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eISSN: 2581-9615 || CODEN: WJARAI || Impact Factor 8.2 ||  CrossRef DOI

Research and review articles are invited for publication in March 2026 (Volume 29, Issue 3) Submit manuscript

Modified lip repositioning for management excessive gingival display: A case report

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  • Modified lip repositioning for management excessive gingival display: A case report

Agung Krismariono 1, *, Esi Yuniza Fitrina 2 and Indira Apriantika 1

1 Department of Periodontology, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
2 Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
 
 
Case Study
World Journal of Advanced Research and Reviews, 2024, 24(02), 155-159
Article DOI: 10.30574/wjarr.2024.24.2.3302
DOI url: https://doi.org/10.30574/wjarr.2024.24.2.3302
 
Received 19 September 2024; revised on 31 October 2024; accepted on 02 November 2024
 
Introduction: Excessive Gingival Display (EGD), commonly known as “gummy smile” is a condition in which the maxillary gingiva looks excessive (>2 mm) than normal when someone is smiling. This condition is considered aesthetically disturbing, affecting the patient's self-confidence and psychological state. The objective of this case report is to describe the stages of gingivectomy and modified lip repositioning for EGD reconstruction and attachment of the labial mucosa of the maxillary anterior region.
Case Report: A 21-year-old male came with the main complaint of wanting to improve his smile which showed less attractive gums. The results of the examination obtained the presence of EGD and hypermobile upper lip so a combined surgical action was planned with gingivectomy and modified lip repositioning for EGD reconstruction and attachment of the labial mucosa of the maxillary anterior region.
Case management: The first surgical procedure performed was gingivectomy. One month later, modified lip repositioning was performed. The patient was satisfied with the treatment results and at follow-up after 7 months there was no EGD when the patient smiled.
Conclusion: Combined gingivectomy and modified lip repositioning surgery can be an alternative treatment to correct Excessive Gingival Display and provide satisfactory aesthetic results for patients
 
Excessive gingival display; Altered passive eruption; Hypermobile upper lip; Modified lip repositioning; Gingivectomy
 
https://wjarr.com/sites/default/files/fulltext_pdf/WJARR-2024-3302.pdf

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Agung Krismariono, Esi Yuniza Fitrina and Indira Apriantika. Modified lip repositioning for management excessive gingival display: A case report. World Journal of Advanced Research and Reviews, 2024, 24(2), 155-159. Article DOI: https://doi.org/10.30574/wjarr.2024.24.2.3302

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