Gummy smile treatment: Recontouring with upper lip muscle containment.

| Posted in: Science Health Sciences

Journal name: Journal of Indian Society of Periodontology
Original article title: Treatment of gummy smile: Gingival recontouring with the containment of the elevator muscle of the upper lip and wing of nose. A surgery innovation technique
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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Author:

Carmen Lucia Mueller Storrer, Fabiane Kristine Bochenek Valverde, Felipe Rychuv Santos, Tatiana Miranda Deliberador


Journal of Indian Society of Periodontology:

(A bimonthly open-access journal)

Full text available for: Treatment of gummy smile: Gingival recontouring with the containment of the elevator muscle of the upper lip and wing of nose. A surgery innovation technique

Year: 2014 | Doi: 10.4103/0972-124X.142468

Copyright (license): CC BY-NC-SA


Summary of article contents:

Introduction

The increasing demand for aesthetic dental solutions has prompted a search for effective treatments to address smile-related concerns. One prevalent issue is the gummy smile, characterized by significant gingival display when smiling. This article introduces a novel surgical approach that combines gingival recontouring (GR) with a technique involving the elevator muscle of the upper lip and nose (EMULWN) to improve facial aesthetics by lowering the smile line and reducing upper lip elevation. The integration of these techniques aims to restore balance and harmony between the lips, teeth, and gums, ultimately enhancing the overall appearance of a patient's smile.

Innovative Surgical Technique

The proposed technique involves a thorough understanding of the anatomy and functioning of the elevator muscle of the upper lip and wing of the nose. The surgical procedure commences with GR to eliminate excess gingival tissue, followed by the elevation and containment of specific muscle bundles to achieve a more favorable smile aesthetic. By repositioning the muscle closer to the keratinized gingiva, the approach effectively reduces gingival display and improves lip positioning. Results from a case study of a 30-year-old female patient demonstrated visible aesthetic enhancements shortly after surgery, and positive outcomes were sustained throughout a 12-month follow-up, indicating the procedure's long-term effectiveness.

Conclusion

This innovative surgical technique presents a compelling option for individuals suffering from gummy smiles, merging GR with muscle containment for improved results. It allows dentists to address aesthetic concerns with a minimally invasive procedure under local anesthesia. While other treatment options exist, this approach offers durability and a refined aesthetic outcome. Ongoing patient follow-ups are necessary to evaluate the long-term success of this intervention and monitor any potential recurrence of symptoms, particularly in cases with hyperactive upper lip muscles. The study highlights the importance of aesthetic considerations in dentistry and the need for comprehensive and biologically informed treatment strategies to achieve optimal smile aesthetics while maintaining periodontal health.

FAQ section (important questions/answers):

What is the purpose of the containment surgery technique?

The containment surgery technique aims to correct gummy smiles by reducing upper lip elevation, thus minimizing gingival display and improving smile aesthetics. It involves the traction and containment of the elevator muscle of the upper lip and wing of the nose.

What are the expected outcomes of the gum reduction procedure?

Patients can expect a significant reduction in gingival display post-surgery, leading to a more harmonious and natural smile. In the reported case, improvements were noted 13 days after surgery, with results maintained after one year.

What factors contribute to the development of gummy smiles?

Gummy smiles can develop due to various factors, including excessive gingival tissue, short upper lip, upper lip hyperactivity, and anatomical variations. Each case may require different treatment approaches, such as gingivoplasty or muscle containment technique.

Are there any risks associated with the containment surgery?

Like any surgical procedure, containment surgery carries potential risks, such as trauma during recovery. However, it may yield more lasting results compared to alternative treatments, such as botulinum toxin injections, which have temporary effects.

How is patient satisfaction measured after the procedure?

Patient satisfaction is assessed through clinical evaluations and feedback regarding improvements in smile aesthetics. In the described study, the patient expressed a high degree of satisfaction after the surgical correction of her gummy smile.

Other Health Sciences Concepts:

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Discover the significance of concepts within the article: ‘Gummy smile treatment: Recontouring with upper lip muscle containment.’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:

Local anesthesia, Long-term follow-up, Patient satisfaction, Gummy Smile, Facial esthetics, Keratinized gingiva, Periodontal condition.

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