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CASE REPORT
Year : 2023  |  Volume : 15  |  Issue : 1  |  Page : 49-53

Laser assisted modified lip repositioning surgery for the treatment of excessive gingival display using Y V plasty: A case report


Department of Periodontology and Implantology, Baba Jaswant Singh Dental College, Hospital and Research Institute, Ludhiana, Punjab, India

Correspondence Address:
Simran Ghumman
43G Kitchlu Nagar, Ludhiana, Punjab
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijds.ijds_150_21

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Excessive gingival display is matter of concern for a lot of patients and affects their psychological well-being. Various methods have been employed to reduce excessive gingival display but with variable results. Modified Lip repositioning is a surgical way to correct gummy smile by limiting the retraction of the elevator smile muscles and yet preserve the labial frenum using Y-V plasty using a method that gives long term results along with being non-invasive and has high patient compliance. After thorough disinfection and achieving adequate anaesthesia, the strip of mucosa which had to ablated was marked with a laser, which was twice the amount of gingival display seen in the patient. After carrying out laser ablation of the marked tissue, and performing Y-V plasty, the surgical area was evaluated and the wound margins were approximated with multiple interrupted sutures. The patient was put on a regular follow-up. The results revealed a marked reduction in gingival display at the 3-month follow-up. Overall gingival display reduced from 6 mm to 2 mm.


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