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Bahar Kesimal
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A gummy smile means too much gum shows when you smile, and the right fix depends on the cause. Laser gum contouring and crown lengthening give permanent results, Botox and lip repositioning treat a hyperactive lip, and jaw-related cases may need surgery. In Turkey, treatment costs a fraction of UK prices, and it starts with a free remote assessment.
If your teeth look small or you feel like you show too much gum every time you laugh, you are not imagining it — and you are certainly not alone. A gummy smile is one of the most common aesthetic concerns we hear about at our clinic in Fethiye, and the good news is that it is highly treatable. The key is understanding why your gums are prominent, because the right treatment depends entirely on the cause. This guide walks you through what a gummy smile is, what causes it, and the full range of gummy smile treatment options — from a quick laser reshaping to more involved surgical solutions — along with honest guidance on results, permanence and cost in Turkey.
A gummy smile — known clinically as excessive gingival display — simply means that when you smile broadly, more of your gum tissue is visible than most people find aesthetically ideal. As a rough guide, showing more than about three to four millimetres of gum above your upper teeth tends to draw the eye to the gums rather than the teeth. It is important to say this clearly: a gummy smile is not a disease, and it is not harmful to your health. It is purely an aesthetic characteristic. Whether it bothers you at all is entirely personal — many people wear theirs happily, while others feel self-conscious in photos. If yours makes you hesitate to smile fully, treatment can rebalance the proportions of teeth, gums and lips so your smile feels like yours again.
There is no single cause, and that is precisely why a proper diagnosis matters. Several factors can produce the same visible result, and quite often two or three overlap in the same smile. The main causes are:
Altered passive eruption. The gum never fully receded as your adult teeth came through, so it still covers part of the tooth. Your teeth look short and square, when in fact healthy enamel is simply hidden beneath the gum.
A hyperactive upper lip. The muscles that raise your upper lip pull it higher than average when you smile, exposing more gum. At rest your smile may look perfectly normal.
Vertical maxillary excess. The upper jaw (maxilla) is slightly longer than average, pushing the whole gum line down. This is a skeletal cause rather than a gum or lip issue.
Gum overgrowth (gingival hyperplasia). Extra gum tissue, sometimes linked to certain medications, orthodontics or inflammation, can bulk up the gum line.
Short or worn teeth. Naturally small teeth or teeth worn down over time shift the balance so the gums appear more dominant.
Because the treatment that fixes altered passive eruption will do nothing for a skeletal jaw cause, the first and most valuable step is an accurate assessment. That is exactly what we do before recommending anything.
Think of gummy smile treatment as cause-led rather than one-size-fits-all. During your assessment we look at how much gum shows, where the excess comes from, the health of your gums, the length and shape of your teeth, and how your lip moves. From there the plan usually falls into one of a few directions: reshaping the gum itself, lengthening the visible crown, relaxing or repositioning the lip, correcting the underlying jaw, or restoring the teeth to better proportions — often in combination. The sections below explain each option so you can see where you might fit, though your personalised assessment is what confirms the right route for you.
For many patients — especially those with altered passive eruption or mild gum overgrowth — laser gum contouring is the simplest and most satisfying solution. Using a dental laser, we gently reshape and remove the excess gum tissue to reveal more of your natural tooth and create an even, harmonious gum line. Because the laser seals tissue as it works, bleeding is minimal, the procedure is precise, and healing is quick and comfortable. Most sessions take under an hour, are done under local anaesthetic, and the aesthetic result is visible almost immediately. Where the cause is genuinely the gum, contouring results are permanent — the reshaped gum line stays put.
Crown lengthening is a step beyond simple contouring. When the excess gum sits low and there is bone that also needs recontouring to expose the right amount of tooth, we adjust both the gum and a small amount of the underlying bone. This is the go-to option when teeth are significantly short, when the gum-to-bone relationship needs correcting, or when we are preparing teeth for veneers or crowns and need a stable, well-proportioned foundation. It is a minor surgical procedure carried out under local anaesthetic, with a slightly longer healing period than laser contouring alone, but the result is a durable, natural-looking gum line.
When the culprit is a hyperactive upper lip rather than the gums or teeth, the answer is to control how high the lip lifts. There are two routes:
Botox. A small, carefully placed dose relaxes the muscles that over-elevate the lip, so it doesn't ride as high when you smile. It is quick, non-surgical and needs no downtime — but it is temporary, typically lasting three to four months before a top-up is needed.
Lip repositioning surgery. A minor procedure that limits how far the upper lip can rise, giving a longer-lasting result than Botox for the right candidate. It is done under local anaesthetic with a short recovery.
We will always be candid about which of these suits you, and about the trade-off between the convenience of Botox and the longevity of surgery.
Sometimes the gums are only half the story. If your teeth are short, worn or slightly uneven once the gum line is corrected, veneers or crowns can restore ideal length and proportion, so the whole smile reads as balanced rather than just less gummy. In other cases, when the position of the teeth is contributing, orthodontics (braces or clear aligners) can move the teeth and gum line into better harmony. This is why we design gummy smile treatment as part of a complete smile plan rather than an isolated fix — the aim is a result that looks natural and proportioned from every angle.
What to expect depends on your treatment, but here is a realistic picture. Laser contouring and Botox are essentially same-day, walk-out procedures — mild tenderness for a day or two at most, and you can eat and speak normally almost immediately. Crown lengthening and lip repositioning involve minor surgery, so expect some swelling and a soft-food period of a few days to a couple of weeks while the tissue settles. Across all of these, aftercare is straightforward: gentle oral hygiene, avoiding very hot or spicy food early on, and following the simple instructions we give you. Where a skeletal jaw cause (vertical maxillary excess) is responsible, honesty matters most — the definitive solution can be orthognathic (jaw) surgery, which is a bigger undertaking. In those cases we tell you plainly and refer you appropriately rather than offering a treatment that won't deliver.
Cost is one of the main reasons patients from the UK, Ireland, Germany, the Netherlands and Slovakia choose Turkey, and the savings are substantial without compromising on quality. As a general guide, laser gum contouring and Botox sit at the affordable end, while crown lengthening, lip repositioning and any accompanying veneers or crowns cost more depending on how many teeth and which combination of procedures are involved. Compared with UK private-clinic pricing, treatment in Turkey typically costs a fraction of the equivalent. Because every gummy smile is different, we don't publish a single flat figure — instead we give you a transparent, personalised quote after your assessment, with no hidden extras.
At our clinic in Fethiye we combine gummy smile treatment with digital smile design, so you can preview the shape and proportion of your new smile before any work begins. It starts with a free remote assessment — send us a few photos and we will tell you honestly what is causing your gummy smile and which treatment fits, along with a clear quote. When you travel to us, we want the whole experience to feel effortless: we include free Dalaman Airport transfer and free apartment accommodation in Fethiye so you can focus on your treatment and enjoy the coast rather than worrying about logistics. Fethiye's turquoise setting turns a dental trip into a genuine holiday.
Gummy smile treatment is a good fit if the amount of gum you show makes you hold back when you smile, and if you are in good general oral health. The right procedure — and how permanent the result is — depends entirely on the cause: gum contouring and crown lengthening give lasting results, Botox is temporary and repeatable, and a skeletal jaw cause may need a referral for a more complete solution. The most reassuring first step is simply to find out which category you fall into. A quick, no-obligation online consultation will give you an honest answer, a tailored plan and a transparent price — so you can decide with full confidence.
Smile & Holiday
Dr. Selin Arıkan is a cosmetic dentist specializing in Digital Smile Design (DSD) planning and minimally invasive veneers, creating facially harmonious smile simulations before treatment begins. With 14 years of experience and training in CAD/CAM smile design at Istanbul University Faculty of Dentistry, she focuses on predictable, patient-approved outcomes. She supports dental tourism patients in Turkey by offering remote DSD previews, clear communication, and coordinated lab workflows for visitors.
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