2018, Number 2
<< Back
Rev ADM 2018; 75 (2)
Treatment of excessive gingival smile using lip repositioning
Falcón-Guerrero B
Language: Spanish
References: 15
Page: 112-116
PDF size: 329.42 Kb.
ABSTRACT
Today’s patients demand an attractive smile and do not cause them to feel embarrassed when expressing it. Excessive gingival display smile is a condition in which the gum (≥ 4 mm) exposed when smiling. Good diagnosis and etiology should be established to determine its treatment. A case described in a patient with an excessive gingival smile of 8-9 mm, caused by vertical maxillary growth, altered passive eruption and hyperactive upper lip. Who after explaining the pros and cons, decided to perform only lip repositioning surgery, because I refuse orthognathic surgery and elongation of crowns. Obtaining a good result, from the immediate postoperative, with great patient satisfaction and few subsequent complications.
REFERENCES
Balssels GE, Cams SD, Ustrell TJM. Evaluación de la sonrisa. Anales de Odontoestomatología. 1996; 1: 36-39.
Sheth T, Shah S, Shah M, Shah E. Lip reposition surgery: a new call in periodontics. Contemp Clin Dent. 2013; 4 (3): 378-381.
Arias DM, Trushkowsky RD, Brea LM, David SB. Treatment of the patient with gummy smile in conjunction with digital smile approach. Dent Clin North Am. 2015; 59 (3): 703-716.
Gabrić PD, Blašković M, Brozović J, Sušić M. Surgical treatment of excessive gingival display using lip repositioning technique and laser gingivectomy as an alternative to orthognathic surgery. J Oral Maxillofac Surg. 2014; 72 (2): 404.e1-11.
Rosenblatt A, Simon Z. Lip repositioning for reduction of excessive gingival display: A clinical report. Int J Periodontics Restorative Dent. 2006; 26 (5): 433-437.
Mantovani MB, Souza EC, Marson FC, Corrêa GO, Progiante PS, Silva CO. Use of modified lip repositioning technique associated with esthetic crown lengthening for treatment of excessive gingival display: a case report of multiple etiologies. J Indian Soc Periodontol. 2016; 20 (1): 82-87.
Gaddale R, Desai SR, Mudda JA, Karthikeyan I. Lip repositioning. J Indian Soc Periodontol. 2014; 18 (2): 254-258.
Sriphadungporn C, Chamnannidiadha N. Perception of smile esthetics by laypeople of different ages. Prog Orthod. 2017; 18 (1): 8.
Ishida LH, Ishida LC, Ishida J, Grynglas J, Alonso N, Ferreira MC. Myotomy of the levator labii superioris muscle and lip repositioning: a combined approach for the correction of gummy smile. Plast Reconstr Surg. 2010; 126 (3): 1014-1019.
Antoniazzi RP, Fischer LS, Balbinot CEA, Antoniazzi SP, Skupien JA. Impact of excessive gingival display on oral health-related quality of life in a southern brazilian young population. J Clin Periodontol. 2017; 44 (10): 996-1002.
Kannan VS, Sathyanarayanan GR, Ahamed AS, Velaven K, Elavarasi E, Danavel C. Anterior maxillary osteotomy: a technical note for superior repositioning: a bird wing segment. J Pharm Bioall Sci. 2014; 6 (5): 107-109.
Narayanan M, Laju S, Erali SM, Erali SM, Fathima AZ, Gopinath PV. Gummy smile correction with diode laser: two case reports. J Int Oral Health. 2015; 7 (Suppl 2): 89-91.
Aly LA, Hammouda NI. Botox as an adjunct to lip repositioning for the management of excessive gingival display in the presence of hypermobility of upper lip and vertical maxillary excess. Dent Res J (Isfahan). 2016; 13 (6): 478-483.
Jananni M, Sivaramakrishnan M, Libby TJ. Surgical correction of excessive gingival display in class I vertical maxillary excess: Mucosal strip technique. J Nat Sci Biol Med. 2014; 5 (2): 494-498.
Simon Z, Rosenblatt A, Dorfman W. Eliminating a gummy smile with surgical lip repositioning. Cosmet Dent. 2007; 23: 100-108.