Laser-assisted lip repositioning surgery: Novel approach to treat gummy smile

• Main Authors: Sana Farista, Ramreddy Yeltiwar, Butchibabu Kalakonda, Kaustubh Suresh Thakare
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2017-01-01
• Series: Journal of Indian Society of Periodontology
• Subjects: Crown lengthening; diode laser; excessive gingival display; gummy smile; lip repositioning surgery
• Online Access: http://www.jisponline.com/article.asp?issn=0972-124X;year=2017;volume=21;issue=2;spage=164;epage=168;aulast=Farista

Excessive gingival display (EGD) resulting in a “gummy smile” is a major esthetic concern with ramifications in an individual's personal and social life. Numerous treatment modalities have been used for the correction of EGD. The present case report describes the successful treatment of a young woman with an excess gingival display caused by a hyperactive upper lip and a mild vertical maxillary excess that was treated with a laser-assisted lip repositioning surgical technique accompanied by gingival recontouring. The procedure was accomplished by laser-assisted removal, through scraping a strip of mucosa from the maxillary buccal vestibule and suturing the mucosa of the lip to the mucogingival junction. This technique resulted in shortened vestibule and restricted the muscle pull of the elevator muscles of the lip, thereby reducing gingival display when the patient smiles. Laser-assisted lip repositioning surgery can be a viable, minimally invasive alternative to orthognathic surgery.