JDSE
Journal of Dental Sciences and Education

The Journal of Dental Sciences and Education deals with General Dentistry, Pediatric Dentistry, Restorative Dentistry, Orthodontics, Oral diagnosis and DentomaxilloFacial Radiology, Endodontics, Prosthetic Dentistry, Periodontology, Oral and Maxillofacial Surgery, Oral Implantology, Dental Education and other dentistry fields and accepts articles on these topics. Journal of Dental Science and Education publishes original research articles, review articles, case reports, editorial commentaries, letters to the editor, educational articles, and conference/meeting announcements. This journal is indexed by indices that are considered international scientific journal indices (DRJI, ESJI, OAJI, etc.). According to the current Associate Professorship criteria, it is within the scope of International Article 1-d. Each article published in this journal corresponds to 5 points.

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Case Report
Creating smile aesthetics by using crown lengthening and upper lip repositioning surgical operations together in a gingival smile case: a case report
Abstract
When the distance between the gingival margin and the lower border of the upper lip is more than 3 mm while smiling, it is called a gummy smile. The etiology of excessive gingival visibility is varied: delayed passive eruption, anterior dento-alveolar extrusion, vertical maxillary overhang, short upper lip, hypermobile upper lip, or a combination of multiple factors. The aim of our study is to diagnose gingival smile and explain the treatment of excessive gingival appearance due to vertical maxillary excess and hypermobile upper lip with crown lengthening and upper lip repositioning surgeries. A 27-year-old female patient presented to our clinic with the complaint of excessive gingival exposure while smiling. In the intraoral examination, it was determined that the patient had good oral hygiene, the upper lip was hypermobile, and the crown lengths of the upper central teeth were shorter than normal due to passive eruption. Gingivectomy, crown lengthening, and lip repositioning operations were planned for gummy smile treatment. For lip repositioning, the first incision was made from the mucogingival line of teeth numbered 14-24, the second incision was made 8-10 mm apically; and the tissue in between was excised. The wound edges were closed with 5.0 nylon mono sutures. Postoperative antibiotics, analgesics, and mouthwash were prescribed. The patient stated that he did not have any postoperative problems. The 6-month follow-up showed an uneventful recovery. In this case, the excessive gingival appearance was reduced by restricting the muscle traction of the elevator lip muscles, and the tooth length was increased with the crown length operation, providing aesthetic satisfaction for both the patient and the physician. As a result of our study, this procedure is safe for patients, less invasive, has minimal side effects, and may be an alternative to orthognathic surgery in appropriate cases for the correction of gingival smiles.

Keywords : Lip reposition, gummy smile, gingivectomy,gingival smile

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1. Üner D, İzol B, İpek F, Elbir M, Tosun B. Dudağin yenidenkonumlandirilmasi ve gingivektomi yapilarak gummy smile tedavisibir olgu sunumu (gummy smile). Ata Diş Hek Fak Derg. 2015;25:25-29.doi:10.17567/dfd.34339
2. Haddadi P, Zare H, Azadikhah A. Lip Repositioning, a Solution forGummy Smile. Front Dent. 2021;18:15. doi:10.18502/fid.v18i15.6140
3. Faus-Matoses V, Faus-Matoses I, Jorques-Zafrilla A, Faus-Llácer VJ.Lip repositioning technique. A simple surgical procedure to improvethe smile harmony. J Clin Exp Dent. 2018;10(4):e408-e412. doi:10.4317/jced.54721
4. Mercado-García J, Rosso P, Gonzalvez-García M, Colina J, FernándezJM. Gummy Smile: Mercado-Rosso Classification System andDynamic Restructuring with Hyaluronic Acid. Aesthetic Plast Surg.2021;45(5):2338-2349. doi:10.1007/s00266-021-02169-8
5. Shreyas GU, Nirali JH, Karishma MO. Lip repositioning: A case reportand review of literature over a decade. Int J Appl Dent Sci 2020;6(3):398-402
6. Machado AW. 10 commandments of smile esthetics. Dental Press JOrthod. 2014;19(4):136-157. doi:10.1590/2176-9451.19.4.136-157.sar
7. K D, Yadalam U, Ranjan R, Narayan SJ. Lip repositioning, an alternativetreatment of gummy smile - A case report. J Oral Biol Craniofac Res.2018;8(3):231-233. doi:10.1016/j.jobcr.2017.09.007
8. Garber DA, Salama MA. The aesthetic smile: diagnosis and treatment.Periodontol 2000. 1996;11:18-28. doi:10.1111/j.1600-0757.1996.tb00179.x
9. Bhimani RA, Sofia ND. Lip repositioning, aesthetic crown lengthening,and gingival depigmentation: a combined approach for a gummy smilemakeover. J Cutan Aesthet Surg. 2019;12(4):240-243. doi:10.4103/JCAS.JCAS_25_19
10. Kelly GM, Andrea MG, Andrea VB. The lip repositioning surgery:a review of the technique’s evolution. Eur J General Dentistry2021;10(03):176-182.
11. Gaddale R, Desai SR, Mudda JA, Karthikeyan I. Lip repositioning.J Indian Soc Periodontol. 2014;18(2):254-258. doi:10.4103/0972-124X.131349
Article available in :
Volume 1, Issue 4, 2023
Page : 127-130
https://doi.org/10.51271/JDSE-0023
Article Information
Received : 08 Ara 2023
Accepted : 28 Ara 2023
Published : 31 Ara 2023
Corresponding Author :

Canan Akdeniz: dicle üniversitesi diş hekimliği fakültesi

Citation : Akdeniz C, Güler Doğru A. Creating smile aesthetics by using crown lengthening and upper lip repositioning surgical operations together in a gingival smile case: a case report. J Dent Sci Educ. 2023; 1(4): 127-130.

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