Case Report
Year 2025,
Volume: 17 Issue: 1, 40 - 44, 30.04.2025
Abstract
Dişeti gülümsemesi (DG) gülme ya da konuşma sırasında dişetinin aşırı görünürlüğü ile karakterize, popülasyonun önemli bir bölümünü etkileyen, psikolojik travmalara neden olabilen mukogingival bir durumdur. DG oluşumunda üst dudak elevator kasların hiperaktivitesi ve kraniofasial iskeletsel bozukluklar en önemli predispozan faktörler olarak tanımlanmıştır. Bu olgu raporunda; bir DG vakasının, dudak repozisyonu (DR) tekniği ile tedavisi sonucu, gülme sırasında dişeti görünürlüğünde azalma elde edilmiştir. Buna ek olarak; üst dudağın yeni pozisyonuna bağlı daha dolgun dudak görünümü, daha uzun ve estetik klinik kuron boyları gibi sekonder kazanımlar olarak ortaya çıkmıştır.
Supporting Institution
TOKAT GAZİOSMANPAŞA ÜNİVERSİTESİ DİŞ HEKİMLİĞİ FAKÜLTESİ PERİODONTOLOJİ ANA BİLİM DALI
Thanks
Bu olgu sunumunun hazırlanması, düzenlenmesi ve yayınlanması süresince benden değerli vaktini, tecrübelerini ve desteğini esirgemeyen Sayın Doç. Dr. Mehmet Murat TAŞKAN Hocama ve Sayın Doç. Dr. Özkan KARATAŞ Hocama teşekkürlerimi sunarım.
References
- Referans 1. Badur S, Sarıdağ S. Gummy Smile’da Etkin Çözüm: Botoks. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi). 2020;6(3):17-24.
- Referans 2. Boeira PO, De Rossi A, Caporossi LS, da Silveira Lima G. Periodontal esthetic surgery to improve a natural smile: Report case with 2-year follow-up. Journal of Indian Society of Periodontology. 2020;24(1):87-91. Referans 3. Ramesh A, Vellayappan R, Ravi S, Gurumoorthy K. Esthetic lip repositioning: A cosmetic approach for correction of gummy smile–A case series. Journal of Indian Society of Periodontology. 2019;23(3):290-4.
- Referans 4. Grover HS, Gupta A, Luthra S. Lip repositioning surgery: A pioneering technique for perio-esthetics. Contemporary clinical dentistry. 2014;5(1):142-5.
- Referans 5. Monica M, Martina S, Matteo M, Claudio M, Zucchelli G. Periodontal treatment in patients with passive altered eruption. J Parodontol Implantol Orale. 2010;29:45-56.
- Referans 6. Dym H, Pierre R. Diagnosis and treatment approaches to a" gummy smile. Dent Clin North Am. 2020;64(2):341-9.
- Referans 7. Mendoza-Geng A, Gonzales-Medina K, Meza-Mauricio J, Muniz FWMG, Vergara-Buenaventura A. Clinical efficacy of lip repositioning technique and its modifications for the treatment of gummy smile: systematic review and meta-analysis. Clinical oral investigations. 2022;26(6):4243-61.
- Referans 8. Pandurić DG, Blašković M, Brozović J, Sušić M. Surgical treatment of excessive gingival display using lip repositioning technique and laser gingivectomy as an alternative to orthognathic surgery. Journal of oral and maxillofacial surgery. 2014;72(2):404. e1-. e11.
- Referans 9. dos Santos‐Pereira SA, Cicareli AJ, Idalgo FA, Nunes AG, Kassis EN, Castanha Henriques JF, et al. Effectiveness of lip repositioning surgeries in the treatment of excessive gingival display: A systematic review and meta‐analysis. Journal of Esthetic and Restorative Dentistry. 2021;33(3):446-57.
- Referans 10. Gonzales-Medina K, Mendoza-Geng A, Vergara-Buenaventura A. The lip repositioning surgery: a review of the technique's evolution. European Journal of General Dentistry. 2021;10(03):176-82.
- Referans 11. Tjan AH, Miller GD, The JG. Some esthetic factors in a smile. The Journal of prosthetic dentistry. 1984;51(1):24-8.
- Referans 12. Jananni M, Sivaramakrishnan M, Libby TJ. Surgical correction of excessive gingival display in class I vertical maxillary excess: Mucosal strip technique. Journal of natural science, biology, and medicine. 2014;5(2):494.
- Referans 13. Rubinstein A, Kostianovsky A. Cosmetic surgery for the malformation of the laugh: original technique. Prensa Med Argent. 1973;60:952.
- Referans 14. Simon Z, Rosenblatt A, Dorfman W. Eliminating a gummy smile with surgical lip repositioning. The journal of cosmetic dentistry. 2007;23(1).
- Referans 15. Rosenblatt A, Simon Z. Lip repositioning for reduction of excessive gingival display: a clinical report. International Journal of Periodontics & Restorative Dentistry. 2006;26(5).
- Referans 16. Gaddale R, Desai SR, Mudda JA, Karthikeyan I. Lip repositioning. Journal of Indian Society of Periodontology. 2014;18(2):254-8.
- Referans 17. Mantovani MB, Souza EC, Marson FC, Corrêa GO, Progiante PS, Silva CO. Use of modified lip repositioning technique associated with esthetic crown lengthening for treatment of excessive gingival display: A case report of multiple etiologies. Journal of Indian Society of Periodontology. 2016;20(1):82-7.
- Referans 18. Eskin K, Altındal D, Aydınyurt HŞ. Aşırı Dişeti Görünümünün Tedavisinde Dudak Repozisyonu Uygulaması: Olgu Serisi. Van Diş Hekimliği Dergisi. 2022;3(1):50-5.
- Referans 19. Demirci F, Tanık A, Seyfioğlu Polat Z. Oral rehabilitation of a patient with gummy smile and worn dentition: Case report. Dicle Diş hekimliği Derg. 2016;17(1):79-82.
Year 2025,
Volume: 17 Issue: 1, 40 - 44, 30.04.2025
Abstract
Gummy smile (GS) is a mucogingival condition characterized by excessive gingival visibility during smiling or speaking, affecting a significant portion of the population, and can cause psychological trauma. Hyperactivity of the upper lip elevator muscles and craniofacial skeletal disorders have been identified as the most important predisposing factors in the formation of GS. In this case report; a decrease in gingival visibility during smiling was achieved as a result of the treatment of a GS case with lip repositioning (LR) technique. In addition; secondary gains such as fuller lip appearance due to the new position of the upper lip, longer and more aesthetic clinical crown lengths emerged.
Keywords
References
- Referans 1. Badur S, Sarıdağ S. Gummy Smile’da Etkin Çözüm: Botoks. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi). 2020;6(3):17-24.
- Referans 2. Boeira PO, De Rossi A, Caporossi LS, da Silveira Lima G. Periodontal esthetic surgery to improve a natural smile: Report case with 2-year follow-up. Journal of Indian Society of Periodontology. 2020;24(1):87-91. Referans 3. Ramesh A, Vellayappan R, Ravi S, Gurumoorthy K. Esthetic lip repositioning: A cosmetic approach for correction of gummy smile–A case series. Journal of Indian Society of Periodontology. 2019;23(3):290-4.
- Referans 4. Grover HS, Gupta A, Luthra S. Lip repositioning surgery: A pioneering technique for perio-esthetics. Contemporary clinical dentistry. 2014;5(1):142-5.
- Referans 5. Monica M, Martina S, Matteo M, Claudio M, Zucchelli G. Periodontal treatment in patients with passive altered eruption. J Parodontol Implantol Orale. 2010;29:45-56.
- Referans 6. Dym H, Pierre R. Diagnosis and treatment approaches to a" gummy smile. Dent Clin North Am. 2020;64(2):341-9.
- Referans 7. Mendoza-Geng A, Gonzales-Medina K, Meza-Mauricio J, Muniz FWMG, Vergara-Buenaventura A. Clinical efficacy of lip repositioning technique and its modifications for the treatment of gummy smile: systematic review and meta-analysis. Clinical oral investigations. 2022;26(6):4243-61.
- Referans 8. Pandurić DG, Blašković M, Brozović J, Sušić M. Surgical treatment of excessive gingival display using lip repositioning technique and laser gingivectomy as an alternative to orthognathic surgery. Journal of oral and maxillofacial surgery. 2014;72(2):404. e1-. e11.
- Referans 9. dos Santos‐Pereira SA, Cicareli AJ, Idalgo FA, Nunes AG, Kassis EN, Castanha Henriques JF, et al. Effectiveness of lip repositioning surgeries in the treatment of excessive gingival display: A systematic review and meta‐analysis. Journal of Esthetic and Restorative Dentistry. 2021;33(3):446-57.
- Referans 10. Gonzales-Medina K, Mendoza-Geng A, Vergara-Buenaventura A. The lip repositioning surgery: a review of the technique's evolution. European Journal of General Dentistry. 2021;10(03):176-82.
- Referans 11. Tjan AH, Miller GD, The JG. Some esthetic factors in a smile. The Journal of prosthetic dentistry. 1984;51(1):24-8.
- Referans 12. Jananni M, Sivaramakrishnan M, Libby TJ. Surgical correction of excessive gingival display in class I vertical maxillary excess: Mucosal strip technique. Journal of natural science, biology, and medicine. 2014;5(2):494.
- Referans 13. Rubinstein A, Kostianovsky A. Cosmetic surgery for the malformation of the laugh: original technique. Prensa Med Argent. 1973;60:952.
- Referans 14. Simon Z, Rosenblatt A, Dorfman W. Eliminating a gummy smile with surgical lip repositioning. The journal of cosmetic dentistry. 2007;23(1).
- Referans 15. Rosenblatt A, Simon Z. Lip repositioning for reduction of excessive gingival display: a clinical report. International Journal of Periodontics & Restorative Dentistry. 2006;26(5).
- Referans 16. Gaddale R, Desai SR, Mudda JA, Karthikeyan I. Lip repositioning. Journal of Indian Society of Periodontology. 2014;18(2):254-8.
- Referans 17. Mantovani MB, Souza EC, Marson FC, Corrêa GO, Progiante PS, Silva CO. Use of modified lip repositioning technique associated with esthetic crown lengthening for treatment of excessive gingival display: A case report of multiple etiologies. Journal of Indian Society of Periodontology. 2016;20(1):82-7.
- Referans 18. Eskin K, Altındal D, Aydınyurt HŞ. Aşırı Dişeti Görünümünün Tedavisinde Dudak Repozisyonu Uygulaması: Olgu Serisi. Van Diş Hekimliği Dergisi. 2022;3(1):50-5.
- Referans 19. Demirci F, Tanık A, Seyfioğlu Polat Z. Oral rehabilitation of a patient with gummy smile and worn dentition: Case report. Dicle Diş hekimliği Derg. 2016;17(1):79-82.
There are 18 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Periodontics |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | April 30, 2025 |
| Submission Date | September 13, 2024 |
| Acceptance Date | October 7, 2024 |
| Published in Issue | Year 2025 Volume: 17 Issue: 1 |
Cite
“International Journal of Tokat Medical Sciences” is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC-BY-NC).