If there is a gap between the teeth, the gums will recede

Gum correction and cutting of the lip frenulum

What happens during a gum correction?

Today, the gums, like the teeth, are part of a beautiful smile. If it doesn't cling to the teeth like an even garland, it is often perceived as annoying. That is why many dentists now offer surgical gum corrections, also known as "red aesthetics". This is possible with exposed tooth necks ("long teeth"), with periodontitis, an irregular gum line or when too much gums make the teeth appear short ("gummy smile").

To fill in gums, there are various techniques in which similar tissue is removed under local anesthesia, for example from the roof of the mouth, and sutured at the gap. Likewise, gums that are too thin can be thickened if it is important for dentures. An artificial transplant can replace tissue removal. If gums are shortened, harmonious lines should be achieved. A "gum smile" can also have other causes, such as an excessively strong lifting muscle in the upper lip, an excessively tight connection between the upper lip and the gums, or very small teeth.

What should be considered when performing a gum correction?

In the case of receding gums, the success of the treatment depends on the extent of the damage, personal oral hygiene and the work of the surgeon. Because the blood circulation is reduced in smokers, the chances of success decrease here.

As a rule, the correction is not a health insurance benefit and is a demanding procedure, so that patients have to factor in a higher rate of increase. The costs range from a good 30 to a good 100 euros per tooth with average difficulty and can total several hundred euros. The procedure is often associated with pain after the operation and a longer healing time. There may be color differences remaining. If excess gums are removed surgically or by laser, this can cost several hundred or more than 1,000 euros.

When should you have a lip frenulum cut?

An excessively developed lip frenulum can push the incisors apart, especially in the upper jaw. A lip frenulum can also appear in the posterior region. Since it is a fold of connective tissue, bacteria can collect here that can trigger inflammation. The gap is called the diastema. The lip frenulum is often cut to close this gap, especially during orthodontic treatments.

In children, however, the lateral incisors should have erupted.

A dentist can surgically cut the ligament and underlying muscles down to the periosteum (called a frenectomy). The wound is sutured and the stitches are removed after a week. A frenectomy using a diode laser is also possible.

The severing of the frenulum of the lips or tongue is covered by the health insurance. The procedure is straightforward and only takes a few minutes. But waiting is also an option, because the gap can partly close on its own.