The procedure limits the muscle pull of the elevator muscles of the lip by shortening the vestibule, thus reducing the. 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. Botox and aesthetic lip repositioning for gummy smiles. Eliminating a gummy smile with surgical lip repositioning clinical science simon, rosenblatt, dorfman dr. Lip positioning surgery for gummy smilethin upper lipasymmetrical smile. 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. Lip repositioning an innovative cosmetic technique youtube. Lip repositioning is a surgical way to correct gummy smile by limiting the retraction of the elevator smile muscles e. Removing gum tissue with laser therapy can only correct so much of this defect.
Lip repositioning technique with smile elevator muscle. 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. 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. Thus considering all the perspectives, modified lip repositioning definitely is a promising surgical approach to treat gummy smile. The facial analysis revealed that her midface bone is longer than the other portions of the face. Excessive gingival display, commonly referred to as gummy smile is a major hurdle in overall personality of an individual.
Definition of the gummy smile excessive gingival display during smiling 3. Lip reposition gummy smile surgical correction youtube. Were any of these patients presented with an option of orthognathic surgery. The case presented here describes a surgical technique for lip reposition ing to reduce gingival display. She inquires about alternative solutions for her esthetic problem and whether it is possible to solve her gummy smile with a less invasive procedure. 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. Excessive gingival display is a frequent finding that can occur because of various intraoral or extraoral etiologies. The procedure restricts the muscle pull of the elevator lip muscles thereby reducing the gingival display while smiling. Feb 02, 2018 this clinical report describes the successful use of lip repositioning technique for the reduction of excessive gingival display. Onabotulinumtoxina for the treatment of a gummy smile. In the socalled gummy smile, the gingivae are the domi.
Sc academic consultant of alhokail polyclinic academy alkhobar ksa 2. Lately, lip repositioning has emerged as an innovative and effective way to improve the gummy smile of a patient. To correct unesthetic gummy smile, surgical lip repositioning was planned to limit the retraction of. Some authors advocated myectomies to detach the smile muscle attachement17,18 to prevent relapse, and to allow for tension free suturing. Long term satisfaction with the result needs further investigation. You can start enjoying attractive gums and smiling. 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. Lip positioning surgery for gummy smilethin upper lip. Aims and objectives the aim of this study was to evaluate the efficacy of laserassisted lip repositioning for gummy smile correction. The lip repositioning technique was performed with the main objective of reducing gummy smile by limiting the retraction of elevator muscles e. Smile designing by surgical lip repositioning with. The technique was originally described as a cosmetic surgery by rubinstein and kostianovsky 1973 for correction of gummy smile caused. A noninvasive procedure to avoid other complicated surgical procedures. 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.
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. Surgical lip repositioning procedure to improve facial profile in a. Lip repositioning to eliminate the gummy smile inside dentistry. This procedure minimizes gingival display by placing the upper lip in a more coronal position. Combining repositioning with myotomy of the lip levator muscles works well.
Lip repositioning was first reported as a correction of a gummy smile in 1973 by rubinstein and kostianovsky. Lip training exercises, gingivectomy, esthetic crown lengthening, lip repositioning, and orthognathic surgery are done to address the condition. Pdf gummy smile has been an esthetic concern for many patients. Gingival depigmentation procedure was planned for good esthetic results followed by crown lengthening in relation to left maxillary canine. 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. A prospective study was conducted between april 2016 and may 2017. The procedure restricts the muscle pull of the elevator lip muscles thereby reducing the. Feb 02, 2014 diagnosis and treatment of gummy smile 1. Jun 04, 2016 the facial analysis revealed that her midface bone is longer than the other portions of the face. 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. Smile designing by surgical lip repositioning with gingival. The demerits of the surgical procedure would include.
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. How good does it work a lip lowering for gummy smile. This clinical report describes the successful use of lip repositioning technique for the reduction of excessive gingival display. Jaw surgery therefore holds greater risk for complications to occur. Simon is a periodontist who completed his specialty training and obtained his master of science degree at the university of toronto. Clinical assessment of pre and postoperative lip length. Gum contouring, whether with a scalpel or a laser, may help improve a gummy smile in certain cases. Whenever there is increased maxillary vertical excess, orthognathic surgery is the choice of treatment. The authors evaluate onabotulinumtoxina as a safe and minimally invasive treatment for a gummy smile. The procedure limits the muscle pull of the elevator muscles of the lip by shortening the vestibule. May 31, 20 lip repositioning is a simple surgical procedure to treat gummy smile. Botulinum toxin type a botox for the neuromuscular correction of excessive gingival display on smiling gummy smile.
An alternative to invasive surgery a 4 year follow. Intraoral examination revealed excellent periodontal health and excellent restorative dentistry. This procedure is safe and predictable with minimal risk or side effects. Eliminating a gummy smile with surgical lip repositioning published by guset user, 20150826 03. He is a diplomate of the american academy of periodontology as well as a fellow of the.
In this prospective study, 14 patients women, 1 man underwent pretreatment photographs and measurements, followed by bilateral. Gummy smile surgery is usually performed in the office under local anaesthetic with oral sedative tablets. 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 is suggested as an additional treatment modality for patients with lip hypermobility exposing undesired gingivae in a smile. Gummy smile, lip repositioning, excessive gingival display.
Lip lengthening and repositioning for gummy smile can be performed at any age, and is most. 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. This video depicts 5 cases where lip repositioning was done along with. Excessive gingival display egd is an esthetic concern for patients with gummy smile 1. Lip repositioning, used to treat a gummy smile, is faster, has a shorter recovery time, and costs less than traditional jaw surgery. Botulinum toxin type a in the treatment of excessive gingival display. Gables perfect smile lip reposition surgery in miami by gummy smile treatment get rid of it once and for all dr gareth. A cosmetic approach for correction of gummy smile a case series.
One factor that contributes to a gummy smile is hyperfunctional lip elevator muscles. Gummy smile, secondary to altered passive eruption and tooth malpositioning, can be predictably treated with surgery and orthodontic therapy. This procedure also is successful in increasing lip volume and for the correction of an asymmetrical smile. Rapid and promising technique to treat gummy smile lip. Farnoosh, or call 424 3639485 to set up a consultation. Lip repositioning surgery removes the tissue and a modified lip repositioning surgery severs the muscles that elevate the lip so it can no longer rise as far in a smile. The procedure restricts the muscle pull of the elevator lip.
Excessive gingival display can be a major cause of patient embarrassment. One of your best options is a safe, simple surgical procedure known as an aesthetic lip repositioning. The objectives of this article are to present a case in which the surgical technique of. Lip repositioning, aesthetic crown lengthening, and.
Gummy smile has been an esthetic concern for many patients. Surgical lip repositioning is an effective treatment in reducing excessive gingival display and improving facial profile. A 21 years male patient came with a chief complaint of excessive gingival display. Excessive gingival display egd also known as gummy smile is a common. Modified lip repositioning with esthetic crown lengthening. Crown lengthening, esthetics, gummy smile, lip repositioning, periodontal surgery how to cite this article. Pdf lip repositioning with myotomy a surgical approach to treat. Alex farnoosh developed lip lowering surgery to provide a simple option for gummy smile correction. Over 25 years ago, celebrity periodontist and gum specialist dr. Gummy smile lip repositioning there are several factors that contribute to a gummy smile. Gingival or gummy smile is the problem for patients who want to be. Lip repositioning technique to improve the smile harmony e408 journal section. This clinical report describes a successful surgical coverage obtained by modified lip. Lp also improves esthetics for patients with vme reducing hypermobile lips and gummy smile without the need for orthognathic surgery.
Lip repositioning, also called lip lowering, is surgery to correct a gummy smile by reducing how high your upper lip rises when you smile. An attractive smile depends on the proper proportion and arrangement of three components. 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. The extent and etiology of egd, dictates what treatment. 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. An innovative procedure called lip repositioning has been introduced and used. Lip repositioning for gummy smile correction video. Thus considering all the perspectives, modified lip repositioning definitely is a promising surgical approach to.
Diagnosis and treatment of gummy smile linkedin slideshare. Excessive gingival display also referred as gummy smile is one of the major. Eliminating a gummy smile with surgical lip repositioning. Lip repositioning is a simple surgical procedure to treat gummy smile. This case report summarizes the use of surgical lip repositioning technique for the management of a gummy smile. Surgical lip repositioning using laser for the reduction. Lip repositioning to eliminate the gummy smile inside. Lip repositioning, aesthetic crown lengthening, and gingival.
An alternative cosmetic treatment for gummy smile article pdf available in journal of indian society of periodontology 184. A comparison between modified and conventional surgical. Lip repositioning, an alternative treatment of gummy smile a case report. The technique is performed to limit the retraction of elevator muscles e.
Excessive gingival display, gummy smile, lips repositioning. Simply repositioning the height of the lip with a safe and proven corrective surgery, gummy tuck, can produce a more comfortable and relaxed smile. Lip repositioning surgery is a relatively simple procedure, which has few postop complications and may be a permanent treatment for excessive gingival display. In my experience an intraoral repositioning of the upper lip is the least invasive and most beneficial in correction of the gummy smile problem. Simon is a periodontist who completed his specialty training and obtained his. An excessive gingivaetolip distance of 4 mm or more is classified as unattractive by lay people and general dentists. Surgical lip repositioning using laser for the reduction of. Debs gummy smile was drastically improved with a gummy tuck, a minimally invasive procedure to reposition her upper lip. The best offered option was an orthognathic surgery. The minor downside with this procedure is that the doctor can only remove a small amount of tissue of the inner upper lip. Lip repositioning a series of 5 cases surgery dental implants and bone treatment of excessive gingival display gables perfect smile lip reposition. Lip repositioning surgery for the reduction of excessive. Video by dr umberto d ramos correction of gingival smile through the labial repositioning technique.
Proper case selection is important for using this procedure. 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, an alternative treatment of gummy smile. Lip repositioning for gummy smile full surgery youtube. Orthognathic surgery, also known as jaw surgery, is a more invasive and extensive procedure than lip repositioning surgery. The patient decides to pursue these treatment options. The procedure can be performed either alone or combined with other procedures in hospital under a light general anaesthetic if desired. Excessive gingival display, gingival depigmentation, gummy smile, lip repositioning, periodontal plastic surgery. Lip repositioning a series of 5 cases to treat gummy smile by dr. Mar 16, 2014 the demerits of the surgical procedure would include. Ibbott a 53yearold female was presented with unattractive high smile line. This technique is an easy and less time consuming costeffective to give satisfactory results to the patients. Surgical lip repositioning is an effective treatment in reducing excessive gingival display and.
134 1150 1561 120 1203 480 1514 35 1099 1128 248 1577 553 693 497 691 1055 1245 1399 917 434 675 1522 1536 301 1200 453 1181 935 690 1371 215 800 1389 679 533