Lip repositioning: case report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i11.20218

Keywords:

Gummy smile; Excessive gingival exposure; Hypermobile lip; Altered passive eruption; Gingivectomy; Lip repositioning technique.

Abstract

Gummy smile is a clinical condition in which a gingival exposure greater than 4mm occurs when smiling, aesthetically affecting many individuals. Gummy smile is due to multifactorial etiological conditions; that is why, for its correction, a correct diagnosis must be established, determining the etiological factor (s) to carry out an effective treatment plan. The following is a case report of a 24-year-old woman who presented extensive gingival exposure when smiling due to a hypermobile lip and an altered passive eruption, for which a gingivectomy was performed in combination with the lip repositioning technique, eliminating a band of mucosa of the maxillary vestibule creating a partial thickness flap between the junction of the mucogingival line and apical to the upper lip musculature to later suture and achieve a shorter vestibule, restricting the upper lip musculature giving resolution to the excessive gingival display. It is concluded that both procedures were successful, predictable, and minimally invasive, obtaining a satisfactory result without reporting relapses in 6 months.

References

Alammar, A., Heshmeh, O., Mounajjed, R., Goodson, M., & Hamadah, O. (2018). A comparison between modified and conventional surgical techniques for surgical lip repositioning in the management of the gummy smile. Journal of Esthetic and Restorative Dentistry, 30(6), 523-531.

Aroni, M. A. T., Pigossi, S. C., Pichotano, E. C., de Oliveira, G., & Marcantonio, R. A. C. (2019). Esthetic crown lengthening in the treatment of gummy smile. Int J Esthet Dent, 14(4), 370-382.

Bhimani, R. A., & Sofia, N. D. (2019). Lip repositioning, aesthetic crown lengthening, and gingival depigmentation: A combined approach for a gummy smile makeover. Journal of cutaneous and aesthetic surgery, 12(4), 240.

Bhola, M., Fairbairn, P. J., Kolhatkar, S., Chu, S. J., Morris, T., & de Campos, M. (2015). LipStaT: The Lip Stabilization Technique—Indications and Guidelines for Case Selection and Classification of Excessive Gingival Display. International Journal of Periodontics & Restorative Dentistry, 35(4).

Chagas, T. F., Almeida, N. V. d., Lisboa, C. O., Ferreira, D. M. T. P., Mattos, C. T., & Mucha, J. N. (2018). Duration of effectiveness of Botulinum toxin type A in excessive gingival display: a systematic review and meta-analysis. Brazilian oral research, 32.

Dilaver, E., & Uckan, S. (2018). Effect of V–Y plasty on lip lengthening and treatment of gummy smile. International journal of oral and maxillofacial surgery, 47(2), 184-187.

Dos Santos‐Pereira, S. A., Cicareli, Á. J., Idalgo, F. A., Nunes, A. G., Kassis, E. N., Castanha Henriques, J. F., & Bellini‐Pereira, S. A. (2021). Effectiveness of lip repositioning surgeries in the treatment of excessive gingival display: A systematic review and meta‐analysis. Journal of Esthetic and Restorative Dentistry, 33(3), 446-457.

Dym, H., & Pierre 2nd, R. (2020). Diagnosis and treatment approaches to a" Gummy Smile. Dent Clin North Am, 64(2), 341-349.

Foudah, M. A. (2019). Lip repositioning: An alternative to invasive surgery a 4 year follow up case report. The Saudi dental journal, 31, S78-S84.

Humayun, N., Kolhatkar, S., Souiyas, J., & Bhola, M. (2010). Mucosal coronally positioned flap for the management of excessive gingival display in the presence of hypermobility of the upper lip and vertical maxillary excess: A case report. Journal of periodontology, 81(12), 1858-1863.

Ishida, L. H., Ishida, L. C., Ishida, J., Grynglas, J., Alonso, N., & Ferreira, M. C. (2010). Myotomy of the levator labii superioris muscle and lip repositioning: a combined approach for the correction of gummy smile. Plastic and reconstructive surgery, 126(3), 1014-1019.

Litton, C., & Fournier, P. (1979). Simple surgical correction of the gummy smile. Plastic and reconstructive surgery, 63(3), 372-373.

Mann, D. (2017). Lip repositioning to eliminate the gummy smile. Inside Dent, 13, 3.

Ozturan, S., Ay, E., & Sagir, S. (2014). Case series of laser-assisted treatment of excessive gingival display: an alternative treatment. Photomedicine and laser surgery, 32(9), 517-523.

Paik, C.-H., Park, H.-S., & Ahn, H.-W. (2017). Treatment of vertical maxillary excess without open bite in a skeletal Class II hyperdivergent patient. The Angle Orthodontist, 87(4), 625-633.

Pandurić, D. G., Blašković, M., Brozović, J., & Sušić, M. (2014). Surgical treatment of excessive gingival display using lip repositioning technique and laser gingivectomy as an alternative to orthognathic surgery. Journal of Oral and Maxillofacial Surgery, 72(2), 404. e401-404. e411.

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica.

Polo, M. (2008). Botulinum toxin type A (Botox) for the neuromuscular correction of excessive gingival display on smiling (gummy smile). American journal of orthodontics and dentofacial orthopedics, 133(2), 195-203.

Ramesh, A., Vellayappan, R., Ravi, S., & Gurumoorthy, K. (2019). Esthetic lip repositioning: A cosmetic approach for correction of gummy smile–A case series. Journal of Indian Society of Periodontology, 23(3), 290.

Rosenblatt, A., & Simon, Z. (2006). Lip repositioning for reduction of excessive gingival display: a clinical report. International Journal of Periodontics & Restorative Dentistry, 26(5).

Rubinstein, A., & Kostianovsky, A. (1973). Cosmetic surgery for the malformation of the laugh: original technique. Prensa Med Argent, 60, 952.

Sheth, T., Shah, S., Shah, M., & Shah, E. (2013). Lip reposition surgery: A new call in periodontics. Contemporary clinical dentistry, 4(3), 378.

Silva, C. O., Ribeiro‐Júnior, N. V., Campos, T. V., Rodrigues, J. G., & Tatakis, D. N. (2013). Excessive gingival display: treatment by a modified lip repositioning technique. Journal of clinical periodontology, 40(3), 260-265.

Simon, Z., Rosenblatt, A., & Dorfman, W. (2007). Eliminating a gummy smile with surgical lip repositioning. The journal of cosmetic dentistry, 23(1).

Smile, M. G. (2014). Modifying gummy smile: a minimally invasive approach. The journal of contemporary dental practice, 15(6), 821-826.

Tawfik, O. K., El‐Nahass, H. E., Shipman, P., Looney, S. W., Cutler, C. W., & Brunner, M. (2018). Lip repositioning for the treatment of excess gingival display: A systematic review. Journal of Esthetic and Restorative Dentistry, 30(2), 101-112.

Tawfik, O. K., Naiem, S. N., Tawfik, L. K., Yussif, N., Meghil, M. M., Cutler, C. W., & El‐Nahass, H. E. (2018). Lip repositioning with or without myotomy: A randomized clinical trial. Journal of periodontology, 89(7), 815-823.

Published

07/09/2021

How to Cite

PERAZA, V. M. .; ESPINOZA, K. A. R. Lip repositioning: case report. Research, Society and Development, [S. l.], v. 10, n. 11, p. e502101120218, 2021. DOI: 10.33448/rsd-v10i11.20218. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/20218. Acesso em: 16 nov. 2024.

Issue

Section

Health Sciences