Gummy Smile
Conditions
Brief summary
Investigating different periodontal surgery techniques to treat gummy smile.
Detailed description
Participants will be subdivided into 3 (three) groups: 1. Patients with upper lip hypermobility - surgery for device implantation in the anterior area of the maxilla; 2. Patients with short teeth and upper lip hypermobility - flap surgery/gingivectomy and device implantation; and 3. Patients who refuse implantation - flap surgery/gingivectomy;
Interventions
Participants with gummy smile will be recruited from the Dental Clinic of Instituto Universitário Egas Moniz
Participante with gummy smile will be recruited from the Dental Clinic of Instituto Universitário Egas Moniz
Sponsors
Study design
Eligibility
Inclusion criteria
* Gummy smile due to two etiologies (combined or isolated); * Short clinical crown of teeth due to the altered passive eruption; * Upper lip hyperactivity
Exclusion criteria
* Smokers; * Pregnant or breastfeeding patients; * Patients with systemic diseases that can affect the result of surgical treatment (such as diabetes, heart diseases and taking blood anticoagulant medication, blood diseases, immunodeficiency disease etc.); * Cleft lip; * Craniofacial syndrome; * Facial alteration surgeries during the study; * Active orto treatment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Superior incisors proportion (height x length) | Baseline and week 24 | Superior incisors height and lenght |
| Change in Exposure of central incisors at rest | Baseline and week 24 | Measurement between incisal border of central incisors and the border of the lower lip during smile (in millimeters) |
| Change in Periodontal probing | Baseline and week 24 | Three probes (mesial, buccal and distal) for exposed teeth during smile |
| Change in Gengiva exposure at rest and forced smile | Baseline and week 24 | When lips are in rest position measure the amount of exposed gingiva and during a forced smile, make the same measure |
| Change in Interlabial space at rest | Baseline and week 24 | When in rest position, measure distance between lips |
Countries
Portugal