Join us   Log in   editor.idjsr@gmail.com  


Abstract


INTERNATIONAL DENTAL JOURNAL OF STUDENTS RESEARCH - VOLUME 2 ISSUE 4, January 2015

Pages: 23-28

SMILE DESIGNING BY SURGICAL LIP REPOSITIONING WITH GINGIVAL DEPIGMENTATION AND CROWN LENGTHENING

Author: Dr. Nandini Manjunath1, Dr. Malav Sheth2 Dr. Ria Susan George3

Category: Case Report

[Download PDF]

Abstract:

Background: Excessive gingival display (EGD) / gummy smile refers to an overexposure of maxillary gingiva during smile. The prevalence of excessive gingival display is seen in 10% of population between age of 20-30 years and it is more seen in women than men1. Variety of treatment modalities are available depending on the specific diagnosis. Gingival pigmentation is a physiological presentation found on keratinized tissue. It may/may not be associated with any systemic conditions/ diseases. However, a normal person is conscious of “black gums” with a high smile line. This case report demonstrates the management of excessive gingival display with lip repositioning procedure and depigmentation followed by crown lengthening.                   

Methods: A 23 years old female patient reported with a complaint of black gums and  excessive gingival display. Melanin hyperpigmentation with excessive gingival display (unilateral- left side) on smiling was present. The surgical technique included removal of strip of mucosa from maxillary buccal vestibule and suturing the lip mucosa to the mucogingival line. This clinical report describes the successful treatment of excessive gingival display by lip repositioning technique and depigmentation followed by crown lengthening. 

Results: Satisfactory surgical healing with minimal post-operative sequelae was observed and significant reduction in gingival display was observed after 1 week, 4 weeks and 4 months follow-up.

Conclusion: This procedure is minimally invasive alternative technique to orthognathic surgery for the management of excessive gingival display with slight vertical maxillary excess and hypermobility of the upper lip.

Keywords: Gummy smile, crown lengthening, surgical flap, pigmentation, vertical maxillary excess.

Visitor Counter

Scimago Journal

Coming Soon...

Search Articles



Advertisements

Coming Soon...

Publication Statistics

Articles Statistics

No. of online users: 69

World wide visitors

News

 VOLUME V ISSUE II July, 2017 is out! Visit "Current Issue" to access all articles! 

DENTSSAY 2017! The Pan-India Essay Competition in LIVE! Visit http://www.idjsr.com/competitions.php for more!



Indexed in

Coming Soon...

Manuscript Statistics

Subscribe for TOC Alerts

Get the table of contents of current issues.

E-mail Alerts