Modified Lip Repositioning Technique for the Management of Excessive Gingival Display

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DOI: 10.23880/oajds-16000416

Volume 10, Issue 4

Abstract

Excessive gingival display, an esthetically concerning clinical situation is characterized by an excessive display of gums during a normal smile. Etiology of the condition is multifactorial involving altered passive eruption, vertical maxillary excess, hypermobile upper lip or short upper lip. Hypermobile upper lip is prevalent among north Americans and Asians. Management of the hypermobility may involve non-surgical or surgical methods. The use of botulinum toxin as a non-surgical approach is widely popular, although with the primary disadvantage of being short lived and requiring frequent reapplication. Surgical technique provides more stable results and may include myotomy that involves complete resection of muscles or the or lip repositioning surgery involving repositioning of the vestibular mucosa. Reducing the vestibule depth. Lip repositioning offers the primary advantage of being less invasive and is reversible. This article describes a case report of management of excessive gingival display due to hypermobile upper lip using a modified lip repositioning surgery where in the midline labial frenum is left intact, thus significantly improving the esthetic results.

Keywords: Excessive Gingival Display; Hypermobile Upper Lip; Lip Repositioning

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