A gummy smile, also known as “excessive gingival display,” is where too much gum tissue is visible above the top teeth when you smile or open your mouth. Ideally, you should not show more than three millimetres of gums between the top of your tooth and the bottom of your upper lip.

What causes a gummy smile?

There are many different causes of a gummy smile, so let’s take a closer look at the more common ones: Muscles that are too strong (that pull your upper lips too high when you smile); A short philtrum (that is not enough to cover your gums; this easily exposes much of your gums); An overdeveloped frenulum (that reaches below the average line; covers your teeth much more than necessary); Short teeth (that are covered by your gums).

When gummy smile procedure is necessary?

When too much of one’s gums are showing when smiling; When the tooth is short and small because the gum is covering a large portion of it; When the height of your gum is different (uneven gum line); When the gum caved in so much that the roots of your teeth are exposed, and your teeth look too long (gum line recession).

Can Cynefill Prestige Deep fix a gummy smile?

Cynefill Prestige Deep filler can be used to conceal your gummy smile. By injecting filler into the lips, the treatment can help to add volume and definition, making the gums less noticeable. In addition, Cynefill Prestige Deep filler can also help create the illusion of longer, fuller lips, which can further help minimize the appearance of a gummy smile. In addition, Cynefill Prestige Deep prevents aging signs from appearing and correct them if present from the corners of your mouth to the skin surrounding it. Therefore, it can give the area a youthful appearance that adds to the overall beauty of your smile.

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Hyaluronic acid fillers are used to correct gingival smile lines

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Application of filler

Specifications:

Name

CYNEFILL PRESTIGE DEEP

Main Ingredients

HA Concentration 23 mg/ml, Lidocaine 0.3%

Shelf Life

24 months from the date of manufacture

Package

Prefilled syringe 1.1ml, Needle 30g * 1 ea, Needle 27g * 1 ea

Depth of introduction

Dermis or subcutaneous tissue

CYNEFILL PRESTIGE DEEP

CYNEFILL PRESTIGE DEEP Dermal filler is substance injected into your lips to increase their size, improve their shape, or make them more defined. They are considered a type of non-surgical cosmetic procedure and are usually composed of hyaluronic acid, a substance that naturally occurs in our body.

Benefit of CYNEFILL PRESTIGE DEEP filler is it’s ability to reduce the appearance of a gummy smile. By adding volume to the upper lip, lip fillers can cover the excessive gum that is visible when you smile, giving you a more balanced and appealing smile.

Gummy Smile injection techniques

Injection Points

Dermal fillers are typically injected at specific points in the upper lip to increase volume and help lower the lip, reducing gum exposure. Common points include the philtrum columns, vermilion border, and Cupid’s bow.

Linear Threading Technique

This involves injecting the filler in a linear pattern along the vermilion border and the body of the upper lip to evenly distribute the product and enhance the lip’s volume, thereby covering more of the gums.

Injection protocol

Gummy smile is mainly defined by an unbalanced activity of the levator muscles. The recommended treatment strategy is:

Administration system: Blunt microcannula (25G 50 mm).
Hyaluronic acid: CYNEFILL PRESTIGE DEEP 23 mg/ml.
Depth: Supramuscular /intramuscular
Total amount:

A total of 0.2–0.4 ml of HA per side at the piriformis fossa.
A total of 0.2 ml per side at the levator labii superioris alaeque nasi.
A total of 0.1 ml per side at the anterior nasal spine.

The injection is administered at approximately 5 mm of the corner of the mouth, by means a blunt microcannula (25G and 50 mm), with a fanning technique and looking, at the piriformis fossa, for a deep plane superficial to levator labii superioris. It is recommended, before to start the HA administration, that the patient gesticulates for determining the blunt shifting.

Once the levator labii superioris muscle has been located, we proceed to inject a bolus of 0.2 to 0.4 mL of a crosslinked CYNEFILL PRESTIGE DEEP HA filler (23 mg/ml), with the goal of modulate the muscle activity. As a second step, the canula should be medially slide, looking for a parallel point, almost under the nasal wing insertion, which allows to limit the strength of contraction of the levator labii superioris alaeque nasi.

At this point, approximately 0.1 ml of CYNEFILL HA filler should be injected. Finally, sliding the blunt microcannula to the nasal spine, but without touching it, 0.2 ml of 23 mg/ml HA filler needs to be placed on the depressor septi nasi muscle

Causes of Gummy Smile

High smile line

Due to anatomical features, the smile rises above the gums. At the same time exposing it along with the tooth row.

Hypermobile lips

Because of the frequent expression of emotions and because of a certain manner of expression, the lips of some people arrive in intense movement. When smiling, they rise higher than they should, exposing the gum.

Muscle imbalance

Due to an existing facial muscle imbalance, the upper lip can “go upward” exposing the gum.

Hygiene problems

Occur usually in older and elderly people. The cause may be periodontitis or gingivitis, due to recession of which the gums are exposed.

Short teeth

An anatomical feature such as short central incisors of the upper jaw are the result of a gingival smile. With gingival hyperplasia or protrusion, they appear smaller than they actually are due to the gum covering them more than halfway.

before and after

before

after

APPLICATION AREA

FILLER NAME

Benefits

Benefits of using CYNEFILL fillers:

Unlike other cosmetic procedures, the effect after the introduction of filler is visible immediately.

After the procedure, you do not need to radically change your life. There are a few restrictions that need to be adhered to for the first time. But this will not prevent you from doing everyday things.

The procedure for the introduction of fillers with hyaluronic acid gives long-lasting results. The effect persists for 8-12 months, depending on the characteristics of the skin.

The procedure is painless. Since fillers based on hyaluronic acid in its composition contain lidocaine.

Fillers have a wide range of applications. They can be used to fill deep wrinkles, nasolabial folds, increase the volume of cheeks and lips, and correct the temporal area.

Filler is safe and easy to use. It is biodegradable and completely out of the body, leaving behind new collagen fibers. Once injected, it is easily distributed where it is needed.

With the filler injection procedure, a natural look is achieved, the skin is improved, and the face is visually rejuvenated.

FAQ: Everything You Need to Know About Gummy Smile

What is gummy smile?
A gummy smile, also known as “excessive gingival display,” is where too much gum tissue is visible above the top teeth when you smile or open your mouth. Ideally, you should not show more than three millimetres of gums between the top of your tooth and the bottom of your upper lip.
What causes a gummy smile?
There are many different causes of a gummy smile, so let’s take a closer look at the more common ones:
- Muscles that are too strong (that pull your upper lips too high when you smile);
- A short philtrum (that is not enough to cover your gums; this easily exposes much of your gums);
- An overdeveloped frenulum (that reaches below the average line; covers your teeth much more than necessary);
- Short teeth (that are covered by your gums)‍.
When gummy smile procedure is necessary?
- When too much of one’s gums are showing when smiling;
- When the tooth is short and small because the gum is covering a large portion of it;
- When the height of your gum is different (uneven gum line);
- When the gum caved in so much that the roots of your teeth are exposed, and your teeth look too long (gum line recession).
Can Cynefill Prestige Deep fix a gummy smile?
Cynefill Prestige Deep filler can be used to conceal your gummy smile. By injecting filler into the lips, the treatment can help to add volume and definition, making the gums less noticeable. In addition, Cynefill Prestige Deep filler can also help create the illusion of longer, fuller lips, which can further help minimize the appearance of a gummy smile. In addition, Cynefill Prestige Deep prevents aging signs from appearing and correct them if present from the corners of your mouth to the skin surrounding it. Therefore, it can give the area a youthful appearance that adds to the overall beauty of your smile.

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Fillers to treat and reduce the excessive visibility of gums

A beautiful smile is a jewelry for appearance. With the help of a smile we express emotions and also show our positive attitude towards a person. However, not everyone has a perfect smile and some people feel embarrassed and shy to express their emotions. One of these reasons is the gingival smile, which is present in 10-15% of people around the world.

You can get rid of it by surgical method and non-surgical method. Most people prefer the second method, which involves correction using injections with fillers.

Understanding and treating gummi smiles

Smile gummi removal is possible in several ways. Let’s take a closer look at them.

Orthodontic correction. In the presence of congenital anomalies, malocclusion, etc., correction is prescribed according to medical indications. Correction is achieved by placing eliners and braces.

Surgical intervention. The most radical way to correct the problem. It is indicated for patients who have bony anomalies of the jaw or hyperplasia

Gingival plasty. It involves the removal of excess gingival tissue. The procedure can be performed with the help of traditional surgery and with the use of a laser.

Trimming the frenulum under the upper lip. After trimming, the upper lip becomes in the correct position and covers the gum.

Reconstructive plastic surgery or maxillofacial surgeries. They are indicated when a bone deformity is diagnosed that occurred at birth or as a result of trauma. The surgery helps to form a correct jaw line and fix an improper bite.

All these methods involve surgical intervention and in most cases the use of general anesthesia. After the procedure, reconstructive rehabilitation is required.

Injections with hyaluronic acid fillers. The most popular technique and less expensive compared to the above methods. This method of gingival smile removal is chosen by patients due to the rapid obtaining of the desired result without surgical intervention. Also, no long recovery time is required after the procedure. Hyaluronic acid-based fillers are biodegradable, do not cause allergic reactions and are completely eliminated from the body after a certain period of time.

Problem Definition: What does the Gummy Smile represent?

When more than 2 mm of gingiva is visible when smiling, the case can be classified as a gingival problem. People who have this defect usually complain about the lack of aesthetics. However, gummy smile can also become a medical problem. Patients with this defect have an increased risk of bleeding, gum inflammation, periodontitis and loosening of teeth.

Causes of gummy smile:

overdeveloped upper jaw and short upper lip;
malocclusion;
forward thrust of the upper incisors;
A decrease in the height of the upper row as a result of tooth erosion;
the upper lip may jump up due to the presence of hypertonus of the circular muscles of the mouth;
short, underdeveloped upper lip from birth.

A chewing smile occurs most often in childhood after the bite changes. But there are cases of its appearance in adulthood. The causes are age-related changes, dental problems, and decreased muscle tone.

CYNEFILL injectable solutions for chewing smile correction

For those who prefer more gentle methods, there is a solution to the problem with injections with hyaluronic acid fillers. The bonus of this technique is that the patient getting more voluminous lips and a closed gum.

How CYNEFILL PRESTIGE DEEP lip filler works to correct a gummy smile

CYNEFILL PRESTIGE DEEP lip filler is monophasic and belongs to the premium class. Thanks to its softness and homogeneity, it is injected and distributed evenly and easily.

The CYNEFILL PRESTIGE DEEP lip filler procedure gives an instant natural result. By increasing the volume of the lips and reducing their mobility, the upper lip will not rise while smiling and expose the gum. This is an excellent method of solving aesthetic problems.

Lip augmentation to disguise a gummy smile

In order to hide the gingival smile defect, the lip augmentation technique is used. A hyaluronic acid filler is injected into the upper lip, enlarging it. This reduces the visibility of the gum.

The effect can be assessed immediately after the procedure. However, the final result will be visible after the swelling subsides, approximately after a week.

Duration of the effect – from 6 months to a year depending on individual characteristics. The procedure can be repeated after a certain period of time.

Combining dermal fillers and other products for optimal results

To enhance the result, the doctor may use other preparations besides hyaluronic acid-based fillers. The doctor selects the dose and type of drug individually depending on the degree and type of the problem, the cause of the defect, the presence of malocclusion, anomalies of the jaw structure.

Preparation for gummy smile correction with dermal fillers

Before the procedure it is recommended to visit a dentist to treat caries, periodontitis, stomatitis, gingivitis. After undergoing the necessary treatment and sanitation, injection correction can be performed.

Risks and considerations

It is necessary to apply only to reliable clinics and use the services of qualified specialists. It is definitely recommended to pay attention to how the instruments are sterilized and to the observance of hygienic norms. It is also necessary to ask at the consultation, what preparations are used for the procedure. They should be of high quality, certified and comply with the expiration date.

Factors to consider before undergoing Gummy Smile injections

The procedure is dangerous to perform in the following cases:

exacerbation of chronic diseases of internal organs;
infectious diseases;
fever;
inflammation or pustules at the planned injection sites;
clotting disorders;
HIV, AIDS.