AUTHOR(S): MDS Lizeth Alejandra Reyes Alvarado, DS Alma Viridiana Castro Quiñones, MDS María de los Ángeles Pietschmann Santamaría, MDS Martha Margarita Aguado Arzola, DBS Dora María López Trujillo, DS Julissa Ramírez Ramírez and Israel Abisai del Rio Balderrama

ABSTRACT:Introduction: excess gummy smile is frequent and appears as a manifestation of intraoral and extraoral etiological factors. Objective: to document the management of a gummy smile associated with lip hypermobility, altered passive eruption and exostoses.
Clinical case: 23-year-old female patient with excessive gummy smile. Treatment: surgical lip replacement technique combined with coronary lengthening.
Results: 7-month postoperative follow-up with minimal recurrence and the patient reported that she noticed a change in her profile and in the implantation of her nasal wings that was narrower than before surgery.
Conclusions: The technique restricts the traction of the levator lip muscle, the depth of the vestibule is shortened, reducing the amount of gingiva that is shown when smiling; the crown lengthening allows to increase the tooth length in the smile.

DOI: https://doi.org/10.22271/oral.2022.v8.i2h.1554

Pages: 537-544  |  549 Views  155 Downloads