Gummy smile, lip repositioning, excessive gingival display. Whenever there is increased maxillary vertical excess, orthognathic surgery is the choice of treatment. Lip repositioning was first reported as a correction of a gummy smile in 1973 by rubinstein and kostianovsky. Lip repositioning an innovative cosmetic technique youtube. An attractive smile depends on the proper proportion and arrangement of three components. You can start enjoying attractive gums and smiling. Lip repositioning, used to treat a gummy smile, is faster, has a shorter recovery time, and costs less than traditional jaw surgery.
The extent and etiology of egd, dictates what treatment. Thus considering all the perspectives, modified lip repositioning definitely is a promising surgical approach to. When excessive gum tissue displays between the edge of the lower lip and the bottom of the teeth, the gum tissue can detract from the natural beauty of the teeth and smile. May 30, 2016 this video depicts a case where lip repositioning surgery, frenectomy, crown lenghtening was done along with fixed orthodontic traetment to fulfill the complete esthetic demand of the patients. Surgical lip repositioning is an effective treatment in reducing excessive gingival display and improving facial profile. These include, excessive gum tissue which gives the appearance of short teeth, hyper retraction of the upper lip when smiling, as well as an excessive vertical overgrowth of the upper jaw. Lip repositioning is a simple surgical procedure to treat gummy smile. Excessive gingival display, gingival depigmentation, gummy smile, lip repositioning, periodontal plastic surgery. Feb 02, 2018 this clinical report describes the successful use of lip repositioning technique for the reduction of excessive gingival display.
The procedure limits the muscle pull of the elevator muscles of the lip by shortening the vestibule. Lip repositioning, aesthetic crown lengthening, and gingival. This is a case presented to report the use of lip repositioning technique as a less invasive method to manage egd with a combined underlying cause of moderate vme and hul. The procedure restricts the muscle pull of the elevator lip muscles thereby reducing the. Excessive gingival display also referred as gummy smile is one of the major. This is a mildlyinvasive surgical procedure where the inside of the upper lip is cut to remove a small strip of skin and the exposed cut is then sutured into the gum. He is a diplomate of the american academy of periodontology as well as a fellow of the. The objectives of this article are to present a case in which the surgical technique of. Removing gum tissue with laser therapy can only correct so much of this defect. Eliminating a gummy smile with surgical lip repositioning clinical science simon, rosenblatt, dorfman dr.
Simon is a periodontist who completed his specialty training and obtained his master of science degree at the university of toronto. Lip repositioning a series of 5 cases to treat gummy smile by dr. Sc academic consultant of alhokail polyclinic academy alkhobar ksa 2. Gum contouring, whether with a scalpel or a laser, may help improve a gummy smile in certain cases. A noninvasive procedure to avoid other complicated surgical procedures. Lip reposition gummy smile surgical correction youtube. Farnoosh, or call 424 3639485 to set up a consultation. This video depicts 5 cases where lip repositioning was done along with. Aims and objectives the aim of this study was to evaluate the efficacy of laserassisted lip repositioning for gummy smile correction. Thus considering all the perspectives, modified lip repositioning definitely is a promising surgical approach to treat gummy smile. Surgical lip repositioning procedure to improve facial profile in a.
This report describes the use of surgical lip repositioning technique for the management of a gummy smile associated with vertical maxillary excess and hypermobility of the upper lip. A 21 years male patient came with a chief complaint of excessive gingival display. Lip repositioning technique with smile elevator muscle. We can do a trial version by stitching the labial mucosa to the mucogingival junction, which allows patients a chance to visualize the potential end results.
Excessive gingival display egd also known as gummy smile is a common. Feb 02, 2014 diagnosis and treatment of gummy smile 1. The procedure limits the muscle pull of the elevator muscles of the lip by shortening the vestibule, thus reducing the. Gables perfect smile lip reposition surgery in miami by gummy smile treatment get rid of it once and for all dr gareth. One of your best options is a safe, simple surgical procedure known as an aesthetic lip repositioning. The aim of this study was to evaluate and compare conventional and modified lip repositioning surgical techniques used for management of gummy smile involving hyperactive lip elevator muscles. The technique is performed to limit the retraction of elevator muscles e. A gummy smile or a high smile line may lead to a poor smile which can have impact on patients appearance and confidence. Jun 04, 2016 the facial analysis revealed that her midface bone is longer than the other portions of the face. Excessive gingival display, gummy smile, lips repositioning.
Farnoosh offers the following gummy smile treatments for patients who are not ready for surgery or for those who would benefit from combining these treatments with lip lowering. This procedure also is successful in increasing lip volume and for the correction of an asymmetrical smile. Definition of the gummy smile excessive gingival display during smiling 3. Pdf lip repositioning with myotomy a surgical approach to treat. Surgical lip repositioning using laser for the reduction. With proper diagnosis and sequence of therapy, modified lip repositioning surgery combined with esthetic crown lengthening can be used predictably to treat excessive gingival display and enhance smile esthetics. Gummy smile lip repositioning there are several factors that contribute to a gummy smile.
Lip repositioning, aesthetic crown lengthening, and. This procedure is safe and predictable with minimal risk or side effects. An alternative to invasive surgery a 4 year follow. Excessive gingival display is a frequent finding that can occur because of various intraoral or extraoral etiologies. Gummy smile, secondary to altered passive eruption and tooth malpositioning, can be predictably treated with surgery and orthodontic therapy. Excessive gingival display, commonly referred to as gummy smile is a major hurdle in overall personality of an individual. Combining repositioning with myotomy of the lip levator muscles works well. Were any of these patients presented with an option of orthognathic surgery. The authors evaluate onabotulinumtoxina as a safe and minimally invasive treatment for a gummy smile. The case presented here describes a surgical technique for lip reposition ing to reduce gingival display. Lip training exercises, gingivectomy, esthetic crown lengthening, lip repositioning, and orthognathic surgery are done to address the condition. The aim of present case report is to discuss surgical lip repositioning technique for the management of excessive gingival display related with vertical maxillary excess and increase mobility of the upper lip.
Long term satisfaction with the result needs further investigation. To correct unesthetic gummy smile, surgical lip repositioning was planned to limit the retraction of. Smile designing by surgical lip repositioning with. Lip repositioning for gummy smile correction video. Botulinum toxin type a in the treatment of excessive gingival display. A prospective study was conducted between april 2016 and may 2017. The lip repositioning technique was performed with the main objective of reducing gummy smile by limiting the retraction of elevator muscles e. Botox and aesthetic lip repositioning for gummy smiles. A cosmetic approach for correction of gummy smile a case series. An alternative cosmetic treatment for gummy smile article pdf available in journal of indian society of periodontology 184. Lately, lip repositioning has emerged as an innovative and effective way to improve the gummy smile of a patient. Lip repositioning, an alternative treatment of gummy smile a case report.
Onabotulinumtoxina for the treatment of a gummy smile. Lip positioning surgery for gummy smilethin upper lip. In the socalled gummy smile, the gingivae are the domi. Lp also improves esthetics for patients with vme reducing hypermobile lips and gummy smile without the need for orthognathic surgery. Simply repositioning the height of the lip with a safe and proven corrective surgery, gummy tuck, can produce a more comfortable and relaxed smile. An innovative procedure called lip repositioning has been introduced and used. She inquires about alternative solutions for her esthetic problem and whether it is possible to solve her gummy smile with a less invasive procedure. Pdf gummy smile has been an esthetic concern for many patients. Alex farnoosh developed lip lowering surgery to provide a simple option for gummy smile correction. Lip repositioning, also called lip lowering, is surgery to correct a gummy smile by reducing how high your upper lip rises when you smile. Crown lengthening, esthetics, gummy smile, lip repositioning, periodontal surgery how to cite this article. How to fix a gummy smile lip repositioning surgery.
Rapid and promising technique to treat gummy smile lip. If you live in or around calgary, alberta and you have questions about treatment options for your gummy smile, please call aesthetic dental studio today at 4035434600. Smile designing by surgical lip repositioning with gingival. Lip repositioning to eliminate the gummy smile inside. An excessive gingivaetolip distance of 4 mm or more is classified as unattractive by lay people and general dentists. Lip repositioning technique to improve the smile harmony e408 journal section. The facial analysis revealed that her midface bone is longer than the other portions of the face. This clinical report describes the successful use of lip repositioning technique for the reduction of excessive gingival display. The best offered option was an orthognathic surgery. Gummy smile has been an esthetic concern for many patients. How good does it work a lip lowering for gummy smile.
Lip positioning surgery for gummy smilethin upper lipasymmetrical smile. Lip repositioning to eliminate the gummy smile inside dentistry. May 31, 20 lip repositioning is a simple surgical procedure to treat gummy smile. The procedure restricts the muscle pull of the elevator lip. This video depicts a case where lip repositioning surgery, frenectomy, crown lenghtening was done along with fixed orthodontic traetment to fulfill the complete esthetic demand of the patients. The technique was originally described as a cosmetic surgery by rubinstein and kostianovsky 1973 for correction of gummy smile caused. Modified lip repositioning with esthetic crown lengthening. Eliminating a gummy smile with surgical lip repositioning. Debs gummy smile was drastically improved with a gummy tuck, a minimally invasive procedure to reposition her upper lip. One factor that contributes to a gummy smile is hyperfunctional lip elevator muscles. Clinical assessment of pre and postoperative lip length. Mar 16, 2014 the demerits of the surgical procedure would include.
Lip repositioning is suggested as an additional treatment modality for patients with lip hypermobility exposing undesired gingivae in a smile. Lip repositioning surgery is a relatively simple procedure, which has few postop complications and may be a permanent treatment for excessive gingival display. Excessive gingival display can be a major cause of patient embarrassment. Surgical lip repositioning using laser for the reduction of. This clinical report describes a successful surgical coverage obtained by modified lip. The demerits of the surgical procedure would include. Excessive gingival display egd is an esthetic concern for patients with gummy smile 1. A simple surgical procedure to improve the smile harmony vicente fausmatoses 1, ignacio fausmatoses 2, ana jorqueszafrilla 3, vicente j. The procedure restricts the muscle pull of the elevator lip muscles thereby reducing the gingival display while smiling.
Jaw surgery therefore holds greater risk for complications to occur. Lip repositioning, an alternative treatment of gummy smile. Gingival or gummy smile is the problem for patients who want to be. The procedure can be performed either alone or combined with other procedures in hospital under a light general anaesthetic if desired.
Eliminating a gummy smile with surgical lip repositioning published by guset user, 20150826 03. Lip repositioning is a surgical way to correct gummy smile by limiting the retraction of the elevator smile muscles e. Diagnosis and treatment of gummy smile linkedin slideshare. Surgical lip repositioning is an effective treatment in reducing excessive gingival display and. Gummy smile surgery is usually performed in the office under local anaesthetic with oral sedative tablets. A comparison between modified and conventional surgical. Gingival depigmentation procedure was planned for good esthetic results followed by crown lengthening in relation to left maxillary canine. Simon is a periodontist who completed his specialty training and obtained his. Over 25 years ago, celebrity periodontist and gum specialist dr.
Proper case selection is important for using this procedure. Orthognathic surgery, also known as jaw surgery, is a more invasive and extensive procedure than lip repositioning surgery. Lip repositioning a series of 5 cases surgery dental implants and bone treatment of excessive gingival display gables perfect smile lip reposition. The patient decides to pursue these treatment options. Intraoral examination revealed excellent periodontal health and excellent restorative dentistry. Botulinum toxin type a botox for the neuromuscular correction of excessive gingival display on smiling gummy smile. This procedure minimizes gingival display by placing the upper lip in a more coronal position. Lip repositioning for gummy smile full surgery youtube. This technique is an easy and less time consuming costeffective to give satisfactory results to the patients. Lip lengthening and repositioning for gummy smile can be performed at any age, and is most.
In my experience an intraoral repositioning of the upper lip is the least invasive and most beneficial in correction of the gummy smile problem. The minor downside with this procedure is that the doctor can only remove a small amount of tissue of the inner upper lip. Ibbott a 53yearold female was presented with unattractive high smile line. Video by dr umberto d ramos correction of gingival smile through the labial repositioning technique. That is why we suggest the technique of surgical repositioning of the upper lip as an effective and definitive alternative to solve this aesthetic problem. Lip repositioning surgery for the reduction of excessive. Some authors advocated myectomies to detach the smile muscle attachement17,18 to prevent relapse, and to allow for tension free suturing. This case report summarizes the use of surgical lip repositioning technique for the management of a gummy smile. The results obtained with lip repositioning for the treatment of gummy smile are substantial and it is a simple and effective procedure, well accepted by patients. In this prospective study, 14 patients women, 1 man underwent pretreatment photographs and measurements, followed by bilateral.
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