Case Report
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Year 2023, Volume: 2 Issue: 3, 57 - 59, 22.09.2023

Abstract

References

  • 1. Tjan AH, Miller GD, The JG. Some esthetic factors in a smile. J Prosthet Dent. 1984;51(1):24-8.
  • 2. Robbins JW. Differential diagnosis and treatment or excess gingival display. Pract Periodontics Aesthet Dent. 1999;11(2):265-272.
  • 3. Martins AT, Sakakura CE, Correcirc BE. Pontes AEF. A modified technique that decreases the height of the upper lip in the treatment of gummy smile patients: a case series study. J. Dent. Oral Hyg. 2012; 4(3):21-28.
  • 4. Livada R, Shiloah J. Gummy smile: could it be genetic? Hereditary gingival fibromatosis. J Tennessee Dental Association. 2012;92(1):23.
  • 5. Monaco A, Streni O, Chiara Marci M, Marzo G, Gatto R, Giannoni M. Gummy smile: clinical parameters useful for diagnosis and therapeutical approach. J Clin Pediatr Dentistry. 2005;29(1):19-25.
  • 6. Rubinstein AM, Kostianovsky AS. Cosmetic Surgery malformation of Smiles. Prep Med Argent 1973;60:952.
  • 7. Roy BM. Lip Repositioning: Patient Outcome Assessments [master thesis]. Columbus, OH: The Ohio State University; 2016:1-28.
  • 8. Alammar AM, Heshmeh OA. Lip repositioning with a myotomy of the elevator muscles for the management of a gummy smile. Dent Med Probl. 2018 Jul- Sep;55(3):241-246.
  • 9. Silva CO, Ribeiro-Júnior NV, Campos TV, Rodrigues JG, Tatakis DN. Excessive gingival display: treatment by a modified lip repositioning technique. J Clin Periodontol. 2013;40(3):260-265.
  • 10. Rosenblatt A, Simon Z. Lip repositioning for reduction of excessive gingival display: A clinical report. Int J Periodontics Restorative Dent. 2006;26:433–7.

Lip Repositioning as an Alternative Treatment of Gummy Smile

Year 2023, Volume: 2 Issue: 3, 57 - 59, 22.09.2023

Abstract

Objective
Excessive gingival display (EGD) may compromise esthetics during smile. As the etiology is multi-factorial, various treatment
options have been described for the management of EGD. The aim of this report was to present the management of four patients
with EGD by lip repositioning technique as a minimally invasive treatment modality.
Case
Four female patients referred to our department with a chief complaint of unaesthetic appearance during smiling. Clinical
examination revealed EGD as a result of vertical maxillary excess and hypermobile upper lip. Lip repositioning surgery was
performed in order to restrict the pull of the elevator lip muscles. No complications or recurrence were observed at 6-month
follow-up and all patients were satisfied with the outcomes of the procedure.
Conclusion
As a safe and relatively simple procedure, lip repositioning may provide satisfactory outcomes for patients with excessive gingival
display.

References

  • 1. Tjan AH, Miller GD, The JG. Some esthetic factors in a smile. J Prosthet Dent. 1984;51(1):24-8.
  • 2. Robbins JW. Differential diagnosis and treatment or excess gingival display. Pract Periodontics Aesthet Dent. 1999;11(2):265-272.
  • 3. Martins AT, Sakakura CE, Correcirc BE. Pontes AEF. A modified technique that decreases the height of the upper lip in the treatment of gummy smile patients: a case series study. J. Dent. Oral Hyg. 2012; 4(3):21-28.
  • 4. Livada R, Shiloah J. Gummy smile: could it be genetic? Hereditary gingival fibromatosis. J Tennessee Dental Association. 2012;92(1):23.
  • 5. Monaco A, Streni O, Chiara Marci M, Marzo G, Gatto R, Giannoni M. Gummy smile: clinical parameters useful for diagnosis and therapeutical approach. J Clin Pediatr Dentistry. 2005;29(1):19-25.
  • 6. Rubinstein AM, Kostianovsky AS. Cosmetic Surgery malformation of Smiles. Prep Med Argent 1973;60:952.
  • 7. Roy BM. Lip Repositioning: Patient Outcome Assessments [master thesis]. Columbus, OH: The Ohio State University; 2016:1-28.
  • 8. Alammar AM, Heshmeh OA. Lip repositioning with a myotomy of the elevator muscles for the management of a gummy smile. Dent Med Probl. 2018 Jul- Sep;55(3):241-246.
  • 9. Silva CO, Ribeiro-Júnior NV, Campos TV, Rodrigues JG, Tatakis DN. Excessive gingival display: treatment by a modified lip repositioning technique. J Clin Periodontol. 2013;40(3):260-265.
  • 10. Rosenblatt A, Simon Z. Lip repositioning for reduction of excessive gingival display: A clinical report. Int J Periodontics Restorative Dent. 2006;26:433–7.
There are 10 citations in total.

Details

Primary Language English
Subjects Facial Plastic Surgery
Journal Section Case Reports
Authors

Büşra Karaca This is me

Hüseyin Ali Tezişener This is me 0000-0001-9425-341X

Öznur Özalp

Mehmet Ali Atay This is me

Alper Sindel

Early Pub Date December 21, 2023
Publication Date September 22, 2023
Published in Issue Year 2023 Volume: 2 Issue: 3

Cite

Vancouver Karaca B, Tezişener HA, Özalp Ö, Atay MA, Sindel A. Lip Repositioning as an Alternative Treatment of Gummy Smile. EJOMS. 2023;2(3):57-9.

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