Case 2: After Orthodontic Treatment

Some patients have gum irritation and overgrowth from braces that are perfectly placed on the teeth. This is more likely to happen if the teeth appear short before the braces are placed on the teeth. This problem results not from the quality of the orthodontic care, but is a result of the pre-treatment gum thickness and contours that the patient had.

Case 2a
This 15 year old patient is ready to have her braces removed. However, her orthodontist is requesting that the overgrown gum tissue be removed in order that the new smile from the tooth movement can be fully appreciated. She also has a high lip line which makes her smile appear as more "gummy".
Pre-Treatment

The combination of the overgrown gum tissue and the high lip line are working together to reduce the beauty of this smile.

Post-Surgical

Following minimally-invasive surgery, where the patient had no post-surgical pain, we can now see the fullness of her smile. Her high lip line is not a severe problem and is less of a concern.



Case 2b
This 14 year old woman has extensive overgrowth of the gum tissues. She has a high lip line and is also a mouthbreather. (see the Case Type section on Mouthbreathing). Surgical removal of the overgrown gum tissue will enhance the appearance and allow her to clean her teeth more efficiently.
Pre-Treatment

The overgrown gums create the appearance that she is not able to close her mouth. This is a very difficult type of case for the orthodontist to treat.

Post-Surgical

The surgical removal of the excess gum tissue has exposed an attractive smile. Even though she still has a high lip line, she can clean her teeth properly and flash a beautiful smile.



Case 2c
This 14 year old woman has extensive overgrowth of the gum tissues. She has a high lip line and is also a mouthbreather. (see the Case Type section on Mouthbreathing). Surgical removal of the overgrown gum tissue will enhance the appearance and allow her to clean her teeth more efficiently.
Pre-Treatment

The overgrown gums intrefere with his smile and his lip closure.

Lips Retracted View

This allows for a better view of the extent of the overgrowth.

Post-Surgical (After recontouring)

Following the minimally-invasive surgery, the gums not only look better, but he now is having a fuller smile.



Case 2d
A 14 year old boy has been referred for surgical correction by his orthodontist since the orthodontist thought that the overgrown gums interferred with the orthodontic therapy. The patient and his parent were also very unhappy with his appearance. The patient said, "I hate the way my teeth look".
Pre-Treatment

The gingival tissues have overgrown during the course of orthodontic therapy despite his good oral hygiene.

Lips Retracted View

Normal tooth lengths, which had been covered with too much gum tissue, have been surgically exposed.

 

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