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Excessive gingival display: treatment by a modified lip repositioning technique
Cléverson O Silva1, Noé V Ribeiro-Júnior, Thiago V S Campos
1School of Dentistry, State University of Maringá /Ingá University, Maringá, Paraná, Brazil. prof.cleversonsilva@gmail.com
Journal of Clinical Periodontology
|January 3, 2013
Summary
This study shows a modified lip repositioning technique significantly reduces excessive gingival display. Most patients were satisfied with their improved smile, reporting stable results after six months.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic Surgery
- Cosmetic Dentistry
Background:
- Excessive gingival display, often called a
- gummy smile,
- can negatively impact self-esteem.
- Conventional treatments may be invasive or yield suboptimal aesthetic results.
Purpose of the Study:
- To evaluate the efficacy and patient satisfaction of a modified lip repositioning technique for correcting excessive gingival display.
- To assess the stability of outcomes over a six-month period.
Main Methods:
- A prospective study involving thirteen patients with excessive gingival display.
- A modified lip repositioning technique involving mucosal strip removal and coronal repositioning was performed.
- Clinical measurements and patient-reported outcome surveys were used for evaluation.
Main Results:
- A significant reduction in gingival display from 5.8 mm to 1.4 mm at three months, maintained at six months.
- A strong correlation was observed between reduced gingival display and changes in lip and vermillion length.
- 92% of patients reported satisfaction with their smile and would recommend the procedure.
Conclusions:
- The modified lip repositioning technique offers predictable and stable short-term outcomes for treating excessive gingival display.
- High patient satisfaction rates underscore the aesthetic benefits of this minimally invasive procedure.