Lip reposition surgery: A new call in periodontics

Abstract

“Gummy smile” is a major concern for a large number of patients visiting the dentist. Esthetics has now become an integral part of periodontal treatment plan. This article presents a case of a gummy smile in which esthetic correction was achieved through periodontal plastic surgical procedure wherein a 10-12 mm of partial-thickness flap was dissected apical to mucogingival junction followed by approximation of the flaps. This novel technique gave excellent post-operative results with enormous patient satisfaction. This surgical chair-side procedure being one of its kinds with outstanding results is very rarely performed by Periodontists. Thus, a lot of clinical work and literature review with this surgical technique is required. To make it a routine surgical procedure this technique can be incorporated as a part of periodontal plastic surgery in the text. Hence, we have put forward experience of a case with critical analysis of the surgical technique including the limitations of the technique.

Building Confident Smiles Using Aesthetic Crown Lengthening Procedures with Gingivectomy: A Report of Two Cases

“…20 Sometimes extensive gingival displays caused by a very high lipline cannot be corrected with crown lengthening and may require lip repositioning surgery or perhaps orthognathic surgery. 21 Another factor to consider while removing bone is the crown-to-root ratio; excessive osseous resection or attachment loss may jeopardize the tooth's attachment, particularly in teeth with periapical apicectomy. 22…”

Mucosal coronally positioned flap technique for management of excessive gingival display

“…Greater amount of exposed gingiva (2-3 mm) can be cosmetically acceptable as long as the gingiva is not unduly conspicuous such as “Gummy smile” appearance, where more than 3 mm of gingiva is displayed during a relaxed smile. This correction of esthetics should be done under the boundaries of “cosmetic zone.” In an esthetic evaluation of dentogingival complex, the midline of the face, the position of the incisal edges and the gingival line are important landmarks [ 3 ]. The form of the lips and the position of the lips during speech and smiling cannot be easily changed, but the dentist may, if necessary, modify/control the form of the teeth and interdental papillae as well as the position of the gingival margins and the incisal edges of the teeth along with repositioning of the lip.…”

Reposicionamiento labial: reporte de caso

“…(dos Santos- Pereira et al, 2021), (Alammar, Heshmeh, Mounajjed, Goodson, & Hamadah, 2018;Bhimani & Sofia, 2019; Entre estas afecciones la amplia exposición gingival al sonreir, conocido como ¨sonrisa gingival¨, definida como una condición no patológica en donde la exposición gingival supera los 4mm tomados desde el extremo inferior del labio superior y el margen gingival de los dientes, razón por la que muchos pacientes refieren malestar estético y buscan soluciones en tratamientos odontológicos. (Dym & Pierre 2nd, 2020;Sheth, Shah, Shah, & Shah, 2013) La incidencia de la excesiva exposición gingival es debida a condiciones etiológicas multifactoriales como: el labio superior corto o hiperactivo, erupción pasiva alterada y condiciones esqueletales como el exceso vertical de hueso maxilar. En cuanto a su prevalencia se ha reportado que las mujeres presentan mayor predisposición que los hombres en una relación de 14% a 7% respectivamente.…”