Lip repositioning for cosmetic correction of gummy smile: Case series
Journal name: Journal of Indian Society of Periodontology
Original article title: Esthetic lip repositioning: A cosmetic approach for correction of gummy smile � A case series
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:
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Asha Ramesh, Radha Vellayappan, Sheethalan Ravi, Kaarthikeyan Gurumoorthy
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Esthetic lip repositioning: A cosmetic approach for correction of gummy smile � A case series
Year: 2019 | Doi: 10.4103/jisp.jisp_548
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
A gummy smile is an aesthetic concern frequently encountered in younger individuals, characterized by excessive gingival visibility during smiling. This condition can arise from various factors, including skeletal issues, altered passive eruption, or tooth malpositioning. Traditional treatments typically involve orthognathic surgery and orthodontic intervention, both of which carry high morbidity and hospitalization risks. An alternative cosmetic approach is lip repositioning, which offers minimal risk and side effects for correcting excessive gingival display. This case series explores three patients who experienced successful smile enhancement through a combination of lip-repositioning techniques and laser-assisted crown lengthening, demonstrating long-term predictability and satisfaction.
Minimally Invasive Correction
The case series showcases the effectiveness of the lip-repositioning technique as a less invasive option for patients with gummy smiles. The first two cases involved patients opting for lip repositioning over traditional orthognathic surgery, emphasizing its appeal due to the minimal invasiveness and lower recovery complications. The surgical approach involved gingival depigmentation and crown-lengthening procedures, followed by lip repositioning, resulting in aesthetically enhanced smiles without noticeable relapse at the two-year follow-up. The third case highlighted the technique's applicability even in orthodontic patients, reinforcing the versatility of lip repositioning as a cosmetic treatment modality. Notably, multiple studies support this technique, suggesting an average reduction in gingival visibility and favorable outcomes with stable results over time.
Conclusion
Lip repositioning surgery presents a promising approach for correcting gummy smiles, as evidenced by this case series demonstrating lasting aesthetic improvements in three patients. The technique stands out for its minimally invasive nature and the reduction of postoperative complications compared to more traditional methods. The findings suggest that lip repositioning not only provides significant cosmetic benefits but also enhances patient satisfaction, marking it as an effective option in contemporary dental and cosmetic practices. Further long-term studies and clinical trials are encouraged to fully evaluate the stability and comparative effectiveness of this treatment among various populations.
FAQ section (important questions/answers):
What is a gummy smile and what causes it?
A gummy smile (GS) is characterized by excessive gingival display while smiling. It can result from a short upper lip, hyperactive lip muscles, or vertical maxillary excess (VME), among other anatomical variations.
What are the common treatments for a gummy smile?
Common treatments for gummy smile include orthognathic surgery, orthodontic treatment, and lip repositioning. Lip repositioning is a less invasive method that involves surgically repositioning the lip to reduce gingival exposure.
How does the lip repositioning procedure work?
Lip repositioning is performed by making incisions in the lip to remove a strip of connective tissue, thereby limiting lip movement and minimizing gingival display. This technique can offer aesthetic improvements with fewer complications compared to more invasive surgical options.
What are the benefits of lip repositioning over other methods?
Lip repositioning is less invasive and typically results in minimal postoperative complications. It provides a cosmetic improvement in smile aesthetics without the need for hospitalization or significant recovery time.
What outcomes have been observed in long-term follow-ups after lip repositioning?
In a case series with a follow-up of 2 years, patients exhibited stable aesthetic outcomes with no reported recurrence of excessive gingival display, indicating the technique's effectiveness and reliability.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Lip repositioning for cosmetic correction of gummy smile: Case series�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Table:
The term 'Table' in the context of this document may refer to structured data or information that organizes findings from the case studies for readers to easily understand and reference. However, the provided content does not contain an explicit 'table,' which could mean that data visualization techniques were utilized elsewhere in the research.
2) Incision:
'Incision' refers to a surgical cut made during the lip repositioning and crown-lengthening procedures described in the case studies. Properly executed incisions are crucial for effective surgery, and they influence healing, postoperative outcomes, and the aesthetic result. Surgical incisions must be carefully planned to minimize discomfort and scarring.
3) Antibiotic (Antibacterial):
Antibiotics are medications used to prevent or treat infections, particularly after surgical procedures like those described in the case studies. In these cases, antibiotics were prescribed to reduce the risk of postoperative infections and complications, highlighting the importance of antibiotic prophylaxis in maintaining patient safety during recovery.
4) Food:
'Food' refers to the dietary considerations given to patients post-surgery. After procedures like lip repositioning, patients are advised to consume soft foods to avoid injuring the surgical site. This is especially critical in the initial healing stages where maintaining sutures is vital for optimal recovery and preventing complications.
5) Nature:
'Nature' could pertain to the inherent characteristics and biological contexts of surgical procedures discussed. Understanding the natural anatomical relationships of the lips, gums, and teeth is essential for performing effective surgeries. The 'nature' of the patient's anatomy significantly influences the choice of surgical technique and the expected outcomes.
6) Jacob:
'Jacob' refers to a researcher mentioned in the document, possibly indicating a study or findings related to lip repositioning technique outcomes. The relevance here lies in the contribution of Jacob’s research, which may provide evidence or case studies supporting lip repositioning as an effective alternative for correcting gummy smiles.
7) Drug:
'Drug' generally refers to any substance used for therapeutic purposes, which would include antibiotics and pain management medications mentioned in the document. Discussing drugs is relevant when evaluating postoperative care protocols, as they can significantly influence healing and patient comfort following surgical interventions outlined in the case studies.
8) Discussion:
'Discussion' is a critical section in scholarly articles where findings and observations from the study are analyzed in relation to existing literature. It provides insights into the implications, limitations, and future directions of the research presented. In this document, important conclusions about the effectiveness of lip repositioning are drawn.
9) Swelling:
Swelling describes an inflammatory response that can occur post-surgery, affecting patient recovery. It may arise from incisions, tissue manipulation, and healing processes. Managing swelling is crucial in the postoperative phase, as it can impact comfort levels and the aesthetic outcomes of surgical procedures like lip repositioning.
10) Reason:
'Reason' pertains to the rationale behind choosing specific surgical methods or treatments. In the context of this document, understanding why patients prefer lip repositioning over more invasive options is essential. This informs the clinical approach towards treating excessive gingival display and enhances patient satisfaction and compliance.
11) Edema (Oedema):
'Edema' refers to the accumulation of fluid in tissues, resulting in swelling. It is a common postoperative condition that can arise from surgical interventions, such as those described in the case studies. Monitoring and managing edema are crucial to ensuring proper healing and minimizing discomfort after surgery.
12) Study (Studying):
'Study' denotes the research endeavors documented within the content. It explores the outcomes of lip repositioning in patients with gummy smiles and supports the development of evidence-based practices in dentistry. The study’s design, methodology, and results are crucial for advancing knowledge in this area.
13) Diet:
'Diet' relates to the nutritional regimen that patients are advised to follow post-surgery. In this document, a soft diet is recommended to aid healing after surgical procedures, emphasizing the link between nutrition and recovery. The patient's adherence to dietary guidelines can influence surgical outcomes.
14) Pain:
'Pain' is a significant consideration in surgical procedures, representing a common concern for patients before and after surgery. The document addresses pain management strategies, including medication and postoperative care, which are vital for improving patient comfort and enhancing recovery following procedures such as lip repositioning.
15) Male:
'Male' signifies a demographic variable that could be relevant for understanding the distribution of gummy smiles among different genders. The implications regarding gender differences in treatment preference, esthetic concerns, and surgical outcomes can be explored further within the context of this study's findings.
Other Science Concepts:
Discover the significance of concepts within the article: �Lip repositioning for cosmetic correction of gummy smile: Case series�. Further sources in the context of Science might help you critically compare this page with similair documents:
Clinical examination, Informed consent, Surgical Site, Gummy Smile, Lip Repositioning, Crown Lengthening, Botulinum toxin injection, Minimally invasive surgery, Vertical maxillary excess, Orthognathic surgery.