Jaw repositioning offers a transformative solution for gummy smiles, addressing the underlying structural causes. At London Dental Specialists, we understand your concerns about excessive gum display when smiling. Our specialists provide comprehensive assessment and personalised treatment options including maxillofacial surgery to reposition the jaw, orthodontic treatments to correct teeth alignment, and lip repositioning procedures for hypermobile upper lips. Many patients wonder about recovery time, effectiveness, and whether surgery is their only option. Below, we've answered the most common questions about gummy smile treatments to help you make an informed decision about your smile transformation journey.
What is jaw repositioning for gummy smile treatment?
Jaw repositioning for gummy smile treatment is a surgical procedure that corrects excessive gum display by adjusting the position of the upper jaw (maxilla). This treatment addresses the underlying skeletal cause of a gummy smile when it's due to vertical maxillary excess, where the upper jaw has grown downward excessively. The procedure involves precisely repositioning the jaw to achieve a more balanced smile and facial appearance.
How do I know if jaw repositioning is right for my gummy smile?
Jaw repositioning may be appropriate if your gummy smile is caused by skeletal issues rather than just soft tissue or dental concerns. You might be a candidate if:
- You show more than 3-4mm of gum tissue when smiling
- Your facial proportions indicate vertical maxillary excess
- Less invasive treatments haven't provided satisfactory results
- Your dental professional has diagnosed a skeletal cause for your gummy smile
A comprehensive consultation at London Dental Specialists will determine if this treatment is suitable for your specific case.
What happens during a jaw repositioning procedure?
During jaw repositioning surgery:
- The procedure is performed under general anaesthesia
- Surgical incisions are made inside the mouth (no visible external scars)
- The upper jaw is carefully separated from the skull
- The jaw is precisely repositioned upward to reduce gum exposure
- The jaw is secured in its new position with small titanium plates and screws
- The incisions are closed with dissolvable stitches
The entire procedure typically takes 2-3 hours depending on complexity.
What is the recovery time after jaw repositioning surgery?
Recovery after jaw repositioning surgery typically involves:
- 1-2 nights in hospital for initial monitoring
- Significant swelling and bruising for 1-2 weeks
- Soft diet for approximately 6 weeks
- Return to work/normal activities after 2-3 weeks
- Complete healing of bone takes about 3-6 months
Most patients can see the final aesthetic results once swelling has fully subsided, typically after 3 months.
How effective is jaw repositioning compared to other gummy smile treatments?
Jaw repositioning is considered the most definitive and long-lasting solution for gummy smiles caused by skeletal issues. While treatments like Botox injections, lip repositioning, or gum contouring can address certain types of gummy smiles, they cannot correct underlying skeletal discrepancies. For patients with vertical maxillary excess, jaw repositioning provides permanent correction of the gummy smile and often improves overall facial aesthetics and proportion.
Are there any risks or complications with jaw repositioning surgery?
As with any surgical procedure, jaw repositioning carries some risks including:
- Temporary or permanent numbness in the upper lip, gums, or teeth
- Infection at the surgical site
- Changes in bite alignment requiring orthodontic adjustment
- Relapse (rare with modern fixation techniques)
- Risks associated with general anaesthesia
At London Dental Specialists, our experienced surgeons take every precaution to minimise these risks and ensure optimal outcomes.
Will my insurance cover jaw repositioning surgery?
Coverage for jaw repositioning surgery varies depending on your insurance provider and policy. When performed purely for aesthetic reasons, the procedure may not be covered. However, if there are functional issues associated with your condition (such as bite problems, speech difficulties, or breathing issues), insurance may provide partial or full coverage. London Dental Specialists can help you navigate insurance questions and provide necessary documentation for claims.
How long do the results of jaw repositioning last?
The results of jaw repositioning surgery are permanent. Once the jaw has been repositioned and healed in its new position, it remains stable for life. Unlike temporary treatments such as Botox that require regular maintenance, jaw repositioning provides a definitive solution to skeletal-based gummy smiles. With proper dental care and regular check-ups at London Dental Specialists, patients can enjoy their balanced smile indefinitely.
Do I need orthodontic treatment before or after jaw repositioning?
Many patients require orthodontic treatment in conjunction with jaw repositioning surgery. Pre-surgical orthodontics may be needed to align the teeth properly in preparation for the new jaw position. Post-surgical orthodontics might also be necessary to fine-tune the bite. At London Dental Specialists, we take a comprehensive approach, coordinating between our orthodontists and maxillofacial surgeons to ensure optimal functional and aesthetic outcomes. The need for orthodontics is determined during your initial consultation and treatment planning phase.
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