engleski

Surgical treatment of excessive gingival display using lip repositioning technique and laser gingivectomy as an alternative to orthognatic surgery

Excessive gingival display (EGD) is a condition where an overexposure of the maxillary gingiva is present during smile (> 3 mm). Proper diagnosis and determination of its etiology is essential for the selection of the right treatment modality. Different techniques have been used in cases of hyperactive upper lip: botulinum toxin injections, lip elongations with rhinoplasties, lip muscle detachments, myotomies and lip repositions. We present a case of a young female with EGD of over 10 mm during smile, caused by altered passive eruption, vertical maxillary excess and hyperactive upper lip, treated with a modified lip repositioning technique and laser gingivectomy, who strongly refused orthognathic surgical treatment. A novel addition to the technique has been proposed, a reversible trial accomplished by just applying sutures on the borders of the future split thickness flap, marked using diode laser, before starting the flap incision.

oral surgery ; laser ; lip ; esthetics ; repositioning

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