Journal of Cutaneous and Aesthetic Surgery

CASE REPORT
Year
: 2019  |  Volume : 12  |  Issue : 4  |  Page : 240--243

Lip repositioning, aesthetic crown lengthening, and gingival depigmentation: A combined approach for a gummy smile makeover


Rishi A Bhimani1, Nabila D Sofia2 
1 Periodontist, Dr. Rishi’s Dental Clinic, Navi Mumbai, Maharashtra, India
2 Head Dentist, Health Care Centre, Mumbai, Maharashtra, India

Correspondence Address:
Rishi A Bhimani
Dr. Rishi’s Dental Clinic, Shop 9 and 10, Sai Palace, Plot 36, Sector 14, Vashi, Navi Mumbai 400703, Maharashtra.
India

This clinical report describes the successful use of aesthetic crown lengthening, lip-repositioning technique as well as gingival depigmentation for the reduction of excessive gingival display and dark gums, respectively. Lip-repositioning technique was performed with the main objective of reducing gummy smile by limiting the retraction of elevator muscles (e.g., zygomaticus minor, levator anguli oris, orbicularis oris, and levator labii superioris) during smiling, thereby restricting the upper lip from shifting apically while smiling. This technique includes removing a strip of mucosa from the maxillary labial and buccal vestibule, creating a partial-thickness flap between mucogingival junction and upper lip musculature, and suturing the lip mucosa with mucogingival junction, resulting in a narrow vestibule and restricted muscle pull, thereby reducing gingival display. The results obtained with lip repositioning for the treatment of gummy smile are substantial and it is a simple and effective procedure, well accepted by patients. Proper case selection is important for using this procedure.


How to cite this article:
Bhimani RA, Sofia ND. Lip repositioning, aesthetic crown lengthening, and gingival depigmentation: A combined approach for a gummy smile makeover.J Cutan Aesthet Surg 2019;12:240-243


How to cite this URL:
Bhimani RA, Sofia ND. Lip repositioning, aesthetic crown lengthening, and gingival depigmentation: A combined approach for a gummy smile makeover. J Cutan Aesthet Surg [serial online] 2019 [cited 2020 Aug 7 ];12:240-243
Available from: http://www.jcasonline.com/article.asp?issn=0974-2077;year=2019;volume=12;issue=4;spage=240;epage=243;aulast=Bhimani;type=0