5. Excessive Wear Of The Teeth - Attrition

This type of GUMMY SMILE is due to excessive wear of the teeth where there is so little tooth structure left that you see mostly the gum tissues. In most cases, a more involved flap - type of surgery is needed in order to expose adaquate tooth structure upon which crowns (caps) can be built.

Case 5 This 45 year old male has excessive wear of his teeth due to his habit of grinding his teeth at night. If he decides to have his teeth made to look better, it would require flap surgery and then crowns placed upon the surgically-lengthened, but badly worn teeth.
Attrition

If he wants a more normal smile, this excessive tooth wear requires surgical tooth lengthening which then would be followed by crowns (capping).