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Esthetic Crown Lengthening Associated With Modified Lip Repositioning Surgery (Modified LipStat) in the Treatment of Excessive Gingival Display: A 6-Year Follow-Up Case Report.
Arruda, Cesar Augusto Signori; Pratto, Luciano Melo; D'Agostini Derech, Estevo; Schuldt Filho, Guenther.
Afiliación
  • Arruda CAS; Department of Postgraduate Studies in Dentistry São Leopoldo Mandic University, Campinas, São Paulo, Brazil.
  • Pratto LM; Department of Postgraduate Studies in Dentistry São Leopoldo Mandic University, Campinas, São Paulo, Brazil.
  • D'Agostini Derech E; Department of Postgraduate Studies in Dentistry São Leopoldo Mandic University, Campinas, São Paulo, Brazil.
  • Schuldt Filho G; Department of Periodontology Nova Southeastern University, Fort Lauderdale, Florida, USA.
Case Rep Dent ; 2024: 3456235, 2024.
Article en En | MEDLINE | ID: mdl-39268185
ABSTRACT
Smiling expresses emotions and affects interpersonal relationships, influencing self-esteem and social life. Nowadays, concerns about aesthetics and access to the Internet have made people more informed and demanding about treatments for gingival smile. Excessive gingival display (EGD) is caused by a variety of factors that can act alone or in combination. These factors may include altered passive eruption (APE), vertical maxillary excess, a short upper lip, and hyperactive upper lip, among other factors that cause gingival hyperplasia. In this case report, the EGD was caused by vertical maxillary excess, hypermobility of the upper lip, and APE. The proposed treatment included two procedures the Modified Lip Repositioning Surgery (Modified LipStat) Technique, with internal sutures to attempt to restrict the traction of the upper lip elevator muscles, and Esthetic Crown Lengthening (ECL) from the right first premolar to the left first premolar for the treatment of APE. The result provided an aesthetic improvement of the smile, with harmonization in relation to the size of the teeth. The mobility of the upper lip in spontaneous smiles remained reduced up to 6 months of follow-up; however, there was a partial relapse in the position of the upper lip during spontaneous smiling at the end of 6 years of follow-up.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Case Rep Dent Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Egipto

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Case Rep Dent Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Egipto