TY - JOUR T1 - Lip Repositioning as an Alternative Treatment of Gummy Smile AU - Karaca, Büşra AU - Tezişener, Hüseyin Ali AU - Özalp, Öznur AU - Atay, Mehmet Ali AU - Sindel, Alper PY - 2023 DA - September JF - EurAsian Journal of Oral and Maxillofacial Surgery JO - EJOMS PB - Ağız ve Çene Yüz Cerrahisi Birliği Derneği WT - DergiPark SN - 2687-5497 SP - 57 EP - 59 VL - 2 IS - 3 LA - en AB - ObjectiveExcessive gingival display (EGD) may compromise esthetics during smile. As the etiology is multi-factorial, various treatmentoptions have been described for the management of EGD. The aim of this report was to present the management of four patientswith EGD by lip repositioning technique as a minimally invasive treatment modality.CaseFour female patients referred to our department with a chief complaint of unaesthetic appearance during smiling. Clinicalexamination revealed EGD as a result of vertical maxillary excess and hypermobile upper lip. Lip repositioning surgery wasperformed in order to restrict the pull of the elevator lip muscles. No complications or recurrence were observed at 6-monthfollow-up and all patients were satisfied with the outcomes of the procedure.ConclusionAs a safe and relatively simple procedure, lip repositioning may provide satisfactory outcomes for patients with excessive gingivaldisplay. KW - excessive gingival display KW - gummy smile KW - hypermobile lip KW - lip repositioning KW - smile esthetics CR - 1. Tjan AH, Miller GD, The JG. Some esthetic factors in a smile. J Prosthet Dent. 1984;51(1):24-8. CR - 2. Robbins JW. Differential diagnosis and treatment or excess gingival display. Pract Periodontics Aesthet Dent. 1999;11(2):265-272. CR - 3. Martins AT, Sakakura CE, Correcirc BE. Pontes AEF. A modified technique that decreases the height of the upper lip in the treatment of gummy smile patients: a case series study. J. Dent. Oral Hyg. 2012; 4(3):21-28. CR - 4. Livada R, Shiloah J. Gummy smile: could it be genetic? Hereditary gingival fibromatosis. J Tennessee Dental Association. 2012;92(1):23. CR - 5. Monaco A, Streni O, Chiara Marci M, Marzo G, Gatto R, Giannoni M. Gummy smile: clinical parameters useful for diagnosis and therapeutical approach. J Clin Pediatr Dentistry. 2005;29(1):19-25. CR - 6. Rubinstein AM, Kostianovsky AS. Cosmetic Surgery malformation of Smiles. Prep Med Argent 1973;60:952. CR - 7. Roy BM. Lip Repositioning: Patient Outcome Assessments [master thesis]. Columbus, OH: The Ohio State University; 2016:1-28. CR - 8. Alammar AM, Heshmeh OA. Lip repositioning with a myotomy of the elevator muscles for the management of a gummy smile. Dent Med Probl. 2018 Jul- Sep;55(3):241-246. CR - 9. Silva CO, Ribeiro-Júnior NV, Campos TV, Rodrigues JG, Tatakis DN. Excessive gingival display: treatment by a modified lip repositioning technique. J Clin Periodontol. 2013;40(3):260-265. CR - 10. Rosenblatt A, Simon Z. Lip repositioning for reduction of excessive gingival display: A clinical report. Int J Periodontics Restorative Dent. 2006;26:433–7. UR - https://dergipark.org.tr/en/pub/ejoms/issue//1408129 L1 - https://dergipark.org.tr/en/download/article-file/3613340 ER -