Modified lip repositioning: A surgical approach to treat the gummy smile

Gummy smile has been an esthetic concern for many patients. This clinical report describes a successful surgical coverage obtained by modified lip repositioning, thus surgically treating the gummy smile. The technique was performed to limit the retraction of elevator muscles (e.g., zygomaticus minor...

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Main Authors: Rao, Aditya Gopinath, Koganti, Vijay Prasad, Prabhakar, Ashok Kodangala, Soni, Sweta
Format: Online
Language:English
Published: Medknow Publications & Media Pvt Ltd 2015
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4520129/
id pubmed-4520129
recordtype oai_dc
spelling pubmed-45201292015-07-30 Modified lip repositioning: A surgical approach to treat the gummy smile Rao, Aditya Gopinath Koganti, Vijay Prasad Prabhakar, Ashok Kodangala Soni, Sweta Case Report Gummy smile has been an esthetic concern for many patients. This clinical report describes a successful surgical coverage obtained by modified lip repositioning, thus surgically treating the gummy smile. The technique was performed to limit the retraction of elevator muscles (e.g., zygomaticus minor, orbicularis oris, leviator anguli oris and levator labi oris.) The technique is fulfilled by removing two strips of mucosa from maxillary buccal vestibule on both the sides leaving the frenum untouched and creating a partial thickness flap between mucogingival junction and upper lip musculature, and suturing the lip mucosa with mucogingival junction, resulting in a narrow vestibule and restricted muscle pull, thereby reducing gingival display. This technique is different from the conventional surgical lip repositioning as labial frenum is left untouched over here as it helps in maintain Litton the midline for lip repositioning and reduces the morbidity associated with it. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4520129/ /pubmed/26229285 http://dx.doi.org/10.4103/0972-124X.152400 Text en Copyright: © Journal of Indian Society of Periodontology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Rao, Aditya Gopinath
Koganti, Vijay Prasad
Prabhakar, Ashok Kodangala
Soni, Sweta
spellingShingle Rao, Aditya Gopinath
Koganti, Vijay Prasad
Prabhakar, Ashok Kodangala
Soni, Sweta
Modified lip repositioning: A surgical approach to treat the gummy smile
author_facet Rao, Aditya Gopinath
Koganti, Vijay Prasad
Prabhakar, Ashok Kodangala
Soni, Sweta
author_sort Rao, Aditya Gopinath
title Modified lip repositioning: A surgical approach to treat the gummy smile
title_short Modified lip repositioning: A surgical approach to treat the gummy smile
title_full Modified lip repositioning: A surgical approach to treat the gummy smile
title_fullStr Modified lip repositioning: A surgical approach to treat the gummy smile
title_full_unstemmed Modified lip repositioning: A surgical approach to treat the gummy smile
title_sort modified lip repositioning: a surgical approach to treat the gummy smile
description Gummy smile has been an esthetic concern for many patients. This clinical report describes a successful surgical coverage obtained by modified lip repositioning, thus surgically treating the gummy smile. The technique was performed to limit the retraction of elevator muscles (e.g., zygomaticus minor, orbicularis oris, leviator anguli oris and levator labi oris.) The technique is fulfilled by removing two strips of mucosa from maxillary buccal vestibule on both the sides leaving the frenum untouched and creating a partial thickness flap between mucogingival junction and upper lip musculature, and suturing the lip mucosa with mucogingival junction, resulting in a narrow vestibule and restricted muscle pull, thereby reducing gingival display. This technique is different from the conventional surgical lip repositioning as labial frenum is left untouched over here as it helps in maintain Litton the midline for lip repositioning and reduces the morbidity associated with it.
publisher Medknow Publications & Media Pvt Ltd
publishDate 2015
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4520129/
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