Lip repositioning, a solution for gummy smile

Haddadi, Pardis; Zare, Hadi; Azadikhah, Ali

doi:10.18502/fid.v18i15.6140

Cited by 9 publications

(7 citation statements)

References 20 publications

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“…There are countless cases [ 17 – 19 ] when the combination of gingivectomy with lip repositioning is done, especially in cases where we have more than 4 mm of gingival exposure [ 9 ], as in our case. Therefore, performing a gingivectomy following lip repositioning surgery helps eliminate any remaining irregularities or inconsistencies.…”

Section: Discussionmentioning

confidence: 99%

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Lip Repositioning Surgery: A Simple Smile and Life Transformation Procedure

Salihu,

Agani,

Demiri

2024

Case Reports in Dentistry

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Excessive display of the gums when smiling, known as gummy smiles, can lead to aesthetic concerns and emotional discomfort for individuals. In recent times, there has been a notable rise in the popularity of gummy smile surgery as a cosmetic procedure aimed at addressing this problem. A novel technique known as lip repositioning has emerged and gained recent popularity, either on its own or in conjunction with other approaches. In specific situations, it offers a simpler, less intricate alternative to more extensive surgical procedures, resulting in a pleasing and satisfactory camouflage effect while reducing postoperative complications. This case report illustrates the effective treatment of a gummy smile in a patient with excessive gum exposure using a lip repositioning technique. The procedure involved the removal of a partial thickness strip of mucosa lining in the maxillary buccal vestibule, without including the labial frenulum, and suturing the lip lining to the gum line. Our aim was to present lip repositioning as an effective method for reducing excessive gum exposure and addressing any unevenness in a minimally invasive manner. We sought a solution that offers long-lasting results over time while minimizing the chances of the issue recurring, with a 14-month follow-up.

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Section: Discussionmentioning

confidence: 99%

“…Lip repositioning is contraindicated in cases with substantial vertical maxillary excess and minimal zone of attached gingiva, which can complicate flap design, stabilization, and suturing [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Lip Repositioning Surgery: A Simple Smile and Life Transformation Procedure

Salihu,

Agani,

Demiri

2024

Case Reports in Dentistry

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“…O sorriso gengival foi reconhecido pela Academia Americana de Periodontia como uma deformidade mucogengival ao redor dos dentes (Mele, et al, 2018), caracterizada por ser uma condição na qual os indivíduos apresentam mais de 3 mm de tecido gengival ao sorrir (Haddadi et al, 2021), o que pode gerar um desconforto estético ao paciente, além de impactar diretamente na autoestima (Dym & Pierre, 2019). Os fatores etiológicos, por sua vez, são de origem multifatorial e/ou combinados destacando-se hiperatividade muscular, erupção passiva alterada, lábio superior curto, coroas clínicas curtas e excesso maxilar vertical (Arcuri, et al, 2018).…”

Section: Discussionunclassified

Tratamento cirúrgico periodontal para correção do sorriso gengival: revisão integrativa da literatura

Almeida

Oliveira²,

Carvalho³

et al. 2022

RSD

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Quando há exposição excessiva de gengiva, origina-se o sorriso gengival, uma condição não patológica, mas que leva a uma desarmonia estética. A exibição de até 2-3 mm ou menos de tecido gengival é visto como harmônico, por outro lado, mais de 4 mm é considerado gengival. Entender a etiologia multifatorial do sorriso gengival é fundamental para um bom diagnóstico dos principais fatores relacionados a cada caso, fator este que reflete também na elaboração de um plano de tratamento correto e eficaz. A presente revisão integrativa da literatura tem como objetivo descrever as abordagens cirúrgicas para tratamento do sorriso gengival. Para a elaboração do estudo, utilizou-se a base de dado Pubmed, na qual foi utilizado a estratégia PICO. Após os critérios de inclusão e exclusão, foram selecionados de 13 artigos. Os resultados mostraram duas terapias cirúrgicas periodontais: retalho com bisel interno associado à osteotomia e reposicionamento labial. Os retalhos para aumento de coroa clínica parecem apresentar uma maior previsibilidade entre os estudos. A cirurgia de reposicionamento labial, mostrou divergência entre os autores sobre a eficácia das técnicas apresentadas, sendo necessário que mais estudos sejam feitos para elucidar essa questão. Embora note-se que a maioria dos autores concluiu que as abordagens foram satisfatórias, outros estudos com um número maior de amostras, revisões sistemáticas e metanálises são necessárias para avaliar a longo prazo a previsibilidade dos tratamentos apresentados.

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“…(BTX) (7), orthodontics (8), orthognathic surgeries (9), lip repositioning (10), polyester threads (11), or even a combination of the treatments mentioned above.…”

Section: Introductionmentioning

confidence: 99%

Reshaping Smiles: A Successful Clinical Case with Botulinum Toxin for Gummy Smile Reduction

Dall'Magro,

Dallepiane,

Martin

et al. 2024

Odovtos - Int J Dent Sc

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The use of botulinum toxin (BTX) represents an effective and safe approach in treating the gummy smile, reducing excessive gum exposure during smiling. This minimally invasive procedure can yield remarkable aesthetic results and contribute to an increase in the patient's self-confidence. The aim of this study is to report a clinical case of a female patient undergoing treatment to correct a gummy smile. The case study involves a 21-year-old patient with excessive gum exposure (5 mm when smiling) who sought dental treatment. The origin of her gummy smile was mixed, and the treatment involved the application of 6 units of BTX type A at three specific points on the face. No complications were observed during the three-month follow-up period. Based on the case report, it can be concluded that BTX application for gummy smile treatment proved to be effective, safe, and comfortable in terms of recovery. The BTX approach to correcting a gummy smile is considered safe and entails straightforward recovery, producing satisfactory results that contribute to the improvement of aesthetics and the patient's well-being.

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Lip repositioning, a solution for gummy smile

Cited by 9 publications

References 20 publications

Lip Repositioning Surgery: A Simple Smile and Life Transformation Procedure

Lip Repositioning Surgery: A Simple Smile and Life Transformation Procedure

Tratamento cirúrgico periodontal para correção do sorriso gengival: revisão integrativa da literatura

Reshaping Smiles: A Successful Clinical Case with Botulinum Toxin for Gummy Smile Reduction

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