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            Best Paper Award :
Dr. Muhammad Baqir MR Fakhrildin
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Abstract

LIP REPOSITIONING A TRIBUTE TO DENTISTRY WITH THE LASER ASSISTED CROWN LENGTHENING AND DEPIGMENTATION- A CASE REPORT AND REVIEW

Dr Pratima Srivastava, Dr. Deepa Rai, Dr. Jagriti Gupta, *Dr. Krishna Kumar Gupta

ABSTRACT

A dazzling and beautiful smile works wonder for anyone‟s personality.
Excessive gingival display during smiling (“gummy smile”) is an
esthetic issue that affects a considerable part of the population in all
over world. This case report presents a case of 22 years, young female
who has a chief complaint of a gummy smile, in which esthetic
correction was achieved through periodontal plastic surgical procedure.
This was accomplished by removing a partial thickness strip of mucosa
from the maxillary buccal vestibule and suturing the lip mucosa to the
mucogingival line. This resulted in a narrower vestibule and restricted
muscle pull, thereby reducing gingival display during smiling. Laser
assisted crown lengthening and depigmentation procedure is planned
keeping an aesthetic in mind. Crown lengthening procedure is
performed to increase the length of the available tooth, the biological
width needs to be considered and not encroached upon, as this may
lead to periodontal breakdown. This case report describes the
successful treatment of excessive gingival display using surgical Lip repositioning procedure
which can be used as an alternative treatment modality for treatment of excessive gingival
display. 

Keywords: Excessive Gingival Display, Gummy Smile, Lip Repositioning, Crown Lengthening, Gingival Depigmentation.


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