Modified laser-assisted lip repositioning surgery to treat gummy smile
Journal name: Journal of Indian Society of Periodontology
Original article title: Modified laser-assisted lip repositioning surgery to treat gummy smile
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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Sana Farista, Aditi Chaudhary, Balaji Manohar, Shanin Farista, Rufi Bhayani
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Modified laser-assisted lip repositioning surgery to treat gummy smile
Year: 2021 | Doi: 10.4103/jisp.jisp_65
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Excessive gingival display (EGD), commonly referred to as a "gummy smile," presents significant aesthetic challenges to individuals. This condition can result from various factors, including skeletal, dentoalveolar, and soft tissue origins. While treatment options range from extensive surgical interventions to less invasive cosmetic procedures, lip-repositioning surgery (LRS) emerges as a preferable alternative to conventional orthognathic surgery. Recent advancements have introduced laser-assisted LRS, which offers a more reliable and minimally invasive solution for addressing EGD. This case study chronicles the successful treatment of a young woman suffering from EGD due to hypermobile upper lip, employing a modified laser-assisted LRS technique alongside gingival recontouring.
Modified Laser-Assisted Lip-Repositioning Surgery
One important advancement highlighted in this report is the modified laser-assisted lip-repositioning surgery (LRS). Traditional LRS involves excising a strip of mucosa to limit the retraction of lip elevator muscles, thus reducing gingival display during smiling. However, the modified technique incorporates the use of laser technology, which promotes better surgical precision and minimizes discomfort. This approach involves excising a mucosal strip that is double the amount of the excess gingival display, supplemented by an additional 2 mm of tissue to mitigate the risk of recurrence. The modified method not only led to an effective reduction in gingival display but also minimized complications associated with conventional surgeries, such as bleeding, bruising, and paresthesia. The technique illustrates the potential for enhanced healing due to the properties of laser application, making it a noteworthy improvement in the treatment of gummy smiles.
Conclusion
The findings of this case report underscore the efficacy of modified laser-assisted LRS in achieving significant aesthetic improvements for patients with EGD. Over a follow-up period of six months, the patient demonstrated a marked reduction in gingival display, reinforcing the technique's effectiveness. Although a slight recurrence was noted after one year, the retreatment was minimal and did not warrant concern. Given the simplicity of the process, high patient satisfaction, and improved outcomes, modified laser-assisted LRS stands out as a promising, less invasive option in the cosmetic correction of gummy smiles, meeting the growing demand for aesthetically pleasing smiles in today’s society.
FAQ section (important questions/answers):
What is excessive gingival display and what causes it?
Excessive gingival display (EGD), also known as a gummy smile, occurs when too much gum tissue shows while smiling. Causes include skeletal issues, soft tissue factors, or altered dental activity, such as hypermobility of the upper lip.
What surgical options are available for treating EGD?
Treatment options for EGD range from orthognathic surgery to minimally invasive procedures. A popular choice is lip-repositioning surgery (LRS), which reduces muscle pull to minimize gum display, or laser-assisted LRS, which is less invasive and promotes quicker healing.
How does laser-assisted lip-repositioning surgery work?
In laser-assisted lip-repositioning surgery, a strip of mucosa is excised from the maxillary vestibule using a diode laser. This reduces lip elevation and consequently decreases the visible gingival display during smiling, enhancing the aesthetic appearance.
What were the results of the modified laser-assisted LRS in the case study?
The case study reported significant reduction in gum display after modified laser-assisted LRS. Follow-ups showed slight recurrence after one year, but the results remained satisfactory for the patient, indicating effectiveness of the less invasive technique.
What are the advantages of using laser in dental surgeries?
Lasers provide a bloodless surgical field, reduce postoperative discomfort, and enhance patient acceptance. They minimize bleeding and infection risk, making procedures like the laser-assisted lip-repositioning surgery safer and more efficient compared to traditional methods.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Modified laser-assisted lip repositioning surgery to treat gummy smile”. 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 the context of clinical studies or reports, a 'table' refers to a structured arrangement of data, typically used to present findings, groups, or measurements in a clear and accessible format. This allows for easy comparison and understanding of complex information, crucial in research and medical documentation.
2) Line:
The term 'line' often refers to the boundary or classification within a given context, such as the lip line in dentistry. It helps in delineating various types of lip displays, crucial for diagnosing conditions like excessive gingival display. Understanding these distinctions aids in precise treatment planning.
3) Study (Studying):
A 'study' is a systematic investigation designed to provide insight into a specific area of research, often involving clinical trials or case reports. It serves to gather and analyze data to reach conclusions, guiding clinical practices, and improving patient outcomes through evidence-based findings.
4) Relative:
'Relative' denotes a connection or comparison between elements in terms of scale, position, or importance. In medical literature, it can describe the relationship between symptoms and causative factors or the variability in patient responses, essential for tailoring individualized treatment approaches.
5) Measurement:
'Measurement' refers to the quantification of physical attributes, such as tooth or gum length or depth of gingival display in dentistry. Accurate measurements are fundamental for diagnosis, treatment planning, and evaluating the effectiveness of interventions, ensuring consistent and reliable clinical outcomes.
6) Incision:
An 'incision' is a surgical cut made in the skin or tissue, crucial in procedures such as lip repositioning surgery. The precision of incisions impacts recovery time, effectiveness of the surgery, and overall patient satisfaction, making surgical technique a vital aspect in clinical practice.
7) Medium:
'Medium' can refer to the method or material used in a procedure, such as the type of laser or anesthetic in dental treatments. The choice of medium affects the effectiveness and safety of surgical procedures, guiding clinicians in selecting appropriately for optimal patient outcomes.
8) Field:
In a medical context, 'field' often refers to the scope of practice, such as the dental field. It encompasses various specialties, techniques, and knowledge required to address specific health conditions. Understanding the field aids professionals in providing comprehensive care and advancing treatment methodologies.
9) Inflammation:
'Inflammation' is the body's response to injury or infection, playing a critical role in healing. In dental procedures, managing inflammation can affect recovery and patient comfort post-surgery. Awareness of inflammation is essential for implementing effective postoperative care strategies and improving treatment outcomes.
10) Arrangement:
'Arrangement' refers to the organization or positioning of anatomical structures or data. In the context of dental aesthetics, proper gingival arrangement contributes to an aesthetically pleasing smile. Understanding how these arrangements affect visual perception is vital for successful esthetic dentistry.
11) Discussion:
'Discussion' in medical literature refers to the section where authors interpret their findings in relation to existing research. It is crucial for contextualizing results, exploring implications, and suggesting future research avenues while informing clinical practices and enhancing understanding of the condition or treatment.
12) Detachment:
'Detachment' describes the process of separating tissue from its surroundings during surgical procedures. In the context of lip repositioning surgeries, proper detachment ensures the desired outcome, minimizing complications and enhancing recovery, which is critical for maintaining oral health and esthetics after surgery.
13) Swelling:
'Swelling' is a common postoperative symptom due to inflammation and tissue response to surgery. Recognizing and managing swelling is essential in recovery, influencing patient comfort and satisfaction. Effective strategies to minimize swelling help ensure a smoother healing process following dental procedures.
14) Bleeding:
'Bleeding' is an important consideration during surgical procedures, with management being critical for patient safety. Excessive bleeding can complicate surgery and recovery. Understanding and employing techniques to control bleeding enhances the effectiveness and safety of surgical interventions in dentistry.
15) Family:
'Family' is often referenced in medical histories to identify hereditary conditions and risk factors in patients. Understanding the family background can assist clinicians in recognizing patterns of dental health issues, informing preventive measures and treatment plans tailored to the patient's specific background.
16) Visit:
'Visit' refers to an appointment where patients seek clinical evaluation or treatment. Regular visits are important for maintaining dental health and managing ongoing conditions. Consistent follow-up visits allow clinicians to monitor treatment progress, patient satisfaction, and inform future care strategies.
17) Silk:
'Silk' often refers to the type of sutures used in surgical procedures, particularly for wound closure. Silk sutures are favored for their ease of handling and minimal tissue reactivity. The choice of suture material affects healing, complication rates, and overall surgical outcomes.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Modified laser-assisted lip repositioning surgery to treat gummy smile’. Further sources in the context of Science might help you critically compare this page with similair documents:
Successful treatment, Patient consent, Postoperative complication, Surgical technique, Excessive Gingival Display, Gummy Smile, Crown Lengthening, Laser Assisted Procedure, Diode Laser.