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How Can I Fix My Uneven Gums?

February 19th, 2024 | 4 min read

By NYC Smile Design

Uneven gums can significantly affect the appearance of your smile and, in some cases, your oral health. 

At NYC Smile Design, we often encounter patients who are self-conscious about their uneven gum lines and are seeking effective solutions. 

This article is crafted to offer insights into the causes of uneven gums and the impacts they can have. We will also discuss available treatment options, including gum contouring or a gum lift, which are among the services we provide. Our goal is to help you achieve a more symmetrical and visually appealing gum line, enhancing both the beauty of your smile and your overall oral health.

Understanding the Causes of Uneven Gums

Uneven gums can result from a range of factors, each contributing in its way to the overall appearance of your gum line:


The way your gums look can be a trait passed down through generations. Just like the color and alignment of your teeth, the characteristics of your gums are often inherited. Some individuals may naturally have a more pronounced gum line or excess gum tissue that leads to an uneven appearance. This genetic predisposition means that for some, uneven gums are simply a natural variation rather than a result of any external factors or conditions.

Cause of Uneven Gums

Health Conditions

Various health issues can directly affect the condition of your gums. Gum disease, for instance, is a common culprit behind gum irregularities. It can cause the gums to recede (pull back from the teeth) or, conversely, lead to an overgrowth of gum tissue. Both these conditions can significantly alter the uniformity of the gum line, leading to an uneven appearance that can be both a cosmetic and oral health concern.


Certain medications, especially those used for conditions like epilepsy, heart conditions, or immune disorders, have side effects that include gum overgrowth. This overgrowth can result in an uneven gum line, which might persist as long as the medication is being used. It’s important to discuss these potential side effects with your healthcare provider, especially if you notice changes in your gum appearance after starting a new medication.

Lifestyle Factors

Lifestyle choices, particularly habits like smoking, can have a detrimental impact on your gum health. Smoking not only increases the risk of gum disease but can also lead to other gum issues like unevenness and discoloration. The chemicals in tobacco products can affect the blood supply to the gum tissue, leading to various gum problems that contribute to an irregular gum line.

Disrupted Tooth Eruption

Uneven gums can sometimes be caused by an interruption in the normal tooth eruption pattern. If a tooth doesn’t fully emerge through the gum, it can result in excess gum tissue around that tooth, leading to an uneven gumline. Interruption in the normal eruption pattern of a tooth leads to too much gum on one or more teeth making your gumline uneven. Addressing this involves a two-step approach: firstly, treating any underlying alignment issues that may be preventing the tooth from erupting properly, and then performing cosmetic procedures like gum contouring to reshape the gum area for a more even appearance. 

Understanding the underlying causes of uneven gums is the first step in addressing this condition. Whether it’s a genetic trait, a health issue, medication side effects, or lifestyle factors, identifying the root cause is crucial for effective treatment and management.

Cause of Uneven Gums

Cosmetic and Functional Impacts

The presence of uneven gums can have both aesthetic and functional impacts on an individual’s oral health:

Aesthetic Concerns

From a cosmetic standpoint, uneven gums can significantly alter the appearance of your smile. They may cause your teeth to look disproportionately long or short, which can affect the overall harmony and balance of your smile. This can lead to self-consciousness or dissatisfaction with one’s appearance. For many, a symmetrical gum line is crucial for a confident smile, and uneven gums can detract from the aesthetic appeal of their teeth, regardless of their actual health or alignment.

Oral Health Issues

Beyond cosmetic concerns, uneven gums can sometimes indicate underlying dental health issues that require attention. For example, gum recession, a common form of uneven gums, can expose more of the tooth’s root, leading to increased sensitivity and a higher risk of tooth decay. On the other hand, gum overgrowth might cover more of the teeth than normal, which can make proper cleaning difficult and contribute to the development of conditions like gingivitis or periodontitis. In such cases, uneven gums are not just a cosmetic issue but a sign of potential oral health problems that need to be addressed through appropriate dental treatment.

Uneven Gums

Treatment Approaches for Gum Symmetry

When it comes to correcting uneven gums, there are several effective treatments available, with gum contouring or a gum lift being the most commonly recommended procedures.

Gum Contouring/Lift

Gum contouring, also known as a gum lift, is a cosmetic procedure that has become increasingly popular for addressing uneven gum lines. This process involves carefully reshaping or removing excess gum tissue to create a more balanced and aesthetically pleasing appearance of the gums. The procedure can be performed using traditional surgical methods, which involve cutting and removing the excess gum tissue. Alternatively, advanced laser technology can be used for a less invasive approach. Laser gum contouring has the benefits of causing minimal discomfort, reducing bleeding, and offering quicker healing times compared to traditional surgery. The choice between these methods depends on the specific needs of the patient and the recommendation of the dental professional.

Before and After Uneven Gums

Periodontal Treatments

In cases where uneven gums are a result of gum disease, addressing the underlying periodontal issues becomes the priority. Periodontal treatments are aimed at restoring the health of the gums, which may include deep cleaning procedures like scaling and root planing. These treatments help in removing plaque and tartar build-up below the gum line, treating the infection, and reducing inflammation. Once the health of the gums is restored and stabilized, cosmetic procedures like gum contouring can be considered. It’s important to treat any underlying periodontal disease first to ensure the long-term success of any cosmetic gum adjustments.

Making the Decision for Treatment

If you’re considering treatment for uneven gums, it’s essential to consult with a dental professional who can assess your specific case and recommend the best course of action. They can help you understand the underlying causes of your gum irregularities and the most effective treatment options.

Conclusion: Achieving Your Ideal Smile

Correcting uneven gums can significantly enhance the appearance of your smile and contribute to better oral health. At NYC Smile Design, we deeply understand the importance of both the cosmetic and functional aspects of gum health. Our experienced team is fully equipped to guide you through the process of achieving a balanced, healthy smile. If you’re concerned about uneven gums and want to explore your options for treatment, we encourage you to visit the NYC Smile Design website to schedule a consultation with us. Here, you’ll receive personalized advice and explore treatment solutions tailored to your specific needs. Let us help you take the first step toward achieving the smile you’ve always desired.