This is accomplished by removing a strip of mucosa from the maxillary buccal. Please, select more pdf files by clicking again on select pdf files. The nasal approach helps in combining both the procedures. Lip repositioning procedure was first described in the plastic surgery literature in 1973 to treat mild to moderate cases of excessive gingival display. The results obtained with lip repositioning for the treatment of gummy. If gummy smile is present with proportional vertical lower third of face and normal lip length, botox lip repositioning crown lengthening. A case report is presented to show the preparatory and surgical steps used to treat a 25yearold patient with egd using lip repositioning. Surgical lip repositioning in two patients undergoing orthodontic treatment, with degree i vertical maxillary excess and short hypermobile upper lip. The gingival display reduced in both patients, and stable. The procedure restricts the muscle pull of the elevator lip muscles thereby reducing the gingival display while smiling. Eliminating a gummy smile with surgical lip repositioning prosites. Lip repositioning is a conservative surgical technique used to treat excess gingival display. Treatment comprised removal of two strips of mucosa, bilaterally to the maxillary labial frenum, and coronal. The aim of this randomized clinical trial rct was to assess lip repositioning, compared to lip repositioning with.
Pdf botox as an adjunct to lip repositioning for the. Surgical lip repositioning in two patients undergoing. Lip repositioning presents a simple method for the treatment of gummy smile. All patients were treated by the surgical lip repositioning technique a. Two patients undergoing orthodontic treatment, with degree i vertical maxillary excess, short and hypermobile lip, and 2 to 4 mm of gingival display on smiling, were recommended for a surgical lip repositioning procedure to reduce the amount of gingival display. This free and easy to use online tool allows to combine multiple pdf or images files into a single pdf document without having to install any software. By restricting the muscle pull by elevator lip muscles, this procedure reduces excessive gingival display during smiling. This procedure is safe and predictable with minimal risk or side effects. Gummy smile, secondary to altered passive eruption and tooth malpositioning, can be predictably treated with surgery and orthodontic therapy. Pdf gummy smile and optimization of dentofacial esthetics. 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.
Pdf lip repositioning surgery for correction of excessive gingival. While this is an elective treatment, no reported cases have yet offered patients the ability to. Lip repositioning we are excited to announce a new surgical technique we are providing in our office called lip repositioning. Ria susan george3 depigmentation followed by crown lengthening. This video depicts 5 cases where lip repositioning was. Pdf excessive gingival display during smile can result in compromised esthetics.
Eliminating a gummy smile with surgical lip repositioning. Lip repositioning surgery is a relatively simple procedure, which has few postop complications and may be a permanent treatment for excessive gingival display. In this condition, surgical lip repositioning treatment can be performed to reduce the labial retraction of the elevator smile muscles and minimize excessive gingival display. Surgical lip repositioning is an effective procedure to reduce gingival display by positioning the upper lip in a more coronal location. Get screencastify simple screen video recording for chrome. In my experience an intraoral repositioning of the upper lip is the least invasive and most beneficial in correction of the gummy smile problem. Froeb federal trade commission before the third annual international industrial organization conference the georgia institute of technology hotel and conference center atlanta, ga april 9, 2005 the views expressed herein are not purported to reflect those of the federal trade commission. Modified lip repositioning surgery local anesthesia xylocaine 2% with epinephrine 1. This limits lip elevation on smiling and increases lip fullness. In the era of aesthetic dentistry a high smile line is a challenge well known to any aesthetically minded dentist. This procedure can help eliminate gummy smiles in patients with high lip lines.
Background excessive gingival display gd is a frequent finding that can occur because of various intraoral or extraoral etiologies. Lip repositioning surgery for gummy smile correction. Gallardo will perform his lip repositioning procedure using a local anesthetic or iv sedation. Presented modified lip repositioning surgery is a predictable technique for the treatment of excessive gingival display due to hyperactive upper lip, resulting in high level of patient satisfaction. When diagnosing patients with gummy smiles, it is imperative that the lip position and its function are integrated as part of. Operating macbook pro mavericks os acrobat pro x monthly subscription created forms using form central nightmare of a time with the extra padding and inability to layout fields elegantly on a page, a two page form ends up four. Lip repositioning is recommended as an additional treatment modality for patients with excessive gingival display associated with hypermobile lip. Excessive mobility of the upper lip is caused by hyperfunction of the lip elevator muscles and often results in egd. The aim of this case presentation is to demonstrate an alternative method to treat one of the causes of gummy smile, by using laser which provides us dentists with so many benefits.
Smile designing by surgical lip repositioning with. Pdf use of modified lip repositioning technique associated with. Pdf excessive gingival display is a frequent finding that can occur because of various. A gummy smile or a high smile line may lead to a poor smile which can have impact on patients appearance and confidence. Lip repositioning an innovative cosmetic technique youtube. Lip repositioning with a myotomy of the elevator muscles for the. Despite the limited available studies on lip repositioning, an estimated mean improvement of 3. In 2006 drs ari rosenblatt and ziv simon published the first article in the dental literature on surgical lip repositioning for the treatment of excessive gingival display.
It involves precise resection of maxillary mucosal tissues with reattachment of the lip in a more coronal position. Excessive gingival display, commonly referred to as gummy smile is a major hurdle in overall personality of an individual. Smile designing by surgical lip repositioning with gingival depigmentation and crown lengthening mucogingival line. The procedure limits the muscle pull of the elevator muscles of the lip by shortening the vestibule. Lip repositioning can be employed as an alternative cosmetic treatment modality for the correction of an excessive gingival display with minimal risk or side effects. Lip positioning surgery for gummy smilethin upper lip.
The modified lip repositioning technique is an effective procedure employed to. The procedure restricts the muscle pull of the elevator. Another possible etiology can be movement of the upper lip in apical direction when the patient smiles exposing the dentition and excessive gingivae. Pdf esthetic demands have considerably increased over the years in routine clinical practice.
Lip repositioning technique to improve the smile harmony e408. How good does it work a lip lowering for gummy smile. The lip repositioning procedure is a simple surgical technique designed to restrict high movement of the upper lip. Lip repositioning is simple, less invasive surgical procedure that can be considered when planning the treatment of excessive gingival display. Album hidden classical gems the complete collection. Combining repositioning with myotomy of the lip levator muscles works well. Simon is a periodontist who completed his specialty training and obtained his master of science degree at the university of toronto. Lip repositioning surgery is a largely unknown and underutilized treatment modality for excessive gingival display. Surgical intervention by lip repositioning stands as a permanent means of treating a gummy smile. Excessive gingival display is a common cause of patient dissatisfaction. Lip repositioning, aesthetic crown lengthening, and gingival.
Where egd is associated with maxillary lip hypermobility, a proposal. Post merger product repositioning federal trade commission. To change the order of your pdfs, drag and drop the files as you want. Pdf lip repositioning with reversible trial for the. Lip repositioning is a simple surgical procedure to treat gummy smile. The exposure of more than three mm of the gum during the smile is known as gingival or gummy smile. Gingival or gummy smile is the problem for patients who want to be treated with fixed appliance but also who dont want to wear appliances. In case youd like to merge pdf files locally, download pdfmerge, install it then open programsneeviapdf and run pdfmerge. Sc academic consultant of alhokail polyclinic academy alkhobar ksa. Then press the merge button to get your merged pdf. Lip repositioning for the treatment of excess gingival. Gummy smile and optimization of dentofacial esthetics. In some instances, this translation can be one and a half times to twice this normal distance. There is no need to install special software and uploaded files can be in various formats like doc, xls, ppt and so on.
The case presented here describes a surgical technique for lip reposition ing to reduce gingival display. With the help of a sharp probe, bleeding points were induced at the mucogingival junction, which guided the first incision to be carried out. On the other hand, lip repositioning is contraindicated with severe vme degree iii of 8 mm gingival show according to bhola et al. This report describes the use of surgical lip repositioning technique for the. Lip repositioning, an alternative treatment of gummy smile.
Lip repositioning surgery for correction of excessive gingival display. Malav sheth2 the successful treatment of excessive gingival dr. Lip repositioning is a conservative surgical method for the correction of excess gingival display egd by limiting the upward retraction of the lips. An array of modifications has been introduced to the technique over time and as studies show the technique and its modifications to be successful, there is little standardized information for clinicians to make informed decisions when choosing this. This case report summarizes the use of surgical lip repositioning technique for the management of a gummy smile. Pdf surgical lip repositioning using laser for the. This work describes the use of a mucosal repositioned flap for the management of a gummy smile associated with vertical maxillary excess vme and hypermobility of the upper lip followed by injection of botox. Lip repositioning surgery for the reduction of excessive. Leforte i osteotomy with orthodontic treatment orthodontic intrusion using miniscrew.
The egd reduction also improves patient facial profile resulting in enhanced esthetic outcomes. Pdf decision making for management of excessive gingival. During this procedure, he will remove a strip of tissue from the inner portion of the top lip. This procedure also is successful in increasing lip volume and for the correction of an asymmetrical smile. If gummy smile due to vertical maxillary excess vme. Lip repositioning reduces gingival display by restricting the pull of elevator lip muscles and shortening the vestibule. The longterm stability of the results remains to be seen, but it is a promising alternative treatment modality in esthetic rehabilitation. Select up to 20 pdf files and images from your computer or drag them to the drop area. Modified lip repositioning with esthetic crown lengthening.
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