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Winnipeg North Dental
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Could the jaw be part of it?

Gum Contouring for St. Vital Residents

Perhaps you have read that bone structure can make gums show more, and now you wonder whether trimming tissue would even help. That is a smart thing to wonder. St. Vital residents can have the question looked at properly at our clinic on McPhillips Street in Winnipeg, where the first job is working out the cause.

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Sorting skeletal from soft tissue

When Bone Structure Shapes How Much Gum Shows

The way the upper and lower jaws relate to each other can change how much gum is visible, quite apart from how much tissue covers each tooth. When that is the main reason, it calls for a different kind of assessment from gum contouring, and reshaping the gum may do little for the overall look.

St. Vital is in Winnipeg, and residents are seen for this at our McPhillips Street clinic. The assessment can help show whether the gum, the teeth, the lip or the jaw relationship is doing most of the work in your smile.

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Several possible causes

Extra gum, short teeth, lip movement and jaw position can all look similar from the outside.

Cause before treatment

Gum contouring is considered when the gum itself is the thing that needs changing.

A frank answer

If contouring wouldn’t address what you see, it is better to know before deciding.

When tissue is the culprit

Where contouring does apply.

Should the assessment find that gum tissue really is covering more tooth than it should, the next question is how close the bone lies to the edge you want.

Trimming the gum alone

If there is already a healthy gap between the bone and the intended edge, only gum needs reshaping, and a laser is one tool that may be chosen for it.

  • No change to bone.
  • For refining limited areas.
  • Requires room under the new edge.

Reshaping gum and bone

Crown lengthening is the surgical option for teeth where bone would sit too near the new line. The dentist accesses the area, may adjust bone and then secures the gum.

  • Allows more of the crown to show.
  • Aims to keep the margin healthy to clean.
  • A bigger undertaking than soft tissue alone.

If the jaw relationship turns out to be the main driver, ask the dentist what that finding means for you and what kind of assessment would look at it.

Reading the clues

What the assessment looks for.

No single photo tells the story, so the dentist pieces it together from the smile, the teeth and the tissue.

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  1. 01

    Watching the smile

    Your face is photographed relaxed, speaking and grinning, which shows how the lip and jaws frame the teeth.

  2. 02

    Sizing up the teeth

    Whether the teeth are their natural length, or worn and shortened, changes how the gum appears.

  3. 03

    Tracing the gumline

    Each margin is mapped, and the edge of the enamel hidden under the gum is found.

  4. 04

    Confirming the foundation

    Tissue thickness and the bone level are checked, using sounding or imaging when the bone’s position isn’t obvious.

Things to think about

Note how your smile has always looked.

A gummy look that has been there since your teenage years can point in a different direction from one that appeared later. Your own history gives the dentist useful clues.

Bring up bleeding or soreness in the gums, since any health concern takes priority over cosmetic work.

Clues from your history

  • Older photos that show how your smile has changed, or hasn’t.
  • Notes on any orthodontic treatment you had.
  • Whether more gum shows on one side, or all across.
  • Details of your health and medication.
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When contouring is chosen

How treatment is kept comfortable.

If contouring is the right fit, the area is numbed with local anaesthetic, the new edge is marked, and tissue is reshaped with bleeding controlled afterward. Soreness later reflects the extent of the work.

Freezing for the procedure

Tissue is reshaped only after local anaesthetic has taken effect.

Extent sets recovery

Work involving bone generally asks more of healing than a small soft-tissue change.

Instructions in hand

You are given directions and comfort measures for the days that follow.

Through healing

Give the gum time before judging.

Treated gum can appear inflamed or uneven at first. The margin matures gradually, and it is the settled result that shows whether the change suits your smile.

01

Care at home

Cleaning, rinsing, eating and medication should follow your directions so the site isn’t disturbed.

02

Return visit

The dentist checks how the tissue is closing and how plaque is being handled, taking out sutures if present.

03

Later decisions

Restorations such as veneers or crowns are confirmed after the gum has matured.

Something not seem right while you heal? Ring (204) 338-3003 rather than filling in the form.

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Winnipeg North Dental

Unit-5 2358 Mcphillips Street, Winnipeg, MB R2V 4J6
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The clinic address

St. Vital Patients Have This Assessed on McPhillips Street

Assessment, and contouring if it suits you, takes place at Winnipeg North Dental, Unit 5, 2358 McPhillips Street, Winnipeg.

The form passes your request to the clinic. You will be contacted before any appointment is final.

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 St. Vital.

Ask our team
How would I know if my jaw shape is involved?

It isn’t something to judge in the mirror. The assessment considers how your teeth, gum, lip and jaws relate before suggesting what might help.

Can trimming gum make up for jaw position?

Generally not by itself. When the jaw relationship is the main cause of gum display, contouring the tissue may change little.

Is it possible to have more than one cause?

Yes. Some smiles combine extra gum coverage with lip movement or tooth wear, which is why each factor is checked.

What if gum really is covering my teeth?

Then contouring may be an option, either reshaping soft tissue alone or, where bone is too close, crown lengthening.

Is a laser always involved?

No. It suits some soft-tissue changes, while surgical techniques are used when access, thickness or bone work make them necessary.

Will the gum stay where it is placed?

Gum can shift back toward its old position if the bone relationship is disregarded, so the dentist plans the margin with that distance in mind.

Where can a St. Vital resident find out what is causing their gummy smile?

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

Know the cause first

Ask what is really behind the gum display.

Request a visit with Winnipeg North Dental and mention you are curious whether your jaw plays a part. A reply from the clinic follows so a date can be agreed.

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