Lip repositioning surgery for correction of excessive gingival display

Santhanakrishnan, Muthukumar; Natarajan, Shanmuganathan; Seenivasan, Madhan Kumar; Sampathkumar, Jayakrishnakumar

doi:10.4103/0975-7406.163567

Cited by 16 publications

(13 citation statements)

References 6 publications

(5 reference statements)

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“…However, one comparative study reported better results with a full-thickness approach 51 . Some authors used additional interventions including crown lengthening 47 , 50 - 53 , 57 , 60 and frenectomy 8 , 23 , 33 , 37 , 52 , 54 , 57 to achieve more favorable results with higher stability. Alammar et al 51 mentioned two cases with complete relapse in their conventional surgical group.…”

Section: Resultsmentioning

confidence: 99%

Lip repositioning with or without myotomy: a systematic review

Ardakani

Moscowchi

Valian

et al. 2021

JKAOMS

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Excessive gingival display is an esthetic issue that is commonly managed by different procedures. Lip repositioning is a modality to address concerns of affected patients. The aim of this review was to investigate the scientific evidence on outcomes and long-term stability of lip repositioning surgery with or without myotomy. The electronic search was conducted in three databases: MEDLINE, Embase, and the Cochrane Library up to October 2019. No publication status, language, or time restrictions were applied. The electronic search was complemented by a manual search of the reference lists. Three hundred thirty-eight studies were screened by title, and 16 articles remained for data extraction. The included studies assessed the lip repositioning procedure in 144 patients aged between 15-59 years (134 females and 10 males). Based on the available data, lip repositioning with myotomy/muscle containment can be a successful treatment for minor discrepancies in gingival display in selected cases. However, further well-organized controlled clinical trials are recommended to derive a conclusion about the long-term stability compared with other alternatives.

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Section: Resultsmentioning

confidence: 99%

Lip repositioning with or without myotomy: a systematic review

Ardakani

Moscowchi

Valian

et al. 2021

JKAOMS

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“…Em relação a técnica cirúrgica, são necessários, segundo os artigos analisados, cuidados pré-operatórios como assepsia, analgesia e anestesia local além da antibioticoterapia profilática quando indicada. Depois da cirurgia é imprescindível minimizar a dor, o risco de infecção e inflamação de maneira a tornas o pós operatório confortável (MUTHUKUMAR et al (2015).…”

Section: Discussão Dos Resultadosunclassified

Nível de conhecimento sobre laser entre acadêmicos de odontologia

Ramos¹,

Cruz²

2021

Saúde Integral – Da Teoria À Prática – Vol. III

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O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores.Permitido fazer download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem de nenhuma forma ou utilizá-la para fins comerciais. www.uniedusul.com.br APRESENTAÇÃOEsta coletânea "Saúde Integral: da teoria à prática, organizada em três volumes, apresenta os resultados das pesquisas realizadas por acadêmicos e professores dos cursos de Enfermagem, Odontologia e Medicina da Faculdade Presidente Antônio Carlos -ITPAC Porto.É o resultado do semestre letivo 2020/2, demonstrando o compromisso da instituição com a pesquisa, ensino e extensão no processo de formação dos profissionais da área da Saúde, mesmo em um período marcado por fortes mudanças no processo educacional, como o vivenciado a partir da necessidade do afastamento social em virtude da pandemia com a Covid-19.Desse modo, os volumes 1 e 2 apresentam artigos dos mais variados temas, produzidos nos cursos de Enfermagem e Medicina, enquanto o volume 3 é específico para as produções da Odontologia. Em toda a coletânea os temas se integram de maneira interdisciplinar, favorecendo a reflexão sobre questões importantíssimas na área da Saúde e apresentando muitas informações e conhecimento sobre a realidade de perfis epidemiológicos do município.O propósito desta coletânea é extrapolar a ideia da simples publicação, almeja disseminar conhecimentos que possam suscitar reflexões motivadoras para a elaboração de ações e políticas, nos setores público e privado, que possam resultar na melhoria da qualidade dos serviços prestados na área da Saúde e, consequentemente, na qualidade de vida das pessoas. Também incentivar o gosto pela pesquisa nos diversos cursos oferecidos pela FAPAC ITPAC Porto.Nossos agradecimentos a todos os envolvidos no processo de produção e elaboração dos capítulos aqui apresentados.

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“…Case series and case reports were the most retrieved articles, and there were a limited number of well-designed studies. Some of the case series and most of the case reports reported subjective gingival display reduction without an exact measurement of pre- or postoperative gingival display [ 10 , 30 , 32 , 34 , 36 , 39 , 40 , 42 , 44 , 47 , 49 , 53 , 54 , 58 ]. In the current study, there is lack of sufficient evidence in each modality in order to obtain conclusive results about the gingival display change from baseline to 3, 6, and 12 months after surgery.…”

Section: Discussionmentioning

confidence: 99%

“…However, we did not find any established definition for complete relapse or stability of the results for each patient who undergone LRS. For a number of studies, the stability of the results was not defined by the authors; nevertheless, in the result section, the treatment outcome was reported as stable [ 12 , 36 , 39 , 40 , 42 , 46 , 51 – 56 , 58 ]. Therefore, stability and complete relapse outcomes in the current study were defined based on the judgment of the experts (NM and SY).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Different Modalities of Lip Repositioning Surgery for Management of Patients Complaining of Excessive Gingival Display: A Systematic Review and Meta‐Analysis

Younespour

Yaghobee

Aslroosta

et al. 2021

BioMed Research International

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Purpose. This study is aimed at synthesizing the available evidence regarding effectiveness of various modalities (combinations of LRS tasks) and comparison between each two modalities in terms of gingival display reduction, success rate, stability of the results, patient’s satisfaction, and postoperative morbidity. Materials and Methods. The electronic databases including PubMed, Scopus, Web of Science Cochrane Library, Google Scholar databases, ClinicalTrials.gov, and WHO International Clinical Trial Registry Platform were searched up to 27th June 2020 regarding lip repositioning surgery. The modalities were defined as the combinations of the following tasks: frenectomy (yes/no), flap thickness (full/partial), and myotomy (yes/no). Meta-analyses were performed on gingival display change from baseline to months 3, 6, and 12 in each modalities using Stata (v.16). Results. 38 studies (including three clinical trials, two quasiexperimental studies, seven case series, and 26 case reports) met the criteria for final inclusion. The mean gingival display reduced from baseline to 6 months ( WMD = − 2.90 , 95% CI: -4.85 to -0.95) in the patients undergoing the “frenectomy + full-thickness flap + myotomy” modality. This parameter decreased from baseline to 6 and 12 months, respectively ( WMD = − 2.68 , 95% CI: -3.49 to -1.86; WMD = − 2.52 , 95% CI: -4.40 to -0.64), in patients undergoing the “frenectomy + partial-thickness flap + without myotomy” modality. In patients who undergone the “without frenectomy + partial-thickness flap + without myotomy” modality, gingival display reduced from baseline to 6 months ( WMD = − 3.22 , 95% CI: -5.61 to -0.84). Almost 83% of patients with modality 1 had satisfaction. Conclusions. Gingival display within the 6 months after LRS could be reduced with all modalities. Descriptively, the greatest reduction was observed in patients with the modality not including the frenulum.

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Lip repositioning surgery for correction of excessive gingival display

Cited by 16 publications

References 6 publications

Lip repositioning with or without myotomy: a systematic review

Lip repositioning with or without myotomy: a systematic review

Nível de conhecimento sobre laser entre acadêmicos de odontologia

Effectiveness of Different Modalities of Lip Repositioning Surgery for Management of Patients Complaining of Excessive Gingival Display: A Systematic Review and Meta‐Analysis

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