Tooth Gum Rose (Gummy Smile) Causes, patient selection, application process, risks and alternative treatments are measured in the assessment before treatment. This guide evaluates the appearance of excessive gums and temporary management with botulinum toxin Home
Source PDF: Dis Eti Gulusu Gummy Smile Botoksu 2026 15 Page Rehber.pdf · 15 episodes
Pre-treatment assessment, the smile rest is measured.
This guide evaluates the appearance of excessive gums and temporary management with botulinum toxin Home
The health should be determined by the professional.
The use of Botulinum toxin for gummy smile can be non-licensed (off-label) according to the country and product. Current product information and local legislation should be essential.
This guide highlights the importance of determining the right reason underlying gummy smile, not only aesthetic appearance. Botulinum toxin is not the first option in each type of gum rose.
The treatment is not in the amount of gums that appear; it is based on muscle activity, upper lip length, tooth-eye rate and evaluation of the jaw structure together.
Gummy smile or excessive gingival appearance is the appearance of more gum tissue than expected on the upper teeth during the full smile of the person. Aesthetic perception varies from person to person, so not only millimeter measurement, facial rates and the level of discomfort of the person is also important.
Pre-treatment assessment, the smile rest is measured.
The evaluation is considered as a result.
The appearance of excess gum may not depend on one reason. The most accurate treatment is selected with the determination of dominant cause.
Hyperactive upper lip Smile lips can provide temporary benefit in the patient that is apparently upward.
muscles get up.
The short upper lip appears short on the rest. Can be limited per single.
The teeth covering the female excess of the gum appear short; passive riding disorder Periodontal assessment is required.
Can.
Vertical maxiller excess Medium face and upper jaw is vertically long. Scaffolding cause does not fix.
The location and closing relationship of Dentoalveoler/ortodontic teeth is active. Orthodontic approach may be required.
A muscle-borne problem can respond to botulinum toxin that reduces muscle activity. In scaffolding, tooth or gum-borne problems, botox can only provide a limited or temporary camouflage.
reduces temporarily and controlled.
to reduce excessive rise.
Botulinum toxin type A temporarily reduces the release of acetylcholine in the nervous-cacia cavity. Thus, the excessive activity of the selected upper lip lift muscles is weakened and the upward movement of the upper lip during the smile can be reduced.
It is important to adapt to informed onam and local legislation.
The eligibility is not only determined by 'hearing gum'. The following features, botulinum toxin Home
The purpose is not to make the gum completely invisible; it is to reduce excessive upper lip rise without breaking the general expression of the face. Excessive correction can lead to artificial appearance of smile or temporary strong in lip functions.
The distribution of smile types, muscle force, right-sol asymmetry and gum appearance is different. Therefore, evaluation should be done with photo, video and dynamic examination.
Active infection in the injection area should not be performed; infection should be treated.
Botulinum is overcontinence toxin or product components.
Neuromuscular intersection diseases or pronounced muscle Risk may increase; expert assessment is required.
Pregnancy or breastfeeding Aesthetic process is usually delayed.
Acute disease is delayed until fire or active herpes heals.
The tendency of bleeding or the use of blood-watering does not be discontinued; it is assessed by the doctor prescribed.
A facial surgery, filling or other Timing and total treatment plan are reviewed by the physician.
Non-realistic expectation or body perception Transaction may be delayed; need detailed advice.
Swallow, speech or respiratory strength; common muscle weakness; urgent medical assessment if symptoms such as double vision or eyelid drop.
The correct diagnosis is important not only the injection point for successful results. Clinical evaluation
1 Dynamic smile analysis Rest, light smile and full smile photo/video record.
2 Front, side or mixed appearance of gum appearance; symmetry assessment.
3 Upper lip movement Lip length and quantity of rise during smile.
4 Dental and periodontal examination Kron length, gum level and periodontal health.
5 Orthodontics, if necessary orthodontics, periodontology or jaw surgery opinion.
6 Treatment goal Natural smile, symmetry and protection of function.
Perioral region contains critical muscles for speaking, drinking, eating and mmic. Therefore avoid excessive correction, when necessary, small corrections in control medical consultation can be safer.
The medical story is taken before the procedure, the previous aesthetic processes and drugs used are questioned. The smile rest is saved and the treatment plan is explained.
Most people feel short-term batma or burning. The process usually takes short; but the evaluation can extend the total time of onam and photonation.
The units of Botulinum toxin products can not be used to replace each other. It is not safe to determine the dose from a general internet guide because muscle force, product, watering, injection technique and rose type are different.
Botulinum is a prescription medical product. The supply, storage, preparation and implementation of the product should be carried out by the appropriate trained physician in the authorized health organization.
The effect does not occur immediately. Clinical change usually starts in the first days, it becomes more pronounced within about 1-2 weeks. The time reported in the literature is variable; the effect in most patients is temporary and decreases in months.
The first 2448 hours can be light sensitivity, redness or bruising at injection points.
The first week you can start gradual reduction in upper lip rise.
About 1-2 weeks The appropriate period for the evaluation of the result is avoided early additional transactions.
Next months Muscle activity returns over time; the effect decreases in varying time according to the person.
The calendar is not automatic. The previous response should be planned again without reevaluating the return of muscle function, asymmetry, side effects and the expectation of the person.
While most side effects are mild and temporary, muscles in the perioral region are functionally important. Risks should be clearly spoken before the transaction.
Frequent and often temporary More important / rare redness, tenderness, small bruising, light swelling, headache asymmetry, excessive elongation on the upper lip, pain, injection point pain talk or strong in removing some sounds, pipette
Allergic reaction, common muscle weakness, swallow or short riding of the expected result,
Initially muscle asymmetry can be effective to different spread between the muscles of the injection, the natural facial asymmetry or different of muscle force. Very early assessment is misleading.
Emergency aid should be taken if breathing shortness, swallow strength, pronounced deterioration in speech, common muscle weakness or severe allergic symptom develops.
Do not rub all medications, supplements, allergies and past botulinum Zone and let the doctor know the toxin practices to the instructions given. sleep.
Do not cut the drug with your own decision. Wait for the time recommended by the doctor for severe exercise, intensive hot exposure and facial massage.
Avoid active infection, herpes, fire or new developing disease in the first hours of pronounced printing.
let us know.
Tell your clinic surgery in filling, laser, dental treatment or unexpected asymmetry or function loss.
Do not come with heavy makeup if possible on the trading day. Plan the check appointment after you stay.
Note The scope and accompanying treatments can change maintenance recommendations.
Botulinum toxin is meaningful only in gummy smile types, which is pronounced by muscle-borne or muscle contribution. Different disciplines can be activated in other reasons.
Periodontal crown length extension / covering the female excess of the gum regulates gum and bone level gingivectomy when necessary.
change causes.
Lip reposition Selected soft tissue and lip surgery, targets longer-term effect.
Orthognatic surgery Corrects the underlying vertical maximumillary cause; is comprehensive treatment.
Filling or combined approach Selected lip structure and asymmetry are not suitable for every patient; there are separate risks including risk of vascular phenomena.
The joint assessment of dentist, periodontologist, orthodontist, dermatologist, plastic surgeon or mouth-loop surgeon provides the most accurate plan in some patients.
Systematic assemblies show that botulinum toxin can reduce the appearance of excessive gums, especially hyperactive upper lip muscles in the short run. However, studies include significant differences in terms of injection points, product, dosage and tracking times; a standardized single
protocol is not formed. It is highlighted that the effect is temporary and the result of the patient selection is determined.
standard protocols are limited; results should not be listed directly among products.
Gummy smile botox is a minimally invasive option that can temporarily reduce excessive movement of upper lip muscles in the right patient. The basis of success is the correct determination of the gummy smile cause, the protection of natural smile and special planning to low risk person.
1. Wang X, et al. Dose and injection site of botulinum toxin type A for gummy smile management: conflict review and bibliometric analysis.
Toxicon 2024;249:108058.
2. 2. Fatani B. An Approach for Gummy Smile Treatment Using Botulinum Toxin A: A Narrative Review. C.C. 2023.
3. Rasteau S, et al. Botulinum toxin type A for the treatment of excess gingival display: a compromise review. J Stomatol Oral Maxillofac Surg.
2022.
4. Maleki M, et al. Surgical and nonsurgical defects for over gingival display: alternative review and meta-analysis. 2024.
5. FDA. BOTOX Cosmetic (onabotulinumtoxinA) Prescribing Information, 2024 label.
6. FDA. Warning about illegal marketing and risks of botulinum toxin products, 5 November 2025.
7. StatusPearls/NCBI Bookshelf. Copyright © 2019. All Rights Reserved. Updated Clinical Review.
Medical warning: This publication is not the diagnosis or personal treatment proposal. Product labels and legislation may vary over time; in 2026, the current product information and local regulations should be checked before application.