www.sbdmj.com - Stomatologija - Baltic Dental and Maxillofacial Journal

Stomatologija 2022; 24 (2): 43-8 173 KB

Management of excessive gingival display with mucosal coronally positioned flap

Rajesh Kumar Raju Namburi¹, Pratibha Gopalkrishna², Kalyana Pentapati Chakravarthy³, Poornima Rajendran⁴, Dipti Singh⁵

Summary

Objective. Current methods of managing excessive gingival display, an aesthetic concern, with gingivectomy, orthodontic intrusion, restorative dentistry and even botulinum toxin, have often been unsatisfactory. This study evaluates the efficacy of mucosal coronally positioned flap (MCPF) for reduction of gingival display.

Material and methods. Eight healthy patients, above 18 years, with either short or hyperactive upper lip, gingival display ≥4 mm during smiling or vertical maxillary excess, were recruited into the study. The smile line, upper lip length, upper lip vermillion length, distance between the lips and amount of gingival display along with clinical indices were assessed. The patients then underwent MCPF procedure and were re-evaluated for healing of the surgical site after 15 days and at 3 months. Patients also provided their perceptions of outcome of treatment, through a questionnaire. Paired t test and Repeated measures ANOVA were used for data analysis.

Results. Significant improvement in the gingival display was noted 3 months after the procedure, while no concomitant changes were observed in other parameters like upper lip length, vermillion length and distance between the lips post operatively.

Conclusion. The results of the study suggest that the MCPF procedure provides satisfactory results in terms of reduction of gingival display. Simplicity of the surgical procedure makes it an attractive option for patients without any gross skeletal abnormalities.

Key words: gingiva, lip, smiling, surgical flap, vestibuloplasty.

Received: 18 02 2021

Accepted for publishing: 27 06 2022

¹Maharajah Institute of Medical Sciences, Vizianagaram, Andhra Pradesh, India
²Department of Periodontology, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Karnataka, India
³Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Karnataka, India
⁴Department of Periodontics, Sri Ramakrishna Dental College and Hospital, Coimbatore, India
⁵Department of Periodontology, Maharana Pratap Dental College, Kanpur, Uttar Pradesh, India

Address correspondence to Pratibha Gopalkrishna, Department of Periodontology, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Karnataka – 576 104, India.

E-mail address: pratibha.pk@manipal.edu



	Baltic Dental and Maxillofacial Journal

2022, Vol. 24, No. 2 CONTENTS REVIEW Antibiotic use in mandibular fracture surgery – An international survey and a review of the literature Marko Oksa, Aleksi Haapanen, Frida Stråhlman, Johanna Snäll 35-42 SCIENTIFIC ARTICLES Management of excessive gingival display with mucosal coronally positioned flap Rajesh Kumar Raju Namburi, Pratibha Gopalkrishna, Kalyana Pentapati Chakravarthy, Poornima Rajendran, Dipti Singh 43-48 REVIEW Forensic facial reconstruction using CBCT: A systematic review Jijin Mekkadath Jayakrishnan, Jagat Reddy, Vinod Kumar R. B. 49-55 CASE REPORT Necrotizing sialometaplasia: A report of two cases and review of the literature Maurília Raquel de Souto Medeiros, Caio César da Silva Barros, Márcia Cristina da Costa Miguel, Éricka Janine Dantas da Silveira, Patricia Teixeira de Oliveira 56-60 © 2022 Stomatologija		Stomatologija 2022; 24 (2): 43-8 173 KB Management of excessive gingival display with mucosal coronally positioned flap Rajesh Kumar Raju Namburi¹, Pratibha Gopalkrishna², Kalyana Pentapati Chakravarthy³, Poornima Rajendran⁴, Dipti Singh⁵ Summary Objective. Current methods of managing excessive gingival display, an aesthetic concern, with gingivectomy, orthodontic intrusion, restorative dentistry and even botulinum toxin, have often been unsatisfactory. This study evaluates the efficacy of mucosal coronally positioned flap (MCPF) for reduction of gingival display. Material and methods. Eight healthy patients, above 18 years, with either short or hyperactive upper lip, gingival display ≥4 mm during smiling or vertical maxillary excess, were recruited into the study. The smile line, upper lip length, upper lip vermillion length, distance between the lips and amount of gingival display along with clinical indices were assessed. The patients then underwent MCPF procedure and were re-evaluated for healing of the surgical site after 15 days and at 3 months. Patients also provided their perceptions of outcome of treatment, through a questionnaire. Paired t test and Repeated measures ANOVA were used for data analysis. Results. Significant improvement in the gingival display was noted 3 months after the procedure, while no concomitant changes were observed in other parameters like upper lip length, vermillion length and distance between the lips post operatively. Conclusion. The results of the study suggest that the MCPF procedure provides satisfactory results in terms of reduction of gingival display. Simplicity of the surgical procedure makes it an attractive option for patients without any gross skeletal abnormalities. Key words: gingiva, lip, smiling, surgical flap, vestibuloplasty. Received: 18 02 2021 Accepted for publishing: 27 06 2022 ¹Maharajah Institute of Medical Sciences, Vizianagaram, Andhra Pradesh, India ²Department of Periodontology, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Karnataka, India ³Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Karnataka, India ⁴Department of Periodontics, Sri Ramakrishna Dental College and Hospital, Coimbatore, India ⁵Department of Periodontology, Maharana Pratap Dental College, Kanpur, Uttar Pradesh, India Address correspondence to Pratibha Gopalkrishna, Department of Periodontology, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Karnataka – 576 104, India. E-mail address: pratibha.pk@manipal.edu