ABSTRACT
Gingival harmony is an important element in the esthetics of the smile. Clinicians need to have the essential knowledge to create an optimal soft-tissue profile around teeth and implant restorations. The goal of this article is to describe the requirements for ideal gingival architecture and techniques used to achieve them. The patient presentations in this article will demonstrate different aspects of esthetic soft-tissue surgery as well as treatment challenges and limitations.
Subject(s)
Esthetics, Dental , Gingiva/anatomy & histology , Gingival Recession/surgery , Gingivoplasty/methods , Tooth Socket/surgery , Adult , Bone Substitutes , Clinical Protocols , Connective Tissue/transplantation , Dental Implantation, Endosseous , Dental Implants, Single-Tooth , Denture, Partial, Fixed , Female , Gingiva/surgery , Humans , Incisor , Maxilla , Middle AgedABSTRACT
Excessive gingival display can be managed by a variety of treatment modalities, depending on the specific diagnosis. 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 results in a narrower vestibule and restricted muscle pull, thereby reducing gingival display during smiling. This article reviews the basic technique for lip repositioning and discusses the indications and contraindications for this novel procedure in dentistry.
