Gummy Smile: Treatment with Neuromodulators (Botox)
What Is a Gummy Smile?
A gummy smile is characterized by an excessive display of gum tissue when smiling. It is generally considered a gummy smile when more than 3-4 mm of gum is visible above the upper teeth.
While perfectly normal from a medical standpoint, a gummy smile can be a source of self-consciousness for some people who no longer dare to smile fully or who hide their teeth in photos.
Causes of a Gummy Smile
Several factors can contribute to a gummy smile:
- Hyperactive elevator muscle: the muscle that lifts the upper lip is too powerful
- Short upper lip: naturally exposes more gum tissue
- Vertical maxillary excess: the upper jaw is more developed vertically
- Altered passive eruption: the teeth appear short because the gum partially covers them
- Dental wear: worn teeth appear shorter
Treatment with Neuromodulators (Botox)
For gummy smiles caused by muscle hyperactivity, neuromodulator injections (Botox) represent an effective, quick, and non-surgical solution.
How Does It Work?
The neuromodulator works by temporarily relaxing the muscles responsible for the excessive elevation of the upper lip. Specifically:
- Small amounts of Botox are injected into the levator labii superioris muscle
- The muscle partially relaxes without being paralyzed
- The upper lip drops slightly when smiling
- Less gum is exposed, resulting in a more harmonious smile
Advantages of the Treatment
- Non-surgical: no incision, no scarring
- Quick: the procedure takes 10-15 minutes
- Minimally painful: slight pinch sensation
- Reversible: the effect naturally fades over time
- Natural results: you still smile naturally, just with less visible gum
- No downtime: immediate return to activities
Treatment Process
Initial Consultation
Dr. Benguira analyzes your smile, identifies the cause of the gummy smile, and determines whether neuromodulator treatment is appropriate for you.
Injection
Using very fine needles, small doses of Botox are precisely injected into the targeted muscles. The treatment is generally well tolerated.
Results
Effects appear gradually within 3 to 7 days following the injection. The optimal result is visible after 2 weeks.
Duration of Results
Treatment effects generally last 3 to 6 months. Duration varies depending on:
- Your individual metabolism
- The dose used
- The strength of your muscles
Regular maintenance sessions help maintain the results. Over time, some patients find that the effects last longer.
Who Is a Good Candidate?
Neuromodulator treatment is ideal for individuals whose gummy smile is primarily caused by muscle hyperactivity. A professional evaluation is necessary to determine the exact cause and appropriate treatment.
This treatment is not recommended for:
- Pregnant or breastfeeding women
- Individuals with neuromuscular diseases
- Individuals allergic to the product's components
Alternatives to Botox for Gummy Smile
Depending on the cause of your gummy smile, other options may be considered:
- Gingivectomy: surgical removal of excess gum tissue
- Lip repositioning: surgery to limit lip elevation
- Orthodontics: correction of tooth positioning
- Orthognathic surgery: correction of jaw positioning
Dr. Benguira can guide you toward the solution best suited to your situation.
Dr. Benguira's Comprehensive Approach
As a specialist orthodontist, Dr. Benguira has a deep understanding of facial harmony. This expertise allows him to offer a comprehensive approach that can combine:
- Orthodontic treatment to align your teeth
- Neuromodulators to harmonize your smile
- Other aesthetic treatments to enhance your facial features
The goal is to create a harmonious smile that naturally complements your face.
Treatment Results
Here is an example of results achieved through neuromodulator treatment:


A significant reduction in gum exposure is observed, resulting in a more harmonious smile while maintaining its natural character.
Frequently Asked Questions
Is the treatment painful?
Most patients describe a slight pinch sensation. The discomfort is minimal and short-lived.
Will I still be able to smile naturally?
Absolutely! The treatment does not paralyze the smile. It simply modulates the range of motion of the upper lip.
Are there side effects?
Side effects are rare and generally minor: slight redness or a small bruise at the injection site, which disappear within a few days.
Can I combine this treatment with my orthodontic treatment?
Yes, the treatment can be performed during or after your orthodontic treatment, based on Dr. Benguira's recommendations.
Are you self-conscious about your gummy smile? Book an appointment for a consultation at Dr. Benguira's Orthodontic Centre and discover the solutions suited to your situation.