| CASE REPORT |
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| Year : 2023 | Volume
: 15
| Issue : 1 | Page : 49-53 |
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Laser assisted modified lip repositioning surgery for the treatment of excessive gingival display using Y V plasty: A case report
Simran Ghumman, Devinder Singh Kalsi, Vikrant Sharma, Khushboo Arora, Ajit Jaiswal, Girish Chaudhary
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
 Source of Support: None, Conflict of Interest: None  | Check |
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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