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Lip Repositioning Surgery Using an Er,Cr:YSGG Laser: A Case Series.
Summary
Lip repositioning surgery using an Er,Cr:YSGG laser effectively reduced excessive gingival display and improved patient satisfaction. This minimally invasive approach offers a promising solution for gummy smiles.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
- Cosmetic Dentistry
Background:
- Excessive gingival display (EGD), commonly known as a gummy smile, is a frequent esthetic concern.
- Lip repositioning surgery (LRS) is a recognized treatment for EGD, addressing both skeletal and muscular causes.
- The Er,Cr:YSGG laser presents a novel tool for surgical interventions in dentistry.
Observation:
- This case series evaluated the efficacy of Er,Cr:YSGG laser-assisted LRS in 24 patients.
- Patients presented with either minor vertical maxillary overgrowth or a hypermobile lip.
- The study monitored changes in gingival display and visible lip body post-surgery.
Findings:
- A significant reduction in gingival display was observed, averaging 3.79 mm.
- The visible lip body during smiling increased by an average of 1.23 mm.
- Patient-reported outcomes indicated increased satisfaction with their smile aesthetics.
Implications:
- Er,Cr:YSGG laser-assisted LRS is a viable and effective treatment option for managing EGD.
- The technique offers a minimally invasive approach with positive patient-reported outcomes.
- This method holds potential for improving smile aesthetics in patients with specific maxillary and lip conditions.

