Lip repositioning with or without myotomy: A randomized clinical trial
Background Lip repositioning is a conservative surgical method for the correction of excess gingival display (EGD) by limiting the upward retraction of the lips. Lip repositioning presents a simple method for the treatment of gummy smile. The aim of this randomized clinical trial (RCT) was to assess...
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| Veröffentlicht in: | Journal of periodontology (1970) 2018-07, Vol.89 (7), p.815-823 |
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| container_title | Journal of periodontology (1970) |
| container_volume | 89 |
| creator | Tawfik, Omnia K. Naiem, Suzi N. Tawfik, Lobna K. Yussif, Nermin Meghil, Mohamed M. Cutler, Christopher W. Darhous, Mona El‐Nahass, Hani E. |
| description | Background
Lip repositioning is a conservative surgical method for the correction of excess gingival display (EGD) by limiting the upward retraction of the lips. Lip repositioning presents a simple method for the treatment of gummy smile. The aim of this randomized clinical trial (RCT) was to assess lip repositioning, compared to lip repositioning with muscle severance for efficacy in treatment of EGD and resultant stability.
Methods
A single‐blinded, controlled, parallel‐group RCT was performed. Twenty patients with EGD were enrolled in the study, treated with lip repositioning with and without muscle severance. Participants were assessed for EGD reduction, changes in lip length and result stability at 3, 6 and 12 months. Additionally, pain, swelling and satisfaction, were assessed.
Results
Classic lip repositioning was found capable of reducing EGD by 2.73 mm (SD ± 1.281), while lip repositioning with muscle severance offered an improved reduction in EGD with a mean reduction of 3.57mm (SD ± 1.62). Lip length, swelling and pain scores were found comparable between the two techniques.
Conclusion
Lip repositioning is an effective method for treating EGD, however, muscle severance provides a more stable result at 12 months when compared to the classical technique. More studies are necessary to fully assess this procedure. |
| doi_str_mv | 10.1002/JPER.17-0598 |
| format | Article |
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Lip repositioning is a conservative surgical method for the correction of excess gingival display (EGD) by limiting the upward retraction of the lips. Lip repositioning presents a simple method for the treatment of gummy smile. The aim of this randomized clinical trial (RCT) was to assess lip repositioning, compared to lip repositioning with muscle severance for efficacy in treatment of EGD and resultant stability.
Methods
A single‐blinded, controlled, parallel‐group RCT was performed. Twenty patients with EGD were enrolled in the study, treated with lip repositioning with and without muscle severance. Participants were assessed for EGD reduction, changes in lip length and result stability at 3, 6 and 12 months. Additionally, pain, swelling and satisfaction, were assessed.
Results
Classic lip repositioning was found capable of reducing EGD by 2.73 mm (SD ± 1.281), while lip repositioning with muscle severance offered an improved reduction in EGD with a mean reduction of 3.57mm (SD ± 1.62). Lip length, swelling and pain scores were found comparable between the two techniques.
Conclusion
Lip repositioning is an effective method for treating EGD, however, muscle severance provides a more stable result at 12 months when compared to the classical technique. More studies are necessary to fully assess this procedure.</description><identifier>ISSN: 0022-3492</identifier><identifier>EISSN: 1943-3670</identifier><identifier>DOI: 10.1002/JPER.17-0598</identifier><identifier>PMID: 30006937</identifier><language>eng</language><publisher>United States</publisher><subject>Dentistry ; esthetics, dental ; gingiva ; lip ; smiling</subject><ispartof>Journal of periodontology (1970), 2018-07, Vol.89 (7), p.815-823</ispartof><rights>2018 American Academy of Periodontology</rights><rights>2018 American Academy of Periodontology.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3355-bc4e0ff5fee649ff03a45dd516f37e2b865cdb3e94f130453700ec74ff8a99963</citedby><cites>FETCH-LOGICAL-c3355-bc4e0ff5fee649ff03a45dd516f37e2b865cdb3e94f130453700ec74ff8a99963</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2FJPER.17-0598$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2FJPER.17-0598$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30006937$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tawfik, Omnia K.</creatorcontrib><creatorcontrib>Naiem, Suzi N.</creatorcontrib><creatorcontrib>Tawfik, Lobna K.</creatorcontrib><creatorcontrib>Yussif, Nermin</creatorcontrib><creatorcontrib>Meghil, Mohamed M.</creatorcontrib><creatorcontrib>Cutler, Christopher W.</creatorcontrib><creatorcontrib>Darhous, Mona</creatorcontrib><creatorcontrib>El‐Nahass, Hani E.</creatorcontrib><title>Lip repositioning with or without myotomy: A randomized clinical trial</title><title>Journal of periodontology (1970)</title><addtitle>J Periodontol</addtitle><description>Background
Lip repositioning is a conservative surgical method for the correction of excess gingival display (EGD) by limiting the upward retraction of the lips. Lip repositioning presents a simple method for the treatment of gummy smile. The aim of this randomized clinical trial (RCT) was to assess lip repositioning, compared to lip repositioning with muscle severance for efficacy in treatment of EGD and resultant stability.
Methods
A single‐blinded, controlled, parallel‐group RCT was performed. Twenty patients with EGD were enrolled in the study, treated with lip repositioning with and without muscle severance. Participants were assessed for EGD reduction, changes in lip length and result stability at 3, 6 and 12 months. Additionally, pain, swelling and satisfaction, were assessed.
Results
Classic lip repositioning was found capable of reducing EGD by 2.73 mm (SD ± 1.281), while lip repositioning with muscle severance offered an improved reduction in EGD with a mean reduction of 3.57mm (SD ± 1.62). Lip length, swelling and pain scores were found comparable between the two techniques.
Conclusion
Lip repositioning is an effective method for treating EGD, however, muscle severance provides a more stable result at 12 months when compared to the classical technique. More studies are necessary to fully assess this procedure.</description><subject>Dentistry</subject><subject>esthetics, dental</subject><subject>gingiva</subject><subject>lip</subject><subject>smiling</subject><issn>0022-3492</issn><issn>1943-3670</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kM1LwzAYxoMobn7cPEuPHux80yTN4m2MzQ8Giug5tGmikbaZScuof73tNj16enh4fzzw_hC6wDDBAMnN4_PiZYJ5DExMD9AYC0piknI4ROP-nMSEimSETkL47CumBI7RiABAKggfo-XKriOv1y7Yxrra1u_RxjYfkfPbdG0TVZ1rXNXdRrPIZ3XhKvuti0iVtrYqK6PG26w8Q0cmK4M-3-cpelsuXuf38erp7mE-W8WKEMbiXFENxjCjdUqFMUAyyoqC4dQQrpN8mjJV5EQLajAByggH0IpTY6aZECIlp-hqt7v27qvVoZGVDUqXZVZr1waZAIeE9jMDer1DlXcheG3k2tsq853EIAdzcjAnMZeDuR6_3C-3eaWLP_hXVQ-QHbCxpe7-HdsWDLh_4AdKoHiZ</recordid><startdate>201807</startdate><enddate>201807</enddate><creator>Tawfik, Omnia K.</creator><creator>Naiem, Suzi N.</creator><creator>Tawfik, Lobna K.</creator><creator>Yussif, Nermin</creator><creator>Meghil, Mohamed M.</creator><creator>Cutler, Christopher W.</creator><creator>Darhous, Mona</creator><creator>El‐Nahass, Hani E.</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201807</creationdate><title>Lip repositioning with or without myotomy: A randomized clinical trial</title><author>Tawfik, Omnia K. ; Naiem, Suzi N. ; Tawfik, Lobna K. ; Yussif, Nermin ; Meghil, Mohamed M. ; Cutler, Christopher W. ; Darhous, Mona ; El‐Nahass, Hani E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3355-bc4e0ff5fee649ff03a45dd516f37e2b865cdb3e94f130453700ec74ff8a99963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Dentistry</topic><topic>esthetics, dental</topic><topic>gingiva</topic><topic>lip</topic><topic>smiling</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tawfik, Omnia K.</creatorcontrib><creatorcontrib>Naiem, Suzi N.</creatorcontrib><creatorcontrib>Tawfik, Lobna K.</creatorcontrib><creatorcontrib>Yussif, Nermin</creatorcontrib><creatorcontrib>Meghil, Mohamed M.</creatorcontrib><creatorcontrib>Cutler, Christopher W.</creatorcontrib><creatorcontrib>Darhous, Mona</creatorcontrib><creatorcontrib>El‐Nahass, Hani E.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of periodontology (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tawfik, Omnia K.</au><au>Naiem, Suzi N.</au><au>Tawfik, Lobna K.</au><au>Yussif, Nermin</au><au>Meghil, Mohamed M.</au><au>Cutler, Christopher W.</au><au>Darhous, Mona</au><au>El‐Nahass, Hani E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lip repositioning with or without myotomy: A randomized clinical trial</atitle><jtitle>Journal of periodontology (1970)</jtitle><addtitle>J Periodontol</addtitle><date>2018-07</date><risdate>2018</risdate><volume>89</volume><issue>7</issue><spage>815</spage><epage>823</epage><pages>815-823</pages><issn>0022-3492</issn><eissn>1943-3670</eissn><abstract>Background
Lip repositioning is a conservative surgical method for the correction of excess gingival display (EGD) by limiting the upward retraction of the lips. Lip repositioning presents a simple method for the treatment of gummy smile. The aim of this randomized clinical trial (RCT) was to assess lip repositioning, compared to lip repositioning with muscle severance for efficacy in treatment of EGD and resultant stability.
Methods
A single‐blinded, controlled, parallel‐group RCT was performed. Twenty patients with EGD were enrolled in the study, treated with lip repositioning with and without muscle severance. Participants were assessed for EGD reduction, changes in lip length and result stability at 3, 6 and 12 months. Additionally, pain, swelling and satisfaction, were assessed.
Results
Classic lip repositioning was found capable of reducing EGD by 2.73 mm (SD ± 1.281), while lip repositioning with muscle severance offered an improved reduction in EGD with a mean reduction of 3.57mm (SD ± 1.62). Lip length, swelling and pain scores were found comparable between the two techniques.
Conclusion
Lip repositioning is an effective method for treating EGD, however, muscle severance provides a more stable result at 12 months when compared to the classical technique. More studies are necessary to fully assess this procedure.</abstract><cop>United States</cop><pmid>30006937</pmid><doi>10.1002/JPER.17-0598</doi><tpages>9</tpages></addata></record> |
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| identifier | ISSN: 0022-3492 |
| ispartof | Journal of periodontology (1970), 2018-07, Vol.89 (7), p.815-823 |
| issn | 0022-3492 1943-3670 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2070248656 |
| source | Wiley Online Library All Journals |
| subjects | Dentistry esthetics, dental gingiva lip smiling |
| title | Lip repositioning with or without myotomy: A randomized clinical trial |
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