Clinical and psychological impact of lip repositioning surgery in the management of excessive gingival display
Background: Excessive gingival display (EGD), also known as a gummy smile, is characterized by overexposure of the maxillary gingiva on smiling. EGD can cause embarrassment and reduce patient satisfaction. This study aimed to evaluate the clinical and psychological effects of lip repositioning surge...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Saudi Dental Journal |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S101390522300161X |
| _version_ | 1797319465540517888 |
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| author | Asmita Dawadi Manoj Humagain Simant Lamichhane Birat Sapkota |
| author_facet | Asmita Dawadi Manoj Humagain Simant Lamichhane Birat Sapkota |
| author_sort | Asmita Dawadi |
| collection | DOAJ |
| description | Background: Excessive gingival display (EGD), also known as a gummy smile, is characterized by overexposure of the maxillary gingiva on smiling. EGD can cause embarrassment and reduce patient satisfaction. This study aimed to evaluate the clinical and psychological effects of lip repositioning surgery on the management of EGD. Methodology: This experimental study enrolled 14 patients with EGD who had undergone a modified lip repositioning technique, which comprised moving two strips of mucosa bilaterally to the maxillary labial frenum and repositioning the new mucosal margin coronally. The extent of gingival display (GD), lip mobility (LM), total lip length (TLL), lip length (LL), and internal lip length (ILL) was measured at baseline and 6 months postoperatively. The pre-operative psychological assessment was conducted using the social appearance anxiety scale (SAAS) scores, whereas the postoperative assessment was conducted using SAAS and visual analog scale (VAS) scores at 1 week, 3 months, and 6 months postoperatively. Results: Among the clinical parameters, TLL increased by 2.0 ± 1.038, LL increased by 2.28 ± 0.99, ILL reduced by 2.78 ± 1.36, LM reduced by 3.21 ± 1.12, and GD reduced by 3.14 ± 0.77 at 6 months postoperatively. Among the psychological parameters, SAAS reduced by 31.42 ± 1.907 from the baseline to 6 months, whereas the VAS score reduced to 3.14 ± 0.27 at 6 months postoperatively. Conclusion: A significant reduction in GD, which is largely dependent on strict case selection, pain, and social anxiety was observed in this study, indicating that lip repositioning surgery is effective in managing EGD. |
| first_indexed | 2024-03-08T04:07:16Z |
| format | Article |
| id | doaj.art-1917f570f3ce44cd868e1888c31fd8ec |
| institution | Directory Open Access Journal |
| issn | 1013-9052 |
| language | English |
| last_indexed | 2024-03-08T04:07:16Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Saudi Dental Journal |
| spelling | doaj.art-1917f570f3ce44cd868e1888c31fd8ec2024-02-09T04:47:28ZengElsevierSaudi Dental Journal1013-90522024-01-013618490Clinical and psychological impact of lip repositioning surgery in the management of excessive gingival displayAsmita Dawadi0Manoj Humagain1Simant Lamichhane2Birat Sapkota3Department of Periodontics, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal; Corresponding author at: Place of Research: Department of Periodontics, Kathmandu University School of Medical Sciences, JH85+2WF, Dhulikhel Road, Dhulikhel 45200, Nepal.Department of Periodontics, Kathmandu University School of Medical Sciences, Dhulikhel, NepalDepartment of Periodontics, Kathmandu University School of Medical Sciences, Dhulikhel, NepalDepartment of Health care administration, Canadore College, North York, Ontario, CanadaBackground: Excessive gingival display (EGD), also known as a gummy smile, is characterized by overexposure of the maxillary gingiva on smiling. EGD can cause embarrassment and reduce patient satisfaction. This study aimed to evaluate the clinical and psychological effects of lip repositioning surgery on the management of EGD. Methodology: This experimental study enrolled 14 patients with EGD who had undergone a modified lip repositioning technique, which comprised moving two strips of mucosa bilaterally to the maxillary labial frenum and repositioning the new mucosal margin coronally. The extent of gingival display (GD), lip mobility (LM), total lip length (TLL), lip length (LL), and internal lip length (ILL) was measured at baseline and 6 months postoperatively. The pre-operative psychological assessment was conducted using the social appearance anxiety scale (SAAS) scores, whereas the postoperative assessment was conducted using SAAS and visual analog scale (VAS) scores at 1 week, 3 months, and 6 months postoperatively. Results: Among the clinical parameters, TLL increased by 2.0 ± 1.038, LL increased by 2.28 ± 0.99, ILL reduced by 2.78 ± 1.36, LM reduced by 3.21 ± 1.12, and GD reduced by 3.14 ± 0.77 at 6 months postoperatively. Among the psychological parameters, SAAS reduced by 31.42 ± 1.907 from the baseline to 6 months, whereas the VAS score reduced to 3.14 ± 0.27 at 6 months postoperatively. Conclusion: A significant reduction in GD, which is largely dependent on strict case selection, pain, and social anxiety was observed in this study, indicating that lip repositioning surgery is effective in managing EGD.http://www.sciencedirect.com/science/article/pii/S101390522300161XFacial estheticsGingival estheticsGingivaGummy smileLip repositioning |
| spellingShingle | Asmita Dawadi Manoj Humagain Simant Lamichhane Birat Sapkota Clinical and psychological impact of lip repositioning surgery in the management of excessive gingival display Saudi Dental Journal Facial esthetics Gingival esthetics Gingiva Gummy smile Lip repositioning |
| title | Clinical and psychological impact of lip repositioning surgery in the management of excessive gingival display |
| title_full | Clinical and psychological impact of lip repositioning surgery in the management of excessive gingival display |
| title_fullStr | Clinical and psychological impact of lip repositioning surgery in the management of excessive gingival display |
| title_full_unstemmed | Clinical and psychological impact of lip repositioning surgery in the management of excessive gingival display |
| title_short | Clinical and psychological impact of lip repositioning surgery in the management of excessive gingival display |
| title_sort | clinical and psychological impact of lip repositioning surgery in the management of excessive gingival display |
| topic | Facial esthetics Gingival esthetics Gingiva Gummy smile Lip repositioning |
| url | http://www.sciencedirect.com/science/article/pii/S101390522300161X |
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