评估三种不同的唇部复位技术的疗效，并确定复发率最低的方法。6个月随访病例报告

Q3 Dentistry

Oral and Maxillofacial Surgery Cases Pub Date : 2025-09-11 DOI:10.1016/j.omsc.2025.100423

Mohamad A. Alhomsi, Issa B. Wehbeh

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引用次数: 0

摘要

美丽的微笑是面部美学的关键元素，在微笑位置牙龈平均显示1-3毫米。当牙龈的可见度超过这个范围时，就被定义为粘牙微笑。这种情况可能是由骨骼、牙槽牙或软组织因素引起的。病例描述对3例轻度粘笑患者采用不同的治疗方法：(i)传统的唇部复位手术，（ii）改良的唇部复位手术和（iii）注射肉毒杆菌。对患者进行为期两周的监测以评估术后并发症。随访2周，1个月，3个月和6个月评估牙龈暴露和复发。结论改良的唇部复位手术在3 ~ 6个月的随访中表现出更大的稳定性，复发率最低，但术后并发症较多。肉毒杆菌素是最受欢迎的选择，因为它的非侵入性。

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Evaluation of the efficacy of three distinct lip repositioning techniques and identification of the approach associated with the lowest relapse rate. A six-month follow-up case report

Background

A beautiful smile is a key element of facial aesthetics, with an average gingival display of 1–3 mm in smile position. When gingival visibility exceeds this range, it is defined as a gummy smile. This condition may result from skeletal, dentoalveolar, or soft tissue factors.

Case description

Three patients with mild gummy smile were treated using different approaches: (i) traditional lip repositioning surgery, (ii) modified lip repositioning surgery, and (iii) Botox injection. Patients were monitored for two weeks to assess postoperative complications. Follow-up evaluations at two weeks, one month, three months, and six months assessed gingival exposure and relapse.

Conclusion

The modified lip repositioning procedure demonstrated greater stability between the three- and six-month follow-ups, with the least relapse, although it was associated with more postoperative complications. Botox was the most preferred option due to its non-invasive nature.

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来源期刊

Oral and Maxillofacial Surgery Cases Medicine-Otorhinolaryngology

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

69 days

期刊介绍： Oral and Maxillofacial Surgery Cases is a surgical journal dedicated to publishing case reports and case series only which must be original, educational, rare conditions or findings, or clinically interesting to an international audience of surgeons and clinicians. Case series can be prospective or retrospective and examine the outcomes of management or mechanisms in more than one patient. Case reports may include new or modified methodology and treatment, uncommon findings, and mechanisms. All case reports and case series will be peer reviewed for acceptance for publication in the Journal.