Surgical Lip Repositioning for Managing Excessive Gingival Display
Journal name: Journal of Indian Society of Periodontology
Original article title: Lip repositioning
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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Reetika Gaddale, Shrikar R. Desai, Jayashree A. Mudda, I. Karthikeyan
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Lip repositioning
Year: 2014 | Doi: 10.4103/0972-124X.131349
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Excessive gingival display, commonly referred to as a "gummy smile," is a frequent concern among dental patients and can result from various intraoral and extraoral factors. This condition can significantly affect an individual's self-esteem and aesthetic perception of their smile. The purpose of this article is to explore the surgical lip repositioning technique as a less invasive alternative to orthognathic surgery for managing a gummy smile that is associated with vertical maxillary excess and hypermobility of the upper lip. It emphasizes the importance of understanding the underlying etiology of excessive gingival display to ensure appropriate treatment choices.
Surgical Lip Repositioning Technique
The surgical lip repositioning technique aims to diminish gingival display by reducing the retraction of the upper lip during smiling. The process involves excising a strip of mucosa from the maxillary buccal vestibule, which results in a shorter vestibule and limits the pull of the muscles that elevate the lip. By suturing the lip mucosa to the mucogingival junction, the upper lip is effectively repositioned in a more coronal location, thereby minimizing the visibility of the gums. Outcomes from a recent case study demonstrated that this procedure had an uneventful healing process, with follow-up examinations indicating significant and stable reductions in gingival display over the course of ten months.
Conclusion
Surgical lip repositioning presents a promising and less aggressive approach for addressing excessive gingival display due to lip hypermobility. While longer-term assessments are required to confirm the stability of results, initial findings suggest this technique effectively enhances aesthetic outcomes for patients seeking improvements in their smile without the need for major surgical interventions like orthognathic surgery. As aesthetic concerns regarding gingival display continue to gain attention, lip repositioning may become an increasingly valuable option within the realm of cosmetic dental procedures.
FAQ section (important questions/answers):
What is excessive gingival display and its causes?
Excessive gingival display, often referred to as a gummy smile, can result from various factors such as vertical maxillary excess, delayed eruption, or hypermobility of the upper lip, leading to visible gum exposure while smiling.
What is the lip repositioning technique for reducing gingival display?
Lip repositioning is a surgical procedure that shortens the vestibule and restricts the upper lip's muscle pull, effectively reducing the amount of gum visible when a person smiles.
Is lip repositioning safer than traditional orthognathic surgery?
Yes, lip repositioning is considered less invasive than orthognathic surgery, which requires hospitalization. It has fewer postoperative complications and shorter recovery times, making it an attractive alternative for patients.
What were the outcomes for the patient in the case report?
In the case report, the patient experienced uneventful healing, with significant reduction in gingival display noted at follow-ups. Stability of results was promising at both 2 months and 10 months post-operation.
Are there any contraindications for the lip repositioning procedure?
Contraindications include a minimal zone of attached gingiva and severe vertical maxillary excess, which may complicate the surgical design and outcomes, potentially leading to increased chances of relapse.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Surgical Lip Repositioning for Managing Excessive Gingival Display”. 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:
In surgical and medical contexts, a 'Table' may refer to a data table summarizing patient details or procedural outcomes. It helps in organizing information for easy access and analysis, enhancing clarity and communication among healthcare providers. Additionally, in a surgical setup, it can refer to the operating table where procedures take place.
2) Incision:
An 'Incision' is a surgical cut made into the skin or tissue to access the underlying structure. It is a critical aspect of any surgical procedure, including lip repositioning, where incisions are made to remove tissue and facilitate the repositioning of muscles. Proper incision techniques ensure healing and minimizing complications.
3) Line:
The term 'Line' can denote several concepts in the medical field, such as the 'smile line' that defines the relationship between the lip and gums. Understanding this line is crucial for assessing aesthetic outcomes in procedures like lip repositioning. It can also refer to incision lines in surgical contexts.
4) Relative:
In the context of medical procedures, 'Relative' may refer to family members of a patient, who often play an important role in decision-making regarding treatment. It may also imply a relative assessment of various treatment options based on their pros and cons, critical for informed medical decisions.
5) Amusement:
'Amusement' relates to the emotional response elicited by smiling or laughing, which significantly contributes to social interactions. In dentistry, a 'gummy smile' can affect a person's amusement and confidence levels. Management of such aesthetic concerns, like through lip repositioning, can enhance patient satisfaction and emotional well-being.
6) Swelling:
'Swelling' is a common postoperative phenomenon that occurs due to inflammation and the body's healing response. In surgical contexts like lip repositioning, managing swelling is essential for patient comfort and optimal healing. Understanding the expected swelling process helps in setting patient expectations for recovery.
7) Science (Scientific):
The term 'Science' underlines the evidence-based practice of medicine and surgery. In the management of aesthetic concerns such as excessive gingival display, scientific principles guide the selection of procedures like surgical lip repositioning. Relying on scientific research ensures that the treatments are effective and validated.
8) Surface:
'Surface' often refers to the external layer of tissues involved in surgical procedures. Understanding the surface anatomy is vital for making precise incisions and for successful surgical outcomes. In lip repositioning, the surface area from which tissue is excised plays a crucial role in aesthetic and functional results.
9) Anguli (Amguli):
'Anguli' refers to the 'anguli oris' muscles, which are involved in lip movements during smiling. Awareness of this muscle's anatomy is key in procedures aiming to modify lip dynamics, such as lip repositioning. Targeting these muscles helps reduce excessive gingival display, thus improving aesthetic outcomes.
10) Family:
In a healthcare context, 'Family' pertains to the patient's support system, vital for decision-making and recovery. Family involvement can enhance adherence to postoperative care instructions, impacting overall healing. They can also influence patient emotional health, particularly in procedures affecting appearance, such as lip repositioning.
11) Indian:
'Indian' signifies the geographical and cultural identity related to the patient or practitioner involved in a procedure. Cultural perceptions of aesthetics can shape patient expectations. Knowledge of these factors is essential for practitioners to align treatment modalities, like lip repositioning, with patient desires and cultural values.
12) Gupta:
'Gupta' likely refers to a practitioner or researcher significant in the field of dental surgery or lip repositioning within India. His contributions or findings are instrumental in advancing techniques. Credibility and practices are often influenced by established figures in the profession, driving standardized approaches to treatment.
13) India:
'India' may denote the geographical context where the described procedures took place. The cultural and healthcare landscape influences patient presentations and treatment modalities. Awareness of local practices and beliefs is crucial for tailoring dental interventions, like lip repositioning, to fit societal norms and expectations.
14) Visit:
'Visit' commonly refers to a patient's appointment for consultation or surgical procedures. The nature of these visits can impact the treatment plan and the patient's experience. Regular follow-up visits are necessary post-procedure to monitor healing and assess outcomes, critical in managing patient satisfaction and complications.
15) Study (Studying):
'Study' can refer to the systematic investigation into a procedure's efficacy, like lip repositioning. Clinical studies generate data that inform best practices and improve patient outcomes. Understanding study results allows practitioners to adopt evidence-based methods that ensure patient safety and satisfaction in aesthetic dentistry.
16) Pain:
'Pain' is an important consideration in any surgical procedure, including lip repositioning. Managing pain effectively is vital for patient comfort and compliance. Understanding pain pathways and having strategies in place for monitoring and alleviating pain can significantly influence the overall patient experience during recovery.
17) Post:
'Post' generally indicates specific considerations following surgery, such as postoperative care or outcomes. A thorough understanding of post-surgical protocols is essential for ensuring proper healing and achieving desirable results. This includes managing complications, monitoring recovery progress, and providing instructions to patients to aid in rehabilitation.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Surgical Lip Repositioning for Managing Excessive Gingival Display’. Further sources in the context of Science might help you critically compare this page with similair documents:
Facial expression, Postoperative symptoms, Postoperative complication, Surgical technique, Excessive Gingival Display, Gummy Smile, Lip Repositioning, Crown Lengthening, Gingival Margin, Vertical maxillary excess, Orthognathic surgery.