Modified lip repositioning for management excessive gingival display: A case report

Introduction: Excessive Gingival Display (EGD), commonly known as “gummy smile” is a condition in which the maxillary gingiva looks excessive (>2 mm) than normal when someone is smiling. This condition is considered aesthetically disturbing, affecting the patient's self-confidence and psychological state. The objective of this case report is to describe the stages of gingivectomy and modified lip repositioning for EGD reconstruction and attachment of the labial mucosa of the maxillary anterior region. Case Report: A 21-year-old male came with the main complaint of wanting to improve his smile which showed less attractive gums. The results of the examination obtained the presence of EGD and hypermobile upper lip so a combined surgical action was planned with gingivectomy and modified lip repositioning for EGD reconstruction and attachment of the labial mucosa of the maxillary anterior region. Case management: The first surgical procedure performed was gingivectomy. One month later, modified lip repositioning was performed. The patient was satisfied with the treatment results and at follow-up after 7 months there was no EGD when the patient smiled. Conclusion: Combined gingivectomy and modified lip repositioning surgery can be an alternative treatment to correct Excessive Gingival Display and provide satisfactory aesthetic results for patients