A Lip Repositioning Technique Using Polyester Threads for Gummy Smile Treatment
A new technique is proposed in this study to correct the gummy smile (GS) with myotomy, combining lip repositioning with the insertion of polyester threads at the surgical site to act as a physical barrier and control relapse. 11 patients were clinically assessed (30.2 ± 7.43 years old, 90.9% female...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | International Journal of Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2022/3972150 |
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| _version_ | 1832562383138062336 |
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| author | Renata Oliveira Ribeiro Horn Carlos Nelson Elias Júlio César Joly |
| author_facet | Renata Oliveira Ribeiro Horn Carlos Nelson Elias Júlio César Joly |
| author_sort | Renata Oliveira Ribeiro Horn |
| collection | DOAJ |
| description | A new technique is proposed in this study to correct the gummy smile (GS) with myotomy, combining lip repositioning with the insertion of polyester threads at the surgical site to act as a physical barrier and control relapse. 11 patients were clinically assessed (30.2 ± 7.43 years old, 90.9% females and 9.10% males). All patients presented gingival display (GD) greater than 4 mm. Hypermobile upper lip (HUL), vertical maxillary excess (VME) + HUL, altered passive eruption (APE) + HUL, and VME + APE were the etiologies identified. Three polyester threads were inserted in each patient one month after the surgery. The GS was measured before, 6 months, and 12 months after the surgery. The results showed a reduction in the mean GD of the patients, 4.42 mm after 6 months (p value = 0.000) and 4.13 mm after 12 months (p value = 0.000). The largest relapse was 0.29 mm and was not statistically significant (p value = 0.07). The Friedman test with pairwise comparisons was used to determine the existence of statistically significant differences in GD between the periods analyzed. The results showed that the proposed technique was successful in treating GS, presenting significant reductions in the GD 12 months after surgery and controlling the relapse. |
| format | Article |
| id | doaj-art-1a0c7172e5954baf9169680cf39da041 |
| institution | Kabale University |
| issn | 1687-8736 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Dentistry |
| spelling | doaj-art-1a0c7172e5954baf9169680cf39da0412025-02-03T01:22:41ZengWileyInternational Journal of Dentistry1687-87362022-01-01202210.1155/2022/3972150A Lip Repositioning Technique Using Polyester Threads for Gummy Smile TreatmentRenata Oliveira Ribeiro Horn0Carlos Nelson Elias1Júlio César Joly2São Leopoldo Mandic UniversityInstituto Militar de EngenhariaSão Leopoldo Mandic UniversityA new technique is proposed in this study to correct the gummy smile (GS) with myotomy, combining lip repositioning with the insertion of polyester threads at the surgical site to act as a physical barrier and control relapse. 11 patients were clinically assessed (30.2 ± 7.43 years old, 90.9% females and 9.10% males). All patients presented gingival display (GD) greater than 4 mm. Hypermobile upper lip (HUL), vertical maxillary excess (VME) + HUL, altered passive eruption (APE) + HUL, and VME + APE were the etiologies identified. Three polyester threads were inserted in each patient one month after the surgery. The GS was measured before, 6 months, and 12 months after the surgery. The results showed a reduction in the mean GD of the patients, 4.42 mm after 6 months (p value = 0.000) and 4.13 mm after 12 months (p value = 0.000). The largest relapse was 0.29 mm and was not statistically significant (p value = 0.07). The Friedman test with pairwise comparisons was used to determine the existence of statistically significant differences in GD between the periods analyzed. The results showed that the proposed technique was successful in treating GS, presenting significant reductions in the GD 12 months after surgery and controlling the relapse.http://dx.doi.org/10.1155/2022/3972150 |
| spellingShingle | Renata Oliveira Ribeiro Horn Carlos Nelson Elias Júlio César Joly A Lip Repositioning Technique Using Polyester Threads for Gummy Smile Treatment International Journal of Dentistry |
| title | A Lip Repositioning Technique Using Polyester Threads for Gummy Smile Treatment |
| title_full | A Lip Repositioning Technique Using Polyester Threads for Gummy Smile Treatment |
| title_fullStr | A Lip Repositioning Technique Using Polyester Threads for Gummy Smile Treatment |
| title_full_unstemmed | A Lip Repositioning Technique Using Polyester Threads for Gummy Smile Treatment |
| title_short | A Lip Repositioning Technique Using Polyester Threads for Gummy Smile Treatment |
| title_sort | lip repositioning technique using polyester threads for gummy smile treatment |
| url | http://dx.doi.org/10.1155/2022/3972150 |
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