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An Innovative Cosmetic Technique Called Lip Repositioning: Case Report
An Innovative Cosmetic Technique Called Lip Repositioning: Case Report
An Innovative Cosmetic Technique Called Lip Repositioning: Case Report
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Case Report
Department of
Periodontology and
Implantology, Sardar
Patel Post Graduate
Institute of Dental and
Medical Sciences,
Lucknow, Uttar Pradesh,
India
Abstract:
A clinical report describing the successful use of the lip repositioning technique for the reduction of excessive
gingival display. A female patient aged 34 years reported with a chief complaint of gummy smile and was treated
with this technique performed under local anesthesia with the main objective to reduce gummy smile by limiting
the retraction of elevator muscles (e.g., zygomaticus minor, levator anguli, orbicularis oris, and levator labii
superioris). The technique is fulfilled by removing a strip of mucosa from maxillary buccal vestibule and creating
a partial thickness flap between mucogingival junction and upperlip musculature, and suturing the lip mucosa with
mucogingival junction, resulting in a narrow vestibule and restricted muscle pull, thereby reducing gingival display.
Key words:
Gummy smile, lip repositioning, orthognathic surgery
INTRODUCTION
CASE REPORT
S
Access this article online
Website:
www.jisponline.com
DOI:
10.4103/0972-124X.76936
Quick Response Code:
Address for
correspondence:
Dr. Krishna Kumar Gupta,
Vijay Nagar,
Extension III-A,
Kanpur Road, Lucknow,
Uttar Pradesh, India
E-mail: drkkgupta26@
rediffmail.com
Submission: 27-11-2009
Accepted: 21-08-2010
266
Technique
Aim of the technique
Lip repositioning is a surgical way to correct
gummy smile by limiting the retraction of the
elevator smile muscles (e.g., zygomaticus minor,
levator anguli, orbicularis oris, and levator labii
superioris).
Surgical technique
Complete extra oral and intraoral mouth
disinfection was done with 2% betadine,
followed by infiltration with local anesthesia,
(2% lignocaine hydrochoride with 1:80,000
epinephrine). Thereafter, the surgical area to
be operated was demarcated with the help of
an indelible pencil also shown in schematic
diagram [Figures 2 and 3]. The surgical area
started at the mucogingival junction, which
extended 1012 mm superiorly in the vestibule
[Figure 4]. Incisions were made in the above-
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Gupta, et al.: An innovative cosmetic technique called lip repositioning
Figure 1: Preoperative
Figure 4: The surgical area started at the mucogingival junction, which extended
10-12 mm superiorly in the vestibule
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Gupta, et al.: An innovative cosmetic technique called lip repositioning
268
DISCUSSION
In most patients, the lower edge of the upperlip assumes a
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Gupta, et al.: An innovative cosmetic technique called lip repositioning
CONCLUSION
Lip repositioning is an innovative and effective way to improve
the gummy smile of a patient. This technique is an easy and
less time consuming cost-effective way to give satisfactory
results to the patient.
ACKNOWLEDGMENT
The author would like to thank Dr. O. P. Chaudhay, Chairman and
Dr. Praveen Mehrotra, Principal of the college, for all his kind support
required for the case report and preparation of the manuscript along
with all the faculty members of the Department of Periodontology for
their support and contributions.
REFERENCES
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