Treatment of gummy smile combining crown lengthening, lip repositioning, and the use of polyester threads

Introduction The case report presents a new possibility of treatment for a gummy smile in a patient with multiple etiologies, such as altered passive eruption and hypermobility upper lip. At first, crown lengthening was not sufficient to achieve the desired aesthetic result, being necessary its comb...

Full description

Saved in:
Bibliographic Details
Published in:Clinical advances in periodontics 2023-03, Vol.13 (1), p.42-45
Main Authors: Horn, Renata O. R., Joly, Júlio C.
Format: Article
Language:English
Subjects:
Adult
Crowns
dental
esthetics
Esthetics, Dental
Female
Gingiva - surgery
Gingivectomy - methods
Humans
lip
Lip - surgery
polyesters
Polyesters - therapeutic use
relapse
Smiling
surgical procedure
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Introduction The case report presents a new possibility of treatment for a gummy smile in a patient with multiple etiologies, such as altered passive eruption and hypermobility upper lip. At first, crown lengthening was not sufficient to achieve the desired aesthetic result, being necessary its combination with lip repositioning. Case Presentation Crown lengthening surgery (CLS) was performed in a 20‐year‐old woman, with a gingival display of 7.5 mm, having her gingival exposure reduced to 5.5 mm. Because the patient continued unsatisfied after 6 months, a new procedure was adopted. To reduce even more her gingival exposure, lip repositioning technique was performed associated with myotomy and the insertion of polyester threads as a physical barrier to prevent relapse. Conclusion The result of the gingival display was reduced to 2.5 mm, removing the condition of a gummy smile after the combination of both techniques: crown lengthening, and lip repositioning. Key points Why is this case new information? Association of the technique of lip repositioning and myotomy, the insertion of polyester threads that act as a physical barrier against recurrence. What are the keys to successful management of this case? Correct etiological diagnosis. Prior application of botulinum toxin. Respect the period of 1 month for the insertion of the polyester thread, helping to preserve the suture (limitation of movement). What are the primary limitations to success in this case? Make the patient aware not to move the lips with the hands in order to observe the incision.
ISSN:2573-8046
2163-0097
DOI:10.1002/cap.10214