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唇部重新定位术,一种解决露龈笑的方法。

Lip Repositioning, a Solution for Gummy Smile.

作者信息

Haddadi Pardis, Zare Hadi, Azadikhah Ali

机构信息

Department of Periodontics, Faculty of Dentistry, Lorestan University of Medical Sciences, Khorramabad, Iran.

Department of Periodontology, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Front Dent. 2021 Apr 22;18:15. doi: 10.18502/fid.v18i15.6140. eCollection 2021.

DOI:10.18502/fid.v18i15.6140
PMID:35965696
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9355900/
Abstract

For many years oral esthetic problems treated by dentists were limited to those involving the teeth without giving consideration to the gingiva. However, today it is well established that these structures should be in balance to appear esthetically pleasing. More than 3mm gingival show during smiling is considered as 'excessive gingival display' also known as "gummy smile", which is not attractive. The current case series, presents three patients with gummy smile managed by lip repositioning surgery, each with 1 year follow up. Our objective was to introduce lip repositioning as a successful treatment modality to decrease gingival show using a simple and conservative surgical approach.

摘要

多年来,牙医治疗的口腔美学问题仅限于涉及牙齿的问题,而未考虑牙龈。然而,如今人们已经充分认识到,这些结构应保持平衡才能在美学上令人愉悦。微笑时牙龈外露超过3毫米被认为是“牙龈过度外露”,也称为“露龈笑”,这并不美观。本病例系列介绍了3例通过唇部重新定位手术治疗露龈笑的患者,每位患者均随访1年。我们的目的是介绍唇部重新定位这种成功的治疗方式,即采用简单且保守的手术方法来减少牙龈外露。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/288e/9355900/9a0c70543d32/FID-18-15-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/288e/9355900/1906951132f6/FID-18-15-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/288e/9355900/6e866c34f431/FID-18-15-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/288e/9355900/9a0c70543d32/FID-18-15-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/288e/9355900/1906951132f6/FID-18-15-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/288e/9355900/6e866c34f431/FID-18-15-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/288e/9355900/9a0c70543d32/FID-18-15-g003.jpg

相似文献

1
Lip Repositioning, a Solution for Gummy Smile.唇部重新定位术,一种解决露龈笑的方法。
Front Dent. 2021 Apr 22;18:15. doi: 10.18502/fid.v18i15.6140. eCollection 2021.
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Lip repositioning technique. A simple surgical procedure to improve the smile harmony.唇部重新定位技术。一种改善微笑协调性的简单外科手术。
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Diagnosis and Treatment Approaches to a "Gummy Smile".“露龈笑”的诊断与治疗方法
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Botulinum Toxin Injections as an Adjunct to Surgical Lip Repositioning For Gummy Smile Treatment.肉毒杆菌毒素注射作为外科唇部重新定位治疗露龈笑的辅助手段
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A comparison between modified and conventional surgical techniques for surgical lip repositioning in the management of the gummy smile.改良手术与传统手术技术在外科唇复位术治疗露龈笑中的比较。
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Surgical Procedures Reducing Excessive Gingival Display in Gummy Smile Patients With Various Etiologic Backgrounds.各种病因背景下伴龈笑患者的手术治疗减少过度牙龈显露
Clin Adv Periodontics. 2020 Sep;10(3):130-134. doi: 10.1002/cap.10089. Epub 2020 Feb 18.

引用本文的文献

1
Comparison between the surgical scalpel and carbon dioxide laser in managing excessive gingival display using lip repositioning technique: a randomized controlled clinical study.使用唇部复位技术管理牙龈过度外露时手术刀片与二氧化碳激光的比较:一项随机对照临床研究。
Maxillofac Plast Reconstr Surg. 2025 Aug 14;47(1):20. doi: 10.1186/s40902-025-00475-8.
2
Esthetic Crown Lengthening Associated With Modified Lip Repositioning Surgery (Modified LipStat) in the Treatment of Excessive Gingival Display: A 6-Year Follow-Up Case Report.美学牙冠延长术联合改良唇部重新定位手术(改良LipStat)治疗牙龈过度外露:一项6年随访病例报告
Case Rep Dent. 2024 Sep 5;2024:3456235. doi: 10.1155/2024/3456235. eCollection 2024.
3

本文引用的文献

1
Lip repositioning technique. A simple surgical procedure to improve the smile harmony.唇部重新定位技术。一种改善微笑协调性的简单外科手术。
J Clin Exp Dent. 2018 Apr 1;10(4):e408-e412. doi: 10.4317/jced.54721. eCollection 2018 Apr.
2
Lip repositioning for the treatment of excess gingival display: A systematic review.唇定位术治疗牙龈过度显露:系统评价。
J Esthet Restor Dent. 2018 Mar;30(2):101-112. doi: 10.1111/jerd.12352. Epub 2017 Nov 27.
3
Case series of laser-assisted treatment of excessive gingival display: an alternative treatment.
Lip Repositioning Surgery: A Simple Smile and Life Transformation Procedure.
唇部重新定位手术:一种简单的微笑与生活转变手术。
Case Rep Dent. 2024 Feb 26;2024:6156806. doi: 10.1155/2024/6156806. eCollection 2024.
激光辅助治疗牙龈过度外露病例系列:一种替代治疗方法
Photomed Laser Surg. 2014 Sep;32(9):517-23. doi: 10.1089/pho.2014.3737. Epub 2014 Jul 23.
4
Surgical treatment of excessive gingival display using lip repositioning technique and laser gingivectomy as an alternative to orthognathic surgery.采用唇重新定位技术和激光牙龈切除术作为正颌手术的替代方法治疗牙龈过度外露的手术治疗。
J Oral Maxillofac Surg. 2014 Feb;72(2):404.e1-11. doi: 10.1016/j.joms.2013.10.016. Epub 2013 Oct 31.
5
Effect of lip position and gingival display on smile and esthetics as perceived by college students with different educational backgrounds.不同教育背景大学生对唇部位置和牙龈暴露度对微笑及美观影响的认知
Clin Cosmet Investig Dent. 2013 Oct 31;5:77-80. doi: 10.2147/CCIDE.S53359. eCollection 2013.
6
Treatment of excessive gingival display using a modified lip repositioning technique.使用改良唇重新定位技术治疗牙龈过度外露。
Int J Periodontics Restorative Dent. 2013 May-Jun;33(3):309-14. doi: 10.11607/prd.1325.
7
An innovative cosmetic technique called lip repositioning.一种名为唇部重新定位的创新美容技术。
J Indian Soc Periodontol. 2010 Oct;14(4):266-9. doi: 10.4103/0972-124X.76936.
8
The use of botulinum toxin type A in cosmetic facial procedures.A型肉毒毒素在美容面部治疗中的应用。
Int J Oral Maxillofac Surg. 2011 Feb;40(2):127-33. doi: 10.1016/j.ijom.2010.09.014. Epub 2010 Oct 20.
9
Treatment of masseteric hypertrophy with botulinum toxin: a report of two cases.肉毒杆菌毒素治疗咬肌肥大:两例报告。
Med Oral Patol Oral Cir Bucal. 2010 Jul 1;15(4):e649-52.
10
Excessive gingival display--etiology, diagnosis, and treatment modalities.牙龈过度外露——病因、诊断及治疗方式
Quintessence Int. 2009 Nov-Dec;40(10):809-18.