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Lip repositioning
Reetika Gaddale1, Shrikar R Desai2, Jayashree A Mudda2
1Department of Periodontology, Al-Badar Dental College and Hospital, Gulbarga, Karnataka, India.
Journal of Indian Society of Periodontology
|May 30, 2014
Summary
Surgical lip repositioning effectively manages gummy smiles caused by vertical maxillary excess. This less invasive technique reduces excessive gingival display by altering lip muscle pull, offering an alternative to orthognathic surgery.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
Background:
- Excessive gingival display, or gummy smile, is a common aesthetic concern with diverse causes.
- Vertical maxillary excess and hypermobile upper lip are specific etiologies contributing to gummy smiles.
Observation:
- This study details the application of a surgical lip repositioning technique.
- The procedure targets the management of gummy smiles linked to vertical maxillary excess and upper lip hypermobility.
Findings:
- The technique involves shortening the maxillary vestibule to restrict the pull of elevator lip muscles.
- This restriction effectively reduces visible gingival display during smiling.
- Uneventful healing and a 10-month follow-up confirmed sustained reduction in gingival display.
Implications:
- Lip repositioning offers a less invasive surgical alternative to orthognathic surgery for gummy smile correction.
- This technique provides a viable option for patients seeking improved smile aesthetics with reduced surgical burden.
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