Gummy smile treatment using lip repositioning surgery | ||
| Egyptian Dental Journal | ||
| Volume 69, Issue 3 - Serial Number 2, July 2023, Pages 1811-1818 PDF (2.21 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/edj.2023.193234.2437 | ||
| Author | ||
| Noury Adel* | ||
| MSc, Oral and Maxillofacial Surgery Specialist at the National Institute of Neuro Motor System | ||
| Abstract | ||
| Aim: The present study was performed to evaluate the longevity and efficacy of the lip repositioning surgery by assessment of the gingival display changes that occur after the surgery through clinical & digital methods. Methods: This prospective study included ten female patients who suffered from excessive gingival display due to upper lip hypermobility or short upper lip. Pre-operative measurement of the amount of gingival display were recorded both clinically using an endodontic ruler & digitally using Adobe Photoshop cs6 through a well standardized photographs. The surgery was performed under local anesthesia for all patients by removing part of the labial mucosa (labial vestibule) followed by suturing of the wound by interrupted 0-5 resorbable suture. All patients were followed up at 14 days, 4 months, 8 months and 12 months, postoperative assessment was done by measuring the changes in the gingival display using the same clinical & digital techniques. Results: Post-operative measurements at 14 days follow up, showed obvious reduction in the amount of gum exposure. However complete relapse was observed at 4 months. Conclusion: The longevity of the procedure is questionable with almost complete relapse. | ||
| Keywords | ||
| lip repositioning; gummy smile; excessive gingival display; upper lip | ||
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