The aim of this case report was to present an alternative therapeutic combination involving lip repositioning (LR) in the correction of gummy smile (GS). This treatment is less invasive than orthognathic surgery and is highly acceptable to patients, using a modified technique that combines myotomy with the insertion of polyester threads as a physical barrier against relapse.
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http://dx.doi.org/10.1016/j.jobcr.2024.08.008 | DOI Listing |
Cureus
December 2024
General Dentistry, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, SAU.
Excessive gingival display (EGD), commonly known as a gummy smile (GS), is a cosmetic concern that involves exposing a significant area of gum tissue during a smile, rendering it unaesthetic. Gingival exposure greater than 3 mm is deemed aesthetically displeasing and often necessitates treatment to mask the gummy smile. The causes of EGD are multifactorial, including altered passive eruption (APE), hypermobile upper lip (HUL), short lip length, increased vertical maxillary component, gingival hyperplasia, dentoalveolar extrusion, and more.
View Article and Find Full Text PDFJ Craniofac Surg
November 2024
Department of Oral and Maxillofacial Surgery, Chung-Ang University Hospital, Seoul, Korea.
This study presents a novel approach for maxillary advancement in a patient with cleft lip and palate, utilizing the assembly of a custom titanium implant and a ready-made distractor. The patient exhibited significant maxillary hypoplasia and had concerns regarding the possible deterioration of hypernasality after conventional surgical methods. Distraction osteogenesis was initiated to address these challenges.
View Article and Find Full Text PDFCureus
October 2024
Periodontics, Sree Balaji Dental College and Hospital, Chennai, IND.
In the oral cavity, the frenum is an anatomical structure composed of mucosal folds that connect the lip and cheek to the alveolar mucosa, gingiva, and underlying periosteum. An abnormally positioned maxillary labial frenum can contribute to the formation of a diastema and gingival recession. Various techniques have been proposed for the correction of aberrant frenal attachments, including frenectomy and frenal repositioning procedures.
View Article and Find Full Text PDFCleft Palate Craniofac J
November 2024
Division of Plastic and Maxillofacial Surgery, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Objective: This study analyzes indications and outcomes of premaxillary setback (PS) and presents an algorithm for its use in patients with bilateral cleft lip and/or palate (BCL ± P).
Design: Retrospective review.
Setting: Children's Hospital Los Angeles.
Facial Plast Surg Aesthet Med
November 2024
Department of Otolaryngology - Head and Neck Surgery, Wake Forest University, School of Medicine, Winston Salem, North Carolina, USA.
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