Premium
Surgical Lip Repositioning in Two Patients Undergoing Orthodontic Treatment, With Degree I Vertical Maxillary Excess and Short Hypermobile Upper Lip
Author(s) -
Balasubramaniam Aarthi S.,
Reddy Sruthi R.,
Thomas Libby J.,
Ramakrishnan T.,
Ambalavanan N.
Publication year - 2014
Publication title -
clinical advances in periodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 2
eISSN - 2163-0097
pISSN - 2573-8046
DOI - 10.1902/cap.2012.120051
Subject(s) - medicine , orthognathic surgery , dentistry , upper lip , orthodontics , anatomy
In cases of patients with vertical maxillary excess with short or hypermobile lip, orthognathic surgery along with orthodontic treatment is the suggested treatment option. However, orthognathic surgery is associated with increased patient morbidity, and hence a less invasive approach, such as a lip repositioning procedure, is suggested along with orthodontic treatment. Case Presentation: Two patients undergoing orthodontic treatment, with degree I vertical maxillary excess, short and hypermobile lip, and 2 to 4 mm of gingival display on smiling, were recommended for a surgical lip repositioning procedure to reduce the amount of gingival display. The gingival display reduced in both patients, and stable results were obtained 1 year postoperatively. Conclusion: In patients with a gummy smile who are apprehensive of undergoing orthognathic surgery, lip repositioning can be a reassuring treatment option.