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International Conference on Oral Health and Dentistry

Kuala Lumpur, Malaysia
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Treatment of a gummy smile case with reverse vestibuloplasty
20th Annual World Dental Summit
March 20-22, 2017 Rome, Italy

Demet Sahin, Meltem Cakır and Hasan Suat Gokce

Medipol University Hospital, Turkey

Posters & Accepted Abstracts: Dentistry


Introduction: Gingival display greater than 3 mm results in a situation termed as gummy smile and this situation is often aesthetically unacceptable for the individual. Different techniques have been used in case of hyperactive upper lip: Botulinum toxin injections, lip elongations with rhinoplasties, lip muscle detachments, myotomies and lip repositioning. Aim: We aimed to present a case of a female patient with excessive gingival display treated using reverse vestibuloplasty. Case Description: 47 year old female patient came to our periodontology clinics complaining of an unaesthetic excessive gingival display more than 10 mm. A treatment model combining of crown lengthening procedures, reverse vestibuloplasty and esthetic prosthetic rehabilitation was planned. After local anesthesia, a horizontal incision from right upper molar to the left upper molar was made in the mucogingival junction. A parallel horizontal incision was also made 10 mm coronally and two vertical incisions were made in the most distal parts of the flap design. Half-thickness flap was reflected and tissue was removed. Two horizontal incision lines were connected using simple sutures, so the upper lip was not excessively mobile any longer. Crown-lengthening procedures were also performed. After one week, sutures were removed. Healing was uneventful. About a month later, aesthetic prosthetic rehabilitation was performed. High-level patient satisfaction was achieved. Discussion: Different techniques could also be combined in the existence of gummy smile. Conclusion/Clinical Significance: Reverse vestibuloplasty is a minimal invasive surgical procedure with satisfying aesthetic results as an alternative to orthognathic surgery.

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