 3 months so no worries about permanent changes.

Both surgical and non surgical procedures have very low risks and are easily completed. Obviously, the botox injections will be the least invasive but in some cases botox alone will not give the desired results. Using dermal fillers along with Botox may also help those with thinner lips.

Can A Gummy Smile Be Fixed? Conclusion

Upon healing, the results of a gummy smile treatment can be quite dramatic and striking. Both patient and Doctor alike will be in awe of the change. It is that dramatic generally. This treatment can be a real change for some in their outlook on life. Study after study has shown when we feel good about ourselves it changes how others perceive us opening doors socially and in business. Most patients return and have one complaint. Why didn’t we do this sooner? Don’t wait if this is an issue for you. See your dentist and talk over the best options for your smile.




The field of cosmetic surgery has exploded in popularity particularly due to instagram and other social media outlets. Wrinkles and fine lines are an inevitable part of the process of aging. This can potentially ruin our self image and esteem. This is especially true when the signs of aging occur prematurely. For fast results, botox vs juvederm treatments can be used quickly and easily to make you look and feel younger. They can reverse facial aging signs leaving you looking naturally younger and attractive. More and more people are undertaking steps to make themselves look and feel younger. What if there was a treatment to do that in a non permanent way? Well there is with Botox Cosmetic and Juvederm. Below we will explain the differences of Botox Vs Juvederm.

“TAKE BACK YOUR YOUTH WITH THE COSMETIC BENEFITS OF BOTOX AND JUVEDERM” – Marielaina Perrone DDS

Botox Vs Juvederm Differences

Botox Cosmetic

Botox (or botox cosmetic) is a safe form of botulinum toxin A. This neurotoxin causes botulism. Once injected, botox cosmetic will paralyze the facial muscles in that area temporarily. This will prevent the muscles from creating deep wrinkles, crow’s feet around the eyes, or frown lines. Wrinkles occur in 3 different ways:

-lack of collagen in skin.

-changes at cellular level as we age.

-environmental changes like exposure to the sun.

Botox actually has many uses beyond a cosmetic one. These can include:

-treatment for excessive sweating.

-treatment of teeth clenching.

-treatment for overactive bladder.

treatment for chronic migraine pain.

-Temperomandibular Joint (TMJ) Disorder.

Botox Vs Juvederm Las vegas Marielaina Perrone DDS

Botox Juvederm Marielaina Perrone DDS

How Is A Botox Procedure Completed?

The botox cosmetic treatment is very quick and easy. It can be completed in as little as a few minutes and does not require anesthesia (but can use numbing cream or ice packs to lessen discomfort). An extremely fine needle is used to inject the botox cosmetic into the specific muscles. There will be slight discomfort from the botox injection. Most patients report it takes about a week for the full effects of the Botox cosmetic to take hold. The effects will last about 3-4 months. The lines will gradually return but with repeated treatments the muscles will start to train and wrinkles will be lessened. Temporary bruising in the area of injection is the most common side effect of botox cosmetic.

Juvederm

Juvederm is an FDA approved non surgical, minimally invasive dermal filler that is created with a synthetic hyaluronic acid (also called HA). Hyaluronic acid is a substance that is natural to our bodies, and it helps keep your skin healthy in a few ways:

-Essential nutrients

-Maintaining moisture by hydrating our skin

-Softening our skin

-Volumizing our skin

How Is A Juvederm Procedure Completed?

What Could I Expect from a Procedure?

Juvederm is a non-surgical, minimally invasive treatment performed right in our office. Juvederm is an injectable treatment that has the ability to reduce the appearance of unwanted lines and wrinkles. It is able to achieve this by restoring lost volume to the skin and lips. Juvederm (also called wrinkle fillers) can also be used as “volumizers,” plumping and lifting cheeks, chins, jawlines, and temples, and filling out thin lips. The injection is similar to Botox cosmetic but Juvederm contains a local anesthetic to reduce pain and discomfort. As a dentist we have the ability to numb your mouth area to reduce pain and discomfort further. Juvederm provides results up to a year. Side effects are rare but can include redness, swelling, and bruising at the injection site. Results from Juvederm can be seen almost immediately.

Botox Vs Juvederm – Which One Is Right For Me?

Botox Vs Juvederm is not the question as both can work side by side. Botox has the ability to make wrinkles disappear around the eyes, forehead, lengthening upper lip to remove gummy smile, and vertical lines around lips. Juvederm removes wrinkles in a different way by adding volume (dermal filler) to fill the lines from the nose to the lip, the lower face, outline the lips, and to fill the lips. There is no reason for a choice between botox vs juvederm as they do separate things. Juvederm is perfect for wrinkles that are present when your face is resting, whereas Botox is perfect for wrinkles that appear upon movement. Your dentist will be able to go into greater detail on what would be the right treatment for you based on your cosmetic appearance and your desires for treatment.

Juvederm Las vegas Marielaina Perrone DDS





Smile Design is an individualized treatment plan to improve the overall appearance, feel and most importantly the function of your smile to be one with your unique facial features. Our smiles are unique to each of us. They all have their quirks but for some a change is in order to make us feel more confident about ourselves. An experienced cosmetic dentist can perform what is called a smile design. This will allow your cosmetic dentist to show you what can be done to give you the smile you always dreamed of. Smile design is just planning out the treatment steps necessary to achieve the goal you are looking for.

Treatment For Smile Design

Some of the dental procedures that can help with smile design include:

Porcelain Crowns. This is a type of dental crown that will give the cosmetic appearance most patients are looking for but also give the strength and stability to be functional. Where teeth grinding is a problem your cosmetic dentist will use a specialized dental crown called a Bruxzir crown. When designed properly, a patient will begin to see an immediate improvement in their bite as well in the esthetic appearance in the skin around the face as wrinkles will soften due to a fuller smile.

Marielaina Perrone DDS Cosmetic DentistPorcelain Veneers. Ideal procedure for use in smile design cases. A hallmark treatment of cosmetic dentistry but used in addition to porcelain crowns to lengthen and restore the length of front teeth to their original dimensions. Often called “instant orthodontics” in smile design discussion, porcelain veneers give the dentist the ability to change the alignment of teeth, if the alignment issues are not too extreme.Porcelain veneers are far less invasive and a more conservative treatment than porcelain crowns. For teeth that do not require a full coverage crown, porcelain veneers are an ideal cosmetic dentistry tool to adequately lengthen and reshape, and alter the color of your smile.

Orthodontics. Can be limited or full orthodontics treatment. Comprehensive orthodontic treatment may be necessary to remove any bite issues that can cause added stress or trauma to the teeth before new restorations are placed.

Dental Bonding or Tooth Bonding. May be used to restore any teeth that have been damaged by tooth decay, staining or even wear to the edges. Dental bonding is a cosmetically pleasing option that will look very natural when completed and if designed properly match the rest of your smile.

Facial Asymmetry – In many of us, the muscles of the face may be asymmetrical leading to an imbalanced look to the face which if not properly planned for would give us a deficient smile design. Botox is a new treatment option in smile design for many cosmetic dentists. Botox when used properly in smile design can restore facial symmetry by balancing the facial muscles. Eyebrow lift, or depression of the brow can be enhanced with properly placed botox or dermal fillers (like Juvederm).

Gummy Smile – This is when a person has a smile that shows too much gum tissue. This usually results from the lip rising too high when smiling. Injecting Botox into the upper lip weakens the retractor muscles of the upper lip so that it won’t raise as high and your smile will appear better balanced.

Crown Lengthening. A dental surgical procedure to expose more tooth structure so that there is enough room to properly place a crown. This is often necessary in patients with severe teeth grinding issues. This is an example where a good smile design will foresee these issues in advance.

Gum Tissue and Bone Grafting and Recontouring. Lost bone and gum tissue can often times be grafted to help regrow them. They can also be reshaped surgically to be healthier, easier to keep clean, and more cosmetically appealing.

Teeth Whitening. Many of our worn teeth are also dark and discolored. The color you desire to reach may require a dental whitening process, or simply a whiter color bonding restoration or a whiter colored porcelain restoration.

Smile Design Las Vegas Conclusion

Smile design is just a fancy term for planning out treatment in advance to achieve the goals the patient has in mind. This takes effort and communication of all aspects of your dental team not only the dentist. A poor smile design will leave poor results but a well planned smile design can give you the smile you always dreamed of and more!”,



Cosmetic surgery is a very popular specialty of medicine that has been growing steadily for decades. Youth is associated with vitality and beauty. For many of us, aging is not an easy thing to do and we seek out help to keep us looking and feeling younger and more vibrant. When seeking out cosmetic surgery, many often overlook the role our teeth play in our appearance. As we age, our teeth become darker, get worn down, and may even change alignment. This can create not only cosmetic issues but functional ones as well. These functional issues can lead to Temperomandibular Joint (TMJ) issues, headaches, and muscle pain.

How Can My Dentist Make Me Look Younger?

As our teeth wear down over our lifetimes, it can result in a shorter looking face, longer looking teeth, and stained teeth. The resulting appearance may make some of us look like we are aging prematurely. The breakdown can be caused by tooth erosion (high acid wear), attrition (flattening and fracturing due to grinding, clenching, and other oral habits), and abrasion (overly aggresive brushing), recession (loss of gum tissue making teeth appear longer) . The length and shape of our faces and teeth, as well as the position of the jaw are determined by the teeth, skeletal bones, and a person's bite. So, when a person's teeth wear down it will give the appearance of a shorter face. Discomfort and pain are also often associated with wearing down of teeth and gums, as they become more sensitive, prone to increased fractures, and to development of TMJ and headache pain.

Your dentist can give you the ability to change all of this, allowing the patient to look more youthful while correcting dental issues.  The patients oral hygiene must be good and the mouth should be in a healthy state before any work can be completed.  This should include control of periodontal disease, removal of any loose teeth, addressing gum loss issues, ascertaining desired whiteness, and correcting dangerous oral habits, .  Great care must be taken while returning someone to their proper tooth height (vertical dimension) as it can create even more TMJ and headache issues if not done properly.

Some of the procedures involved in making you look younger include:

-Porcelain Crowns. This type of crown will give the cosmetic appearance most patients are longing for but also give the strength and stability to open one's bite .  One type of strong porcelain which is used where teeth grinding has been a problem is a Bruxzir crown. When utilized properly, a patient will begin to see an immediate improvement in their bite and in the cosmetic appearance in the skin around the face as wrinkles will lessen.

-Porcelain Veneers. A staple of cosmetic dentistry but used in conjunction with porcelain crowns to lengthen and restore the length of front teeth. Porcelain veneers are less invasive and more conservative than porcelain crowns. For teeth that do not require a full coverage crown, porcelain veneers can adequately lengthen and reshape, and change the color of your smile.

-Orthodontics. Limited or full orthodontics may be necessary to remove any bite issues that can cause undue stress or trauma to the teeth before new restorations are placed.

-Dental Bonding. Used to restore any teeth that have been damaged by tooth decay, staining or slight wear. Dental bonding is a cosmetically pleasing option that will look very natural when completed.

-Facial Asymmetry – In many of us, the muscles of the face may be asymmetrical leading to an imbalanced look to the face. Botox can restore that symmetry by balancing the facial muscles. Eyebrow lift, or depression of the brow can be enhanced with properly placed botox.

-Gummy Smile – This is shown as a smile that shows too much gum tissue. This usually is the result of the lip rising too high when smiling. Injecting Botox into the upper lip weakens the retractor muscles of the upper lip so that it won’t raise as high and your smile will seem better-balanced.

-Crown Lengthening. A surgical process to expose more tooth structure so that there is enough room to properly place a crown. This is often necessary in severe grinding cases.

-Gum and Bone Grafting and Recontouring. Lost bone and gum tissue can often times be grafted to help regrow them. They can also be reshaped surgically to be healthier, easier to work with, and more cosmetically appealing.

-Teeth Whitening. Many of our worn teeth are also dark and discolored. The color you desire to reach may require a dental whitening process, or simply a whiter color bonding restoration or a whiter colored porcelain restoration.

Conclusion

Cosmetic dentistry will change not only how your teeth function but how you feel about yourself. Many dentists often overlook the relationship between our teeth and our bite. If the bite is not in alignment, your teeth and face will never look and feel their best.