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露龈笑的治疗：通过对上唇提肌和鼻翼肌的控制进行牙龈重塑。一种手术创新技术。

Treatment of gummy smile: Gingival recontouring with the containment of the elevator muscle of the upper lip and wing of nose. A surgery innovation technique.

作者信息

Storrer Carmen Lucia Mueller, Valverde Fabiane Kristine Bochenek, Santos Felipe Rychuv, Deliberador Tatiana Miranda

机构信息

Professor of Periodontics, Professional Masters Program in Clinical Dentistry, Positivo University, Curitiba, PR, Brazil.

Postgraduate Student, Positivo University, Curitiba, PR, Brazil.

出版信息

J Indian Soc Periodontol. 2014 Sep;18(5):656-60. doi: 10.4103/0972-124X.142468.

DOI:10.4103/0972-124X.142468
PMID:25425832
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4239760/
Abstract

The containment of the elevator muscle of the upper lip and wing of nose was used for the treatment of patients with gummy smile. This technique had corrected esthetic alterations of smile, reducing the upper lip elevation, which results in a smaller gingival display. An upper lip lengthening as well as a reduction in the upper lip shortening when the patient smiled could be observed. The high smile line was corrected without compromising the labial harmony. This study presents an innovative and effective therapeutic option to obtain a natural and harmonious smile. The patient expressed a high degree of satisfaction.

摘要

采用上唇提肌和鼻翼肌的牵制术治疗露龈笑患者。该技术矫正了微笑的美学改变，减少了上唇抬高，从而使牙龈暴露变小。可以观察到上唇延长，以及患者微笑时上唇缩短程度降低。在不影响唇部协调性的情况下矫正了高微笑线。本研究提出了一种创新且有效的治疗方案，以获得自然和谐的微笑。患者表示高度满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b3/4239760/0d1f508545ca/JISP-18-656-g012.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b3/4239760/59afa0bf8f7b/JISP-18-656-g005.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b3/4239760/f6f12b2cc70e/JISP-18-656-g007.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b3/4239760/da41a878af6c/JISP-18-656-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b3/4239760/0d1f508545ca/JISP-18-656-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b3/4239760/4fa8a83c06f0/JISP-18-656-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b3/4239760/a5cbb026f8d2/JISP-18-656-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b3/4239760/d9371ca17a20/JISP-18-656-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b3/4239760/97195230a69c/JISP-18-656-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b3/4239760/59afa0bf8f7b/JISP-18-656-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b3/4239760/b51ba8ccf0fe/JISP-18-656-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b3/4239760/f6f12b2cc70e/JISP-18-656-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b3/4239760/6fbfb175317a/JISP-18-656-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b3/4239760/b27714b67294/JISP-18-656-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b3/4239760/a6066e64d5fc/JISP-18-656-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b3/4239760/da41a878af6c/JISP-18-656-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b3/4239760/0d1f508545ca/JISP-18-656-g012.jpg

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J Clin Periodontol. 2013 Mar;40(3):260-5. doi: 10.1111/jcpe.12046. Epub 2012 Dec 20.
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Myotomy of the levator labii superioris muscle and lip repositioning: a combined approach for the correction of gummy smile.上唇提肌切开术和唇复位术：一种联合治疗露龈笑的方法。
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Botulinum toxin type A (Botox) for the neuromuscular correction of excessive gingival display on smiling (gummy smile).
因被动萌出异常导致的露龈笑的牙周治疗：一例报告
Cureus. 2022 Sep 14;14(9):e29174. doi: 10.7759/cureus.29174. eCollection 2022 Sep.
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Clinical advantages of improving the excessive gingival display (EGD) by surgical repositioning of the upper lip.通过上唇手术复位改善牙龈过度外露（EGD）的临床优势。
Clin Oral Investig. 2022 Dec;26(12):7265-7275. doi: 10.1007/s00784-022-04687-4. Epub 2022 Aug 20.
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Gummy Smile Management Using Diode Laser Gingivectomy Versus Botulinum Toxin Injection - A Prospective Study.使用二极管激光牙龈切除术与肉毒杆菌毒素注射治疗露龈笑的前瞻性研究
Ann Maxillofac Surg. 2021 Jan-Jun;11(1):70-74. doi: 10.4103/ams.ams_458_20. Epub 2021 Jul 24.
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Lip repositioning with or without myotomy: a systematic review.唇重新定位术联合或不联合肌切开术：一项系统评价
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