Gum contouring, sometimes called gum reshaping or sculpting, is a cosmetic dental procedure that refines the shape of the gumline to create a more balanced, attractive smile. It’s often performed to correct a “gummy” smile or to even out uneven gum tissue that makes teeth appear misaligned.
Understandably, one of the first concerns many patients have is whether the process is painful. The reassuring truth is that modern gum contouring techniques are designed to be as comfortable as possible.
The Procedure
Gum contouring removes small amounts of gum tissue to achieve a desired shape or proportion. A dentist or periodontist first numbs the area with a local anesthetic to prevent discomfort during the procedure. Depending on the case, they may use a scalpel or, more commonly, a dental laser to remove excess tissue and smooth the edges of the gumline.
Laser contouring has become the preferred approach because it seals blood vessels as it works, minimizing bleeding and swelling. The laser’s precision also allows for a more even and predictable result. Because the area is fully numbed beforehand, most patients report feeling pressure or vibration rather than pain.
For patients undergoing gum contouring as part of a larger periodontal or restorative procedure, such as crown lengthening, the dentist may recommend sedation for additional comfort.
What to Expect
The length of the procedure depends on how much tissue is being reshaped, but most appointments last between 30 minutes and an hour. Your dentist will outline exactly what to expect during your consultation.
Once the numbing agent takes effect, the dentist begins sculpting the gums to create a symmetrical contour that complements the teeth. You’ll remain conscious and aware, but you shouldn’t feel any sharp sensations. Some patients describe mild pressure or warmth as the tissue is treated, but the overall experience is comparable to a routine dental filling.
After the shaping is complete, the gums are cleaned, and the area is given time to stabilize. You can usually go home right after the appointment and resume most daily activities the same day.
Managing Sensitivity
Mild soreness or tenderness is normal for a few days following gum contouring. Most patients describe the feeling as similar to a mild scrape on the inside of the mouth. Over-the-counter pain relievers like acetaminophen or ibuprofen are typically all that’s needed to stay comfortable.
Your dentist may recommend avoiding spicy or acidic foods and brushing gently along the gumline while healing. Using a soft-bristled toothbrush and rinsing with a gentle, non-alcoholic mouthwash can help keep the area clean without irritation.
Cold compresses can also reduce swelling or discomfort in the first 24 hours. Within a few days, most patients feel back to normal, and the gums begin to take on their final shape within a couple of weeks.
How Long Does Healing Take?
Healing after gum contouring varies depending on the extent of the procedure and the method used. Laser treatments usually heal faster because the laser seals tissue and minimizes inflammation. Procedures done with a scalpel may take a little longer, but still heal relatively quickly as long as proper care is taken.
During recovery, maintaining good oral hygiene is important. Gentle brushing, avoiding tobacco, and staying hydrated all support healthy healing. Your dentist will likely schedule a follow-up appointment to check that the gums are recovering properly and to ensure the final contour looks even.