Gum disease, also called periodontal disease, can be a frightening topic, especially if you don’t know what it is. Despite its reputation, gum disease is often quite easily treatable! If addressed in the early stages, gum disease can be eliminated without any invasive treatment, and even at advanced stages, it is often completely reversible.

Gum disease is caused by a buildup of plaque in your mouth. Plaque contains bacteria that can irritate the gums and can often build up below the gum line where brushing doesn’t reach. When this happens, bacteria can grow unchecked and irritate the gums, causing infection or deterioration of tissue.


The earliest stage of gum disease is gingivitis. This inflammation of the gums is generally due to a lack of oral care. If you don’t spend the appropriate amount of time brushing and flossing, then gingivitis can occur. Symptoms include inflammation of the gums, bleeding while brushing, gum sensitivity, and discoloration. Many patients, however, don’t notice any symptoms or feel discomfort.

Gingivitis is easy to treat and can generally be reversed by a professional cleaning and better oral hygiene habits. If you think you may have gingivitis, schedule a cleaning today by calling our office at 650-592-6396.

Gum Disease

Advanced gum disease can cause symptoms like those of gingivitis, as well as several others like:

  • Receding gums
  • Gums that can pull away from the teeth
  • Pain/discomfort/bleeding in gums
  • A change in your bite due to loosening teeth

Despite the severity of some of these symptoms, we can treat them! Dr. Ghina Morad offers several different options for gum disease treatment in San Carlos, California, all of which can reverse the effects of gum disease and return your smile to a healthy, happy state.

Deep Cleaning with Root Planing and Scaling

The growth of gum disease is primarily due to plaque bacteria that become trapped below the gum line. In order to clean the pockets that can be created by the bacteria and prevent them from coming back, a process called root planing and scaling is used.

After numbing the area, we will use a small tool that gets below the gums to clean out the infected area. Once the plaque has been removed, we will help speed healing and prevent additional infection using an antibacterial gel.

Perio Protect®

Our dentist also uses another method to help clean and heal infected gums: Perio Protect®. These custom trays help move a chemical compound into the pockets created by plaque, cleaning them and aiding in the healing process. Even better, you just need to wear your Perio Protect trays for a few minutes each day!

In severe cases, Dr. Ghina Morad can use cosmetic treatments after healing to restore gum appearance and reverse receded gums.

If you are showing any of the symptoms of gingivitis or gum disease, don’t delay your treatment! Call our office at 650-592-6396 or make an appointment using our online form.

Gum Reshaping

There are several reasons why you show a lot of gum or have a gummy smile. These reasons are:

  • Short teeth with excessive gum coverage.
  • Excessively long upper jawbone
  • Short upper lip
  • Hyperactive muscles of the upper lips
  • Upper teeth are leaning too far back into the mouth dragging the gum line lower

Are receding gums giving you a smile that is too toothy? Are your gums too long and leaving you with a gummy smile? Have you been treated for gum disease and need your gums reshaped? Dr. Ghina Morad can give you a perfectly new smile using state-of-the-art gum reshaping in San Carlos, California.

What is Gum Reshaping Surgery?

When you come to our office to have your gums reshaped, we’ll start by performing a thorough cleaning. In order to assure the best environment for your gums to heal, your mouth should be as clean as possible! After assessing your treatment goals with Dr. Ghina Morad, you will work together to determine the best course of action.

At a second appointment, we will perform your surgery. If you have any dental anxiety or fear, we have several sedation options available to help make the procedure go as smoothly as possible. Depending on the amount of reshaping to be done, the procedure can be relatively quick or could take up to an hour.

Short Teeth or Excessive Gum

The treatment for this condition is gum contouring to a new pleasant shape. A computer model will be designed by Dr. Ghina Morad to locate the ideal location of the gum. The procedure is usually 30-60 minutes long and is virtually painless.

Excessively Long Upper Jaw

Sometimes, people show a lot of gum because the upper jaw has overgrown and become too long. In the past, there was one way to deal with that; a hospital surgery where the surgeon would shave a piece of the jawbone to make it shorter. Thanks to Dr. Ghina Morad’s special training in facial harmony and orthodontics, now she can produce the same results by simply placing little pins under local anesthesia (just like any filling) and gently remodel the whole upper jaw by moving it up, eliminating all the excessive showing gum as the gum moves up with the jaw.

Short Lip

In some people, the result of showing too much gum is the shortness of the upper lip. In this case, the person will show a lot of teeth even when the lip is relaxed, and he or she will have a hard time putting the lips together. This condition could result in serious gum problem as the gum will dry up and becomes inflamed. The best treatment for this condition is the procedure called lip repositioning. This procedure will change the location of the upper lip’s muscles to a lower position.

Hyperactive Upper Lip

For some people, the upper lip is perfectly normal and in the right position when in a relaxed position, but they show a lot of gum as they smile. This condition is due to very strong muscles of the upper lip resulting in moving the upper lip too far and showing excessive gum. For this condition, BOTOX® treatment is the best course of action as it prevents the muscles from pulling so high up.

Post-Surgical Care

Healing will take several days, and we will equip you with the proper tools to maintain your oral health. It is important to keep your mouth clean and eat soft, light foods while your gums heal.

Non-Surgical Options

Gum reshaping surgery is not the only option for eliminating a gummy smile! For severe gummy smiles, dentists used to only have one option: surgically removing part of the jaw to elevate the teeth. Rather than perform such a painful, invasive procedure, Dr. Ghina Morad is trained in the most advanced method of treating a gummy smile, and we’re proud to make it available at our office!

The Procedure

Using the same theory as facial harmony orthodontics, Dr. Ghina Morad works with your jawbone to correct your teeth while preserving your bite and the harmony between teeth, jaw, and muscle. Our method of correcting a gummy smile involves a couple of very small pins that, under local anesthesia, feel just like when you get a filling. These pins help elevate your jawbone using slight pressure, moving your smile into a perfect position while preserving the integrity of your mouth.

If you are interested in the treatment of gummy smile without painful surgery, call our office today at 650-592-6396, or make an appointment using our online form. We look forward to getting you the perfect smile you’ve always wanted!