Lip repositioning with a myotomy of the elevator muscles for the management of a gummy smile
| Autor: | Vahid Mollabashi, Marzieh Akhlaghian, Sedigheh Razi |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Myotomy
Adult medicine.medical_specialty Adolescent medicine.medical_treatment Facial Muscles Dehiscence Esthetics Dental Smiling 03 medical and health sciences Young Adult 0302 clinical medicine Gummy smile medicine Humans Prospective Studies 030223 otorhinolaryngology Prospective cohort study General Dentistry Short upper lip Mild pain business.industry Soft tissue 030206 dentistry General Medicine Lip Surgery Oral and maxillofacial surgery business |
| Zdroj: | Dental and medical problems. 55(3) |
| ISSN: | 2300-9020 |
| Popis: | Background Excessive gingival display ≥4 mm is commonly referred to as a "gummy smile", which is caused by several different etiologies and can be corrected using various techniques. Therefore, the etiology of a gummy smile dictates the most appropriate treatment approach. Objectives The aim of this study was to evaluate the surgical lip repositioning technique (a full-thickness flap with a myotomy of the elevator muscles) in the management of a gummy smile in the range of 4-6 mm, caused by soft tissue disorders (short upper lip, hyperactive lip elevator muscles). Material and methods A prospective study was conducted between April 2016 and May 2017. Fourteen adult patients, aged 18-38 years, with a gummy smile of 4-6 mm, caused by soft tissue disorders were included in the study. All patients were treated by the surgical lip repositioning technique (a full-thickness flap with a myotomy of the elevator muscles) in the Department of Oral and Maxillofacial Surgery at Damascus University, Syria. The amount of gingival display in a full smile and complications after surgery were evaluated in the current study. Results The results were as follows: the mean amount of gingival display in a full smile was 6.36 mm preoperatively, after 1 month postoperatively - 0.91 mm, after 3 months - 2.27 mm, after 6 months - 2.45 mm. The post-surgery complications were as follows: the infection did not appear in any patient, flap dehiscence appeared in 2 patients (14.2%), numbness appeared in 9 patients (64.2%). Pain recurrences varied between mild pain in 5 patients (35.7%) and moderate pain in 3 patients (21.4%). Conclusions The proposed surgical lip repositioning technique showed effectiveness in reducing the amount of gingival display in a full smile through postoperative follow-up periods. All the postoperative complications are temporary and fade within a short period after the surgical procedure, making lip repositioning a safe surgical technique. |
| Databáze: | OpenAIRE |
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