Oral Health and Dental Medicine

Background and Aim: Excessive gingival display can be managed by a variety of treatment modalities, depending on the specific diagnosis. Lip repositioning surgery is a largely unknown and underutilized treatment modality for excessive gingival display. Aim of the present study was to minimize gingival display with a lip reposition procedure. Method and Materials: A total of two patients with gummy smile were selected for the study. This case report demonstrates the successful management of excessive gingival display with a lip-repositioning procedure. This is accomplished by removing a strip of mucosa from the maxillary buccal vestibule, then suturing the lip mucosa to the mucogingival line. This result in a narrower vestibule and restricted muscle pull, thereby reducing gingival display during smiling. Result: After a 3-month follow-up, significant improvement in the amount of gingival exposure and esthetic satisfaction was observed in both cases. Conclusion: The Lip repositioning technique to decrease the amount of gingival display was shown to be more conservative and provided good esthetic outcomes in a 3-month follow-up.