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Winnipeg North Dental
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Gum is only one part of the picture.

Gum Contouring for Pembina Residents

When a smile seems off, it is tempting to blame whatever looks biggest. Yet the teeth, the gum and the upper lip all contribute, and changing the wrong one won’t help. Pembina residents can have all three looked at together by the dentist at our McPhillips Street clinic in Winnipeg.

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Three pieces, one smile

Tooth, Gum and Lip Each Play Their Part

The tooth sets the basic proportion through its width, length, wear and position. The gum frames it, with its height, thickness and the bone beneath deciding where a margin can stay. The lip determines how much of both is on show when you rest, speak and smile.

Pembina is in Winnipeg, and people from there are assessed at our clinic on McPhillips Street. Gum contouring is worth considering only once it is clear that the gum is the piece that needs to change.

Explore gum contouring
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The tooth

Width, length and wear decide how much of each tooth ought to be visible.

The gum

Its height and the bone underneath set where a new edge could heal and hold.

The lip

An upper lip that rises high, or sits short, puts healthy gum on display that would otherwise stay hidden.

Gum confirmed as the factor

Two ways to change the frame.

If the assessment shows the gum is what needs adjusting, the position of the bone points to one of these approaches.

Gingival contouring

This is the lighter route. It suits a mouth where the bone already leaves enough room under the new line, and the dentist trims gum alone, perhaps using a laser.

  • Changes the frame, not the bone.
  • Appropriate for modest refinements.
  • Depends on supportive anatomy.

Crown lengthening

This is the fuller route, for when bone would end up crowding the new edge. It is a surgical procedure in which bone may be adjusted before the gum is fixed in its planned spot.

  • Brings more natural crown into view.
  • Aims for a stable, cleanable edge.
  • Treats gum and bone together.

If the tooth or the lip turns out to be the main factor, ask what that means for your options, since gum work alone may not get you there.

Sorting out the cause

How the three are checked together.

The assessment looks at your smile as a whole before narrowing in on the gum, so each contributor is weighed properly.

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  1. 01

    Photograph rest and smile

    Images show how your lip frames the teeth when relaxed, talking and smiling fully.

  2. 02

    Study the teeth

    Wear, width and position are noted, because short or worn teeth can mimic excess gum.

  3. 03

    Map the gumline

    Margins are compared from tooth to tooth and the enamel boundary under the gum is located.

  4. 04

    Confirm the support

    Last comes the foundation: how robust the gum is, and how deep the bone sits, which may call for sounding or an image.

Coming in prepared

Notice when the issue appears.

Pay attention to whether the thing you dislike shows when your face is relaxed, when you talk or only in a wide smile. That simple observation can hint at whether the lip, tooth or gum is most involved.

Tell the dentist about bleeding, tender or swollen gums, which would need care before any cosmetic work.

Observations to share

  • Photos of your smile at rest and mid-laugh.
  • Whether your teeth seem to have shortened over time.
  • Any orthodontic or restorative work you have had.
  • Your medications and general health.
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If treatment goes ahead

What the treatment visit is like.

Local anaesthetic is used so the area stays comfortable while the tissue is reshaped to the marked margin. Recovery depends on the number of teeth and whether bone was adjusted.

Numbed before shaping

Before the frame is touched, freezing is placed and allowed to take hold.

Recovery in proportion

Treating a few teeth in soft tissue only tends to mean less tenderness than work involving bone.

Clear home care

What you should do at home is written to match the teeth and tissue you had treated.

After the change

Let the new frame settle.

A newly shaped frame tends to look raw before it looks right. Give the gum time to mature, because the colour and outline you see in the first days are not the finished result.

01

Follow the routine

Clean, rinse, eat and take medicine as instructed, keeping away from the healing edge.

02

Review appointment

You come back so the dentist can see the gum knitting together, look at how clean you are keeping it and remove stitches if you had them.

03

Then the next step

Any planned crowns or veneers wait until the margin has settled enough.

For a concern while healing, call (204) 338-3003 instead of using the request form.

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Winnipeg North Dental

Unit-5 2358 Mcphillips Street, Winnipeg, MB R2V 4J6
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Pembina Patients Come to McPhillips Street

The assessment of tooth, gum and lip, and any treatment that follows, happen at Winnipeg North Dental, Unit 5, 2358 McPhillips Street, Winnipeg.

Sending the form doesn’t secure a slot. The clinic confirms your appointment after speaking with you.

Questions about coverage?

Talk with our team before your visit or learn about CDCP.

A little clarity before your visit

Your questions, answered.

Helpful details about gum contouring in Pembina.

Ask our team
How do I tell which part of my smile is the issue?

Often you can’t on your own, because worn teeth, extra gum and lip movement can look alike. Photos and measurements help separate them.

If my lip is the reason, will gum work help?

Possibly not much. When healthy margins simply show because of how the lip moves, removing tissue may not address the cause.

Can the teeth themselves make the gum look excessive?

Yes. Teeth that have lost length through wear can shift the proportion so the gum seems larger, even when there is no extra tissue.

Where does jaw position come in?

The relationship of the jaws can affect how much gum shows. That calls for a different kind of assessment from gum contouring.

Is a laser used on the gum?

Sometimes, for a soft-tissue change. If your gum is thick, hard to reach, or the bone needs work, the dentist would turn to other tools or a surgical approach instead.

Will bone have to be removed?

Plenty of people need none. It comes up when the bone would sit too snugly under the proposed edge, or when a reliable amount of extra tooth has to be uncovered.

How can a Pembina resident have all three factors assessed?

Ask for an assessment at the McPhillips Street clinic in Winnipeg by calling (204) 338-3003 or sending the form.

Look at the whole smile

Find out which piece needs attention.

Send Winnipeg North Dental a request to have your tooth, gum and lip proportions assessed, and a staff member will reply to work out when you can come.

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