Here are the top 3 actions you can take, in order of efficiency: 1. Go to your orthodontist's office. If you're experiencing a pokey wire, the first thing you should do is call your orthodontist. They are used to this situation, as it's quite common during orthodontic treatment. Gummy smiles are usually "youthful" smiles and it is important to understand what is too gummy or in medical terms, what is a long upper jaw, or Maxilla. TAD's are small bone screws that can be useful to alter a single tooth position but not an entire jawbone. Botox or Dysport will help lengthen an overactive upper lip but is usually not Answer: Botox/filler combo. A. combination of Botox and fillers could help to resolve your gummy smile and. restore harmony to the face without it looking unnatural. The Botox will. reduce the gap between the gap and the gums and the filler can be used to. create more of an upper lip if that's what you desire. 5PeGN.