Treatment of Excessive Gingival Display (Lip Repositioning and Z Plasty)

Assessment of Modified Lip Repositioning Surgery and Z Plasty Frenectomy for Treatment of Excessive Gingival Display

evaluate clinically the postoperative outcomes of the Z plasty frenectomy technique in comparison to modified lip repositioning surgery

Excessive gingival display is a cosmetic problem where it is usually managed by different approaches such as lip repositioning.

Aim: Is to evaluate clinically the postoperative outcomes of the Z plasty frenectomy technique in comparison to modified lip repositioning surgery Methodology: The clinical study will include 16 patients with gummy smile divided into two groups equally and randomly according to technique using www.randomizer.org.

Group 1: will be treated with conventional modified lip repositioning technique and the labial frenum will be left intact.

Group 2: will be treated with z plasty frenectomy. Clinical follow up will be at 1,3, 6 and 9 months.

Clinical evaluation will be done through using (VAS). It will be used to measure patient satisfaction through pain killer scale . - Likert scale to measure patient satisfaction - Periodontal probe will be used to measure the relapse. Also signs of infection will be recorded.

Inclusion Criteria:

• Female patients aged 18 to 30 years
• ASA physical status I or II
• Presence of excessive gingival display (gummy smile)
• Indication for surgical treatment of excessive gingival display
• Willingness to participate and attend follow-up visits

Exclusion Criteria:

• Poor oral hygiene
• Patients with active acute infection
• Patients with poor oral habits
• Pregnant or lactating women
• Heavy smokers
• Alcohol or drug addicts