Category: Cosmetic

Gummy Smile Correction: Causes And Treatment

Gummy Smile Correction: Causes And Treatment

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What Is A Gummy Smile

A Gummy smile in terms refers to a condition when there is an excessive display of gums (gingival) while smiling. Normally 2/3rd  to 3/4th of the upper teeth should be visible while smiling and the rest should be covered by the upper lip. In case the gum show is more ( 2 to 3 mm) while speaking or smiling it gives an unaesthetic appearance.

Usually, patients who visit Dantkriti for gummy smile correction are concerned about their smile looking unpleasant or less attractive. Mostly we seek patients after orthodontic treatment to get their perfect smile.

Other Cosmetic Dental Treatment options for a perfect smile include

There is no consensus as to how much gingiva will display at smiling is considered gummy. a distillation of various studies shows that gums display greater than 2 millimeters academically is considered to be gummy.

Mostly the gummy smile is only an aesthetic concern but in some cases, it can affect the teeth and gum health.

Gummy Smile

 

What Causes A Gummy Smile

 

There are many reasons for a gummy smile, and for each one there is a different treatment modality.

The Height, Shape, and Size of theTeeth

The Teeth may appear short because either they have not erupted properly and remain partially covered by gum tissue. The Teeth are small in comparison to the gums due to wear attrition or genetically small teeth

Too Short Upper Lip

The average length of the upper lip and the philtrum is about 20 to 24 millimeters and the average movement between a lip at rest and a lip at a smile is 6 to 8 millimeters

When the upper lip is normal in length at  rest  but lifts too high when smiling displaying a lot of gum tissue is called Hypermobile Lips

Gums Hypertrophy

Gum hypertrophy or enlargement can occur due to several reasons such as hormonal changes in pregnancy or puberty, use of certain medications such as phenytoin or cyclosporins, certain gum tumors, or bony tumors arising from jaw bone which can, in turn, show up excess gum tissue.

Vertical Maxillary Excess

Vertical maxillary excess can be simplified as excessive growth of the upper jaw that makes the gums bulge out. These patients usually exhibit lip incompetence (Inability to join upper and lower lip at rest) and present with a long face.

In over eruption of the maxillary anterior a gummy smile is caused by excessive vertical growth of the maxillary anterior Dental alveolar complex.

 Mouth Breathing

If the person has the habit of breathing from the mouth due to enlarged tonsils, adenoids, or any other breathing issues they usually present with an open mouth and inflamed gums and cause gums to show up and lead to a gummy smile

Medications

The use of certain medicines such as Phenytoin to treat epilepsy, Cyclosporins for immunosuppressants, or some anti-hypertensive drugs can lead to gum enlargement and excessive display of gums

 

How Do You Fix A Gummy Smile

Gummy Smile correction in Gurgaon India

Treatment of Gummy Smile is based on its cause.

Gummy smile correction can be done by

 

  1. Gum Surgery ( Crown Lengthening )
  2. Lip Lengthening
  3. Orthodontic Treatment
  4. Orthognathic Surgery
  5. Botox injections for upper lip
  6. Lip Fillers
  7. Treatment of Systemic Causes

 

Gum Surgery / Crown lengthening

Typically the procedure that we do most of the time is what’s called crown Lengthening where we actually sculpt or reshape the gum tissue to make those teeth a little bit longer and more attractive.

At Dantkriti Gurgaon we use Dental Laser for Gum Contouring as it gives bloodless and precise and painless results

Sometimes the bone around the teeth needs to be reshaped as well.

So we reshape the gum sometimes we reshape the bone to give the patient the look that they want and have a normal-looking smile with teeth and proportion to their face.

Another advantage of gum contouring is that it eliminates the deep gum pockets and prevents recurrent gum infections.

The results of gum contouring are permanent and long-lasting and the procedure is very safe.

The cost for gum contouring for gummy smile correction may range from 1500 INR to 4500 INR.

Lip Lowering/ Lip Lengthening

Another procedure that we do is called lip lowering and we actually change the position of lips with teeth.

The procedure is actually done where the teeth are normal length so we really don’t have to do anything to the teeth

So we perform a lip repositioning where we lower the lip by removing a part of connective tissue from inside of the lip, so when the patient smile the lip doesn’t pull up as much.

Another benefit to that is that the lip becomes is fuller and kind of richer looking.

The procedure is safe and usually done under Local Anesthesia. The results are usually long-lasting but some relapse may occur after few years

 

Botox Injections on upper lip muscles

There is a third option: Botox ( botulinum toxin ) to numb the muscles that retract the upper lip.

The advantage of this procedure is that no surgery is involved.

The disadvantage is that the results are not permanent and have to be done very frequently (4 to 6 months) to keep that effect. Also, your smile may change in case it is overused.

 

Gummy Smile Braces / Orthodontic Treatment

If upper front teeth have erupted more or forward, we have several options to correct them either by braces or Invisalign treatment.

Orthodontic treatment pulls the teeth behind and repositions the lip in its proper position which drapes the gum tissue and corrects your smile.

Orthognathic Surgery (Jaw Surgery)

If the skeletal deformity is beyond the limit of the above-mentioned treatment as in cases of vertical maxillary excess then we have to go for orthognathic surgery (jaw surgery) where the upper jaw is repositioned surgically to restore the correct facial profile.

Treatment of Systemic Causes

If the reason for excessive gum enlargement is hormonal or is due to medications or tumors, elimination of the causative factor is the cure for the gum enlargement.

 

To know more about Gummy Smile Treatment  contact us on +91-9773505706 or Schedule an appointment

Sources:

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4239760/
  2. https://www.jdao-journal.org/articles/odfen/pdf/2015/01/odfen2015181p102.pdf
Dental Veneers for Smile Makeovers
Instant Dazzling Smile Makeover With Porcelain Dental Veneers In Gurgaon

Instant Dazzling Smile Makeover With Porcelain Dental Veneers In Gurgaon

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Dental Veneers for Smile Makeovers

What are Dental Veneers  & How They Are Used For Smile Makeover

 

 

Dental veneers are basically like false fingernails that fit over the front and the edge of the teeth. They are designed basically to enhance and improve the color of the teeth, the size of the teeth, and the shape of the teeth.

Teeth veneering is one of the most commonly used Cosmetic Dental procedures. They are used to give your teeth a perfect makeover and provide a dazzling smile.

This particular dental cosmetic treatment is also sometimes called ‘Smile Makeover’ or ‘Hollywood Smile’

 

 

What Dental Veneers Are Made Of

Dental Veneers

The Dental veneer is basically designed to fit over the front of the teeth and just slightly over the edge.

Teeth Veneers are basically made of two materials.

  • Porcelain Veneer:

  • Porcelain Veneers are made up of a glass-like substance also called ceramic.
  • Porcelain veneers are the most lifelike, durable, and prettiest form of veneer.
  •  Porcelain Veneers generally have to be made in the dental laboratory by one of our expert ceramic veneer technicians.

 

  • Composite resin:

  • Composite resin can be used as a second method. And they can also be made in the dental lab, but usually, they’re done by the cosmetic dentist chairside.
  • The dentist uses his/her artistry, skill & knowledge to build the veneer up directly onto the patient’s tooth.

 

 

How Will Dental Veneer Look Natural

  • Dental veneers are made with a very skilled pair of hands either the expert cosmetic dentist’s hands, for example, making composite veneers also called cosmetic bonding or the expert ceramic technicians that make porcelain veneers.
  • The skill of the craftsman & knowledge of making those two things is the most important factor in having them look natural.
  • The second most important factor is the patient’s desire. Some patients want very natural, very aesthetic results. So, enhancement of their teeth, but not necessarily to make them look artificial and that aesthetic choice is personal & varies person to person.
  • Some patients come and they want the most perfect set of white teeth or The Hollywood Smile. And they can look more cosmetic.
  • But again, that’s the choice of the patient and their desire, for what they want to look like.
  • A lot of it comes down to the skill of the Dentist and technicians that make the veneers. And they look as natural as the patient desires them to look.

Are Dental Veneers And Dental Caps The Same Thing

 

Dental Veneer vs Dental Cap

 

  • The Teeth veneers and caps are completely different and do not refer to the same thing.
  • The traditional term cap is usually referring to a dental crown. which is something that completely envelops the whole tooth. It’s a 360-degree tooth wrap, a complete enclosure of the tooth.
  • A Dental Cap or Teeth Crown is very often done when the tooth needs a major reconstruction or it’s completely broken down.
  • Whereas a veneer a term suggests is a very thin layer that just fits over the front of the tooth, almost like a false fingernail and it overlaps the edge of the tooth. So, the bulk of the tooth structure still remains intact.
  • Teeth veneers sometimes require very minimal or and in some cases no tooth reduction or tooth preparation at all, whereas a tooth cap very often requires a lot of tooth structure to be removed.

 

 

What Is The Difference Between Dental Veneer And Cosmetic Bonding

  • Dental bonding consists of teeth color dental filling material, which is added to the tooth to restore missing tooth structure, bulk out a tooth, or lengthen it.
  • Dental veneers are thin ceramic facings that are made out of the mouth in the dental laboratory and they can create shape, color, size, changes in the tooth, missing tooth structure, and give you a  perfect Hollywood smile.
  • Dental veneers are better in terms of aesthetics than dental bonding. Dental bonding is a fine resin that we can polish up, but can sometimes look a little bit-mapped. Dental veneers are designed to have the same fractional light bounce off the surface of it, compared to the tooth, so it looks very, very natural.
  • A lot of the artistry & skill comes from the ability of the dentist to provide the bonding of the veneers. And if it’s veneers, the dental technician has crafted these tailor-made veneers for you.

 

How Much Do Composite Bonding Or Dental Veneers  Cost

The cost of dental veneers depends on a lot of factors.

  •  Type Of Veneer.

Whether they are made by porcelain in a dental lab by a trained dental technician or they are veneers that are made chairside using composite resin often done purely by the dentist directly on the tooth.

Because of the added laboratory costs and expensive bonding materials, Dental veneers will carry an extra cost, whereas composite resin veneers often don’t carry that fee and are usually about half the price of the porcelain veneers or even less.

  •  Quality Of Material

The cost of dental cosmetic veneers will also depend very much on quality. That might be the quality of the craftsmanship & material. So that could be the dentist, their experience and skill in doing that particular treatment, or the craftsmanship and quality of the dental technician or the ceramist who makes the porcelain veneers.

  •  Complexity of Procedure

The desire of the patient to look as perfect as possible, the complexity or the difficulty of the case for that particular patient any additional dental procedure required to get the optimal results such as Gum therapy, Gummy Smile Correction, or Tooth Fillings will also have a bearing on the cost.

  • Number of Veneers

And often the number of veneers done per procedure will also determine the cost.  For example, if you’re having multiple teeth veneers, the individual cost of the veneer comes down. So, it really varies and it will vary from person to person.

 

Usually, in Gurgaon, the composite veneer will cost anywhere from Rs 2500 to 8000 INR currently and you may pay anywhere from Rs 12500 to 15000 INR per tooth for a porcelain veneer.

 

Veneers are designed to enhance the shape, dimension, and color of your teeth and are a popular and routine cosmetic dental procedure. Dr. Shefali Gupta, a Top Dentist in Gurgaon, answers all your queries on veneers & other cosmetic dental treatments such as Teeth Whitening.

 

If you are interested in Dental Veneers in Gurgaon, or other Cosmetic Dental Treatments In Gurgaon make an appointment now.

 

Sources:

https://en.wikipedia.org/wiki/Veneer_(dentistry)

 
Teeth Whitening – How Important Is It?

Teeth Whitening – How Important Is It?

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There are a lot of factors like your diet (coffee, tea, soda) and lifestyle( smoking) that trigger the yellowing of teeth.  The tooth could also be darkened by a buildup of surface stains that hides the natural tooth color or the tooth itself might discolor. Tooth whitening lightens teeth and helps to get rid of stains and discoloration. Teeth whitening is among the foremost widespread cosmetic dental procedures as it will greatly improve how your teeth look. Teeth whitening is a  non-invasive dental treatment that is helpful in changing the color of natural tooth enamel and is a perfect way to enhance the brightness of your smile.

As having whiter teeth has currently become the major concern of most of the patients, there are a couple of ways that help in the whitening of teeth. In-Office Teeth Whitening,  At home Teeth whitening system, and Teeth Whitening Toothpaste.

 It should be known too, that the whitening of teeth only works on natural tooth enamel, so it is advised to evaluate the replacement of any old flings or crown. Also, it is advised to get your teeth cleaned ( Scaling & Polishing ) to get rid of plaque and tartar. So that teeth whitening agents can act effectively over the surface. Replacement of any restorations is going to be done when bleaching is complete so that they can match the newly bleached teeth. For your information, Teeth whitening isn’t permanent, a visit to the doctor  could also be required in a couple of years, and more often if you smoke, drink tea, coffee or wine

 

Reasons for Teeth Whitening

1) Fluorosis (excessive fluoridation during tooth development)

2) Normal wear of outer tooth layer

3) Stained teeth due to medications

4) Yellow, brown stained teeth

Is Teeth Whitening With A Dentist The Safest Option? Why?

To get a dazzling smile is easy nowadays. Thanks to various Teeth whitening options which include home-based teeth whitening gels, toothpaste and strips, and in office-based teeth whitening system where more concentrated bleaching agents are applied by the trained professional.  It is a safe procedure when proper guidelines are followed.

The safety of teeth whitening product depends upon factors such as

  1. Condition Of Existing Teeth And Surrounding Structure:

Teeth and Gums health should be checked before teeth whitening procedure

  • Look for any cavity, cracks, or attrition of teeth.
  • Look for position, the health of the gums
  • Ask the patient for teeth sensitivity

 

 

  1. Systemic Condition Of The Patient

  • Teeth whitening is not indicated in Pregnant & Lactating women
  • The patient should be asked for any chemical allergies and if yes should undergo allergy test with whitening agents

 

 

  1. Quality And Concentration Of The Teeth Whitening Product

  • It is advised to use approved and tested teeth whitening agents which have proven track records

 

  1. Frequency Of The Teeth Whitening.

  • Overuse of teeth whitening products may lead to softening or demineralization of teeth, degradation, or change of color of Dental restorations.

 

  1. Experience Of The Professional Doing The Procedure:

  • Dentist with the training and expertise can easily determine the indication of teeth whitening, post-procedure result, and manage problem if may arise due to the procedure.

Risks associated with Teeth Whitening Procedure:

Teeth Sensitivity

Teeth Sensitivity directly related to the concentration of bleaching agent, duration of the contact, and other composition of product used. Teeth sensitivity usually can last for a few hours up to a few days of the procedure

Gum irritation

Gum irritation can be caused by the contact of bleaching agents to the gums and may last for a day or two.

Other problems which may arise due to excessive or improper use of teeth whitening agents are

  • Demineralization of tooth structure
  • Roughness of teeth
  • Damage to the pulp or Permanent teeth damage
  • Increased staining due to enamel erosion

 

 

As with any procedure, there are definitely few risks involved with teeth whitening which can be avoided by proper examination, diagnosis, and following guidelines.

 

Teeth are not just a stand-alone part of the body. They are comprised of a system of the mouth which involve mineral structure, surrounding gums, and jawbones.

 

A professional doing teeth whitening must have complete knowledge of not only product but should also be well aware of its indications, contraindications, and safety guidelines.

So therefore A Dentist with the training in cosmetic dentistry with the knowledge of teeth whitening agents and compounds should be considered the safest option.

 

How Might A Dentist Try To Whiten Your Teeth, Either By In-Office Treatment Or By Advising You On What To Do At Home?

There are different methods of teeth whitening each with their own mechanism of action.

In-Office Teeth Whitening:

The procedure is also called as chairside teeth whitening. In this procedure doctor first, apply a protective layer on the gums and oral shield to protect surrounding soft tissue and then applies ADA approved teeth whitening gel over the teeth surface, A special light is used to enhance the effect of bleaching agent. Total Duration might take 30mins to an hour depending upon the number of cycles repeated to get the desired shade. 

In-office teeth whitening treatment concentrated bleaching agents such as 35% Hydrogen Peroxide or Carbamide peroxide is applied on the teeth and in turn H2O2 breaks the Chromogens that are accumulated in the teeth ( Stains present Inside teeth) or on the teeth (stains present on the teeth surface).

In-Office treatment is a quick and effective method, also the effect lasts longer. It usually requires less than an hour time.

In-office treatment is recommended when your gums are receded exposing the sensitive root surface

Some dentist uses light activation for bleaching agent although there are several studies proving that Light activation has no additional benefits for the amount of whitening achieved, the persistence of the treatment or avoidance of teeth sensitivity.

At-Home Teeth Whitening:

At-Home Teeth Bleaching usually requires two visits. Initially, impressions(molds) will be made of your teeth to fabricate custom clear plastic trays. At the second appointment, you will try on the trays for proper fit, and adjustments will be made if necessary. 

Bleaching agents usually contain peroxides in different concentrations and to be used according to the prescribed regime.

Tray-based teeth whitening system consists of custom-fitted trays and bleaching agents consist of 6% Hydrogen Peroxide or 10%carbamide peroxide gels. The tray containing gel is advised to wear for 2 to 4 hours a day or maybe overnight. By following proper manufacturer instruction lightening of teeth shade is seen in a few days.

 

What about the teeth whitening products you can buy over the counter?

There are several products which are available OTC for teeth whitening

  1. Whitening Tooth Paste

  • Whitening toothpastes usually contain a higher amount of detergents and abrasive than the regular toothpaste for removing tougher stains. Whitening toothpaste usually do not contain bleach such as sodium hypochlorite but few may contain carbamide peroxide in smaller concentrations to lighten tooth color. 

 

  1. Teeth Whitening Gels

  • Whitening gels usually consist of 6% hydrogen peroxide which is to be applied on outer teeth surface for 30 minutes twice a day. Custom-fit trays are not required as they form a thin film on the teeth surface with minimal drying time. They are good to go as a touch-up procedure for the patients who have undergone teeth whitening procedure before.

 

  1. Teeth Whitening strips:

  • These are plastic strips delivering a thin layer of peroxide and are applied to the front teeth surface. There are a variety of teeth whitening strips are present in the market with manufacturer instructions

 

  1. Teeth whitening rinses:

  • They contain Oxygen releasing hydrogen peroxide to react with chromogens and are recommended rinsing for 60 Seconds twice a day for a few months.

 

Are These Products Generally Considered Safe?

Over The Counter, available teeth whitening systems usually contain peroxides in a minimal quantity and may not give results as effectively or may take a longer time to show some lightening teeth shade.

 

Are teeth whitening strips generally safe?

Is there research on whether certain ingredients can cause damage to teeth?

Whitening Strips should be used with caution as its overuse may lead to damage to teeth protein and mineral structure.

Teeth whitening strips again contain peroxides and studies have shown that treatment with hydrogen peroxide similar concentrations to those found in teeth whitening strips is enough to make the original collagen protein disappear from Dentine the middle layer of teeth probably due to formation of smaller fragments.

What about other natural teeth whitening remedies, like baking soda? Are these safe/effective?

There are several natural teeth whitening compounds have been documented with varying degree of efficacy such as Baking Soda, Apple cider vinegar, Activated charcoal, Fruit Peels.

Baking soda is basically a mild abrasive which does remove teeth stains and is actually constitute a part of a few kinds of toothpaste. Apart from it baking soda is alkaline in nature and helps in killing bacteria.

But using baking soda or activated charcoal scrubs alone as a tooth whitening agent may put your teeth in danger due to there abrasive nature and in fact, may cause more harm than good.

Even products like cider vinegar can cause teeth enamel erosion if used regularly

The efficacy and safety of natural products like baking soda, charcoal, vinegars or peels are yet to be determined clinically by controlled trials and studies

 

 

 

Teeth whitening has proven to be a safe and effective way of achieving a more youthful and healthy-looking smile. The safety and effectiveness of this procedure are directly related to the dosage given, the frequency and duration of treatment, the concentration and the type of material used, and the type of the tray or system utilized.

Whitening is unlikely to cause serious side effects. Although, some people’s teeth might become a little bit sensitive for a short while. One can also feel mild gum irritation. Women are advised not to have their teeth whitened while they are pregnant. Since its a cosmetic procedure it should be postponed until after delivery.

If you are looking for Teeth Whitening In Gurgaon, consult Dantkriti Dental for a sparkling service. You will get care instructions for your teeth, and be encouraged to visit your dentist regularly to help maintain a beautiful, healthy white smile. 

 

Bottom Line

After knowing the importance and duration of teeth whitening, now you can understand how important it is for you. Your treatment totally depends on dosages, if the dosages are correct, then whitening products are considered to be safe and successful. So, always check with  Dr. Shefali Gupta at  Dantkriti, a highly experienced cosmetic dentist before deciding to go for treatment of teeth whitening.

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