Is lip repositioning operation actually effective in treatment of gummy smile?

Yıl 2019, , 284 - 289, 29.08.2019

Bozan Serhat İzol , Devrim Deniz Üner

https://doi.org/10.35440/hutfd.586541

Öz

Background: Modified lip repositioning operation (MLR) are being used very
frequently in recent times for treating Gummy Smile (GS) caused by hyperactive
upper lip as they are easily applicable, have very few side effects and high
patient satisfaction. The purpose of this study is to assess whether or not the
effects of MLR operation that is used in GS treatment is temporary.

Methods:
In this study, 16 female patients who had complaints of excessive visibility of
their gums while smiling were treated by MLR operations. The amounts of
visibility of the gums were measured before the operation and in the 3rd and
6th months following the operation.

Results:
According to the measurements that were made and analysis that was carried out,
the mean amounts of visible gums before the operation, 3 months after the
operation and 6 months after the operation among the 16 patients were
respectively 4.93±0.85 mm, 1.06±0.98 mm and 2.87±0.8 mm. The mean amount of
reduction in the amounts of the visible gums after the operation were respectively
3.75±0.93
mm and 2.06±0.68
mm for the 3rd and 6th months after the operation.

Conclusions: Based on the results of this study, we may state that the effects of
the MLR operation on the amount of visible gums while smiling decrease in time.
However, the fact that the study was carried out on a few patients prevents us
from reaching precise conclusions about this topic. As the authors, we
recommend that similar studies are carried out with larger samples, and for the
purpose of restricting lip movements, Botulinum Toxin is applied 2 weeks before
the operation.

Anahtar Kelimeler

Gummy Smile, modified lip repositioning operation

Dudağın Yeniden Konumlandırılması Operasyonu Dişeti Gülümsemesi Tedavisinde Gerçekten Etkili Mi?

Öz

Amaç: Modifiye dudağın yeniden konumlandırılması (MDYK) operasyonu kolay
uygulanabilir olması, çok az yan etkisinin olması ve yüksek hasta memnuniyeti
nedeniyle hiperaktif üst dudağın sebep olduğu Gummy
Smile’ın  (GS) tedavisinde son zamanlarda çok sık kullanılmaktadır. Bu
çalışmanın amacı GS tedavisinde kullanılan MDYK operasyonunun 6 aylık dönemde
etkisinin geçip geçmediğini değerlendirmektir. 

Materyal ve
Metot: Bu çalışmada gülümseme
esnasında dişetinin fazla görünmesinden şikayetçi olan 16 bayan hasta MDYK
operasyonu ile tedavi edildi. Operasyon öncesi ve operasyondan 3-6 ay sonra
gülümseme esnasında görünen dişeti miktarları ölçüldü. 

Bulgular: Yapılan ölçüm ve analize göre operasyondan önce ve operasyondan
sonraki 3-6. ayda 16 hastada gülme esnasında ortalama görünen dişeti miktarı
sırasıyla 4.93±0.85 mm, 1.06±0,98 mm ve 2.87±0.8 mm olarak hesaplandı.
Operasyon sonrası dişetindeki ortalama azalma miktarı ise operasyondan sonraki
3. ve 6. ayda sırasıyla 3.75±0.93 ve 2.06±0.68 mm olarak tespit edildi. 

Sonuç: Bu çalışmanın sonucuna dayanarak; MDYK operasyonunun gülme esnasında
görünen dişeti miktarı üzerine etkisinin zamanla azaldığını
söyleyebiliriz. Ancak araştırmanın az sayıda hasta üzerinde yapılmış
olması, bu konu hakkında kesin sonuçlara varmamızı engellemektedir. Biz
yazarlar olarak buna benzer çalışmaların hasta sayısının fazla olduğu gruplar
üzerinde yapılmasını ve operasyonun daha etkili olması için, dudak
hareketlerinin kısıtlanması amacıyla operasyondan 2 hafta önce üst dudağı
yukarı kaldıran kaslara Botulinum Toksin uygulayarak yeni çalışmalar
yapılmasını önermekteyiz.

Anahtar Kelimeler

Dişeti gülümsemesi, modifiye dudağın yeniden konumlandırılması operasyonu, , dişetinin aşırı derecede görünmesi

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