Creating smiles the lip repositioning way a case report

  • Authors

    • Dr. Nikhila Chandramohan POSTGRADUATE, DEPARTMENT OF PERIODONTICS, M R AMBEDKAR DENTAL COLLEGE & HOSPITAL, BANGALORE, KARNATAKA
    • Dr. Lalith Vivekanand Reader , M R Ambedkar dental college, Bangalore , Karnataka
    • Dr. Swetha A POSTGRADUATE, DEPARTMENT OF PERIODONTICS, M R AMBEDKAR DENTAL COLLEGE & HOSPITAL, BANGALORE, KARNATAKA
    • Dr. Faiza Fathima POSTGRADUATE, DEPARTMENT OF PERIODONTICS, M R AMBEDKAR DENTAL COLLEGE & HOSPITAL, BANGALORE, KARNATAKA
    2022-01-02
    https://doi.org/10.14419/ijdr.v8i2.31723
  • Esthetic, Gingival Display, Gummy Smile, Lip Repositioning.

  • A beautiful smile comprises a perfect balance of the white and pink. A gummy smile has been a prevalent esthetic disorder with varied etiologies including of skeletal, dento-alveolar, or soft-tissue origin. It can be managed by a variety of treatment modalities after appropriate diagnosis and treatment planning. If it is due to jaw deformities, altered passive eruption or tooth malpositioning, the corrective measures incorporate orthognathic surgery and orthodontic treatment. However, this requires hospitalization and entails significant discomfort. Lip repositioning is a simple and predictable technique that restricts the muscle pull of the elevator lip muscles thereby reducing the gingival display. This case report demonstrates the successful management of a young patient with moderate gummy smile using the conventional LR surgery thereby proving to be a promising alternative that is less invasive in nature and with minimal postop complications. At 6 months, the results were stable.

     

     

     

  • References

    1. [1] Peck, S., Peck, L., & Kataja, M. (1992). Some vertical lineaments of lip position. American journal of orthodontics and dentofacial orthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 101(6), 519–524. https://doi.org/10.1016/0889-5406(92)70126-U.

      [2] Kokich, V. O., Jr, Kiyak, H. A., & Shapiro, P. A. (1999). Comparing the perception of dentists and lay people to altered dental esthetics. Journal of esthetic dentistry, 11(6), 311–324. https://doi.org/10.1111/j.1708-8240.1999.tb00414.x.

      [3] Lee E. A. (2004). Aesthetic crown lengthening: classification, biologic rationale, and treatment planning considerations. Practical procedures & aesthetic dentistry: PPAD, 16(10), 769–780.

      [4] Simon Z, Rosemblatt A, Dorfmann W (2007). Eliminating a gummy smile with surgicallip repositioning. The Journal of Cosmetic Dentistry, 23(1),100–108.

      [5] Kim, S. G., & Park, S. S. (2007). Incidence of complications and problems related to orthognathic surgery. Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons, 65(12), 2438–2444. https://doi.org/10.1016/j.joms.2007.05.030.

      [6] Peck, S., Peck, L., & Kataja, M. (1992). The gingival smile lines. The Angle orthodontist, 62(2), 91–102. https://doi.org/10.1043/0003-3219(1992)062<0091:TGSL>2.0.CO;2

      [7] Mostafa D. (2018). A successful management of sever gummy smile using gingivectomy and botulinum toxin injection: A case report. International journal of surgery case reports, 42, 169–174. https://doi.org/10.1016/j.ijscr.2017.11.055.

      [8] Rosenblatt, A., & Simon, Z. (2006). Lip repositioning for reduction of excessive gingival display: a clinical report. The International journal of periodontics & restorative dentistry, 26(5), 433–437.

      [9] Rubinstein A, Kostianovsky A. Cirugia estetica de la malformacion de la sonrisa. Pren Med Argent.1973;60:952.

      [10] Silberberg, N., Goldstein, M., & Smidt, A. (2009). Excessive gingival display--etiology, diagnosis, and treatment modalities. Quintessence international (Berlin, Germany: 1985), 40(10), 809–818.

      [11] 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: official publication of the American Academy of Esthetic Dentistry ... [et al.], 30(2), 101–112. https://doi.org/10.1111/jerd.12352.

      [12] Litton, C., & Fournier, P. (1979). Simple surgical correction of the gummy smile. Plastic and reconstructive surgery, 63(3), 372–373. https://doi.org/10.1097/00006534-197903000-00014.

      [13] Miskinyar S. A. (1983). A new method for correcting a gummy smile. Plastic and reconstructive surgery, 72(3), 397–400. https://doi.org/10.1097/00006534-198309000-00027.

      [14] Ellenbogen, R., & Swara, N. (1984). The improvement of the gummy smile using the implant spacer technique. Annals of plastic surgery, 12(1), 16–24. https://doi.org/10.1097/00000637-198401000-00004.

      [15] 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. https://doi.org/10.1097/PRS.0b013e3181e3b6d4.

      [16] 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: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 133(2), 195–203. https://doi.org/10.1016/j.ajodo.2007.04.033.

  • Downloads

  • How to Cite

    Nikhila Chandramohan, D., Lalith Vivekanand, D., Swetha A, D., & Faiza Fathima, D. (2022). Creating smiles the lip repositioning way a case report. International Journal of Dental Research, 8(2), 49-53. https://doi.org/10.14419/ijdr.v8i2.31723