Laser-Assisted Lip Repositioning Surgery: A Modification to The Conventional Technique Laser-Assisted Lip Repositioning Surgery.
Journal of Lasers in Medical Sciences,
Vol. 13 (2022),
10 Dey 2022
,
Page e22
Abstract
Introduction: The lip repositioning surgical technique arose with the objective of correcting and harmonizing the act of smiling. Since the conventional technique was published, some modifications of the technique have been proposed in order to counteract postoperative recurrence and to achieve the best esthetic appearance of the smile. The objective of this paper was to describe the laser-assisted lip repositioning technique (laser-assisted LRS) with a 940nm diode laser and 2780nm Er, Cr: YSGG, as a modification to the conventional lip repositioning technique, for the treatment of a gummy smile.
Case Report: The proposed technique consists in achieving the descent of the upper lip by removing the intraoral mucosal band through the laser peeling of the oral mucosa, preserving the connective tissue intact for healing by secondary intention. The technique was implemented in two patients with a diagnosis of a gummy smile caused by a short and hyperactive upper lip; the healing process was satisfactory, and there was no bleeding or postoperative edema. Postoperative controls were performed at 3 and 10 months, and no recurrence was found.
Conclusion: the 940nm Diode laser or 2780nm Er, Cr: YSGG laser-assisted lip repositioning the technique described here is less invasive than that performed with a conventional scalpel, offers aesthetic results, lower risk of infection, and recurrence of the gummy smile in the long term.
- : Gummy smile; Excessive gingival display; Lip; Smiling; Lasers; Diode Laser
How to Cite
References
2. Antoniazzi RP, Fischer L de S, Balbinot CEA, Antoniazzi SP, Skupien JA. Impact of excessive gingival display on oral health-related quality of life in a Southern Brazilian young population. J Clin Periodontol. 2017;44(10):996–1002. doi.org/10.1111/jcpe.12753.
3. Rubinstein AM KA. Cosmetic surgery for the malformation of the laugh: Original technique in Spanish. Prensa Med Argent. 1973;60:952.
4. Litton C FP. Simple surgical correction of the gummy smile. Plast Reconstr Surg. 1979;63(3):372–3.
5. Gaddale R, Desai SR, Mudda JA, Karthikeyan I. Lip repositioning. J Indian Soc Periodontol. 2014;18(254–258). doi: 10.4103/0972-124X.131349.
6. Dym H, Pierre R. Diagnosis and Treatment Approaches to a “Gummy Smile.” Dent Clin North Am. 2020;64(2):341–9.
7. Tawfik OK, El-Nahass HE, Shipman P, Looney SW, Cutler CW, Brunner M. Lip repositioning for the treatment of excess gingival display: A systematic review. J Esthet Restor Dent. 2018;30(2):101–12. Doi:10.1111/jerd.12352.
8. Andijani RI, Tatakis DN. Hypermobile upper lip is highly prevalent among patients seeking treatment for gummy smile. J Periodontol. 2019;90(3):256–62. Doi:10.1002/JPER.18-0468.
9. Alammar A, Heshmeh O, Mounajjed R, Goodson M, Hamadah O. A comparison between modified and conventional surgical techniques for surgical lip repositioning in the management of the gummy smile. J Esthet Restor Dent. 2018;30(6):523–31. Doi:10.1111/jerd.12433.
10. Sánchez I, Gaud-Quintana S, Stern J. Modified Lip Repositioning with Esthetic Crown Lengthening: A Combined Approach to Treating Excessive Gingival Display. Int J Periodontics Restorative Dent. 2017;37(1):e130–4. Doi:10.11607/prd.3124.
11. Bhola M, Fairbairn P, Kolhatkar S, Chu S, Morris T, de Campos M. LipStaT: The Lip Stabilization Technique— Indications and Guidelines for Case Selection and Classification of Excessive Gingival Display. Int J Periodontics Restorative Dent. 2015;35(4):549–59. doi: 10.11607/prd.2059.
12. Dayakar M, Gupta S, Shivananda H. Lip repositioning: An alternative cosmetic treatment for gummy smile. J Indian Soc Periodontol. 2014;18(4):520–3. doi: 10.4103/0972-124X.138751.
13. Gabrić Pandurić D, 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. J Oral Maxillofac Surg. 2014;72(2):404-e1. Doi:10.1016/j.joms.2013.10.016.
14. Farista S, Yeltiwar R, Kalakonda B, Thakare KS. Laser-assisted lip repositioning surgery: Novel approach to treat gummy smile. J Indian Soc Periodontol. 2017;21(2):164–8. doi: 10.4103/jisp.jisp_411_16.
15. Duruel O, Erduran N, Tözüm T. A Modification for Treatment of Excessive Gingival Display: Tooth-Based Lip-Repositioning Technique. Int J Periodontics Restorative Dent. 2020;40(3):457–61.
16. Gutiérrez-Corrales A, Rizcala-Orlando Y, Montero-Miralles P, et al. Comparison of diode laser - Oral tissue interaction to different wavelengths. In vitro study of porcine periodontal pockets and oral mucosa. Med Oral Patol Oral Cir Bucal. 2020;25(2):e224-e232. doi: 10.4317/medoral.23317.
17. Ortega-Concepción D, Cano-Durán JA, Peña-Cardelles JF, Paredes-Rodríguez VM, González-Serrano J, López-Quiles J. The application of diode laser in the treatment of oral soft tissues lesions. A literature review. J Clin Exp Dent. 2017;9(7):e925-e-928. doi: 10.4317/jced.53795.
18. Çayan T, Hasanoglu Erbaşar GN, Akca G, Kahraman S. Comparative evaluation of diode laser and scalpel surgery in the treatment of inflammatory fibrous hyperplasia: A split-mouth study. Photobiomodulation, Photomedicine, Laser Surg. 2019;37(2):91–8. Doi:10.1089/photob.2018.4522.
19. Amaral MBF, De Ávila JMS, Abreu MHG, Mesquita RA. Diode laser surgery versus scalpel surgery in the treatment of fibrous hyperplasia: A randomized clinical trial. Int J Oral Maxillofac Surg. 2015;44(11):1383–9. doi:10.1016/j.ijom.2015.05.015.
20. Ryu SW, Lee SH, Yoon HJ. A comparative histological and immunohistochemical study of wound healing following incision with a scalpel, CO 2 laser or Er,Cr:YSGG laser in the Guinea pig oral mucosa. Acta Odontol Scand. 2012;70(6):448–54. doi:10.3109/00016357.2011.635598.
21. Ganesh B, Burnice NKC, Mahendra J, Vijayalakshmi R, K AK. Laser-Assisted Lip Repositioning With Smile Elevator Muscle Containment and Crown Lengthening for Gummy Smile: A Case Report. Clin Adv periodontics. 2019;9(3):135–41. doi:10.1002/cap.10060.
- Abstract Viewed: 1508 times
- PDF Downloaded: 372 times