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Video Details
Excessive Gingival Display Managed by Surgical Lip Reposition, Aesthetic Crown Lengthening and Veneers

Description:
Excessive gingival display can be managed by a variety of treatment modalities, depending on the etiology. Mild and moderate gummy smiles can be successfully treated by periodontal plastic surgery, however for excessive gingival display as in cases of VME II or III with 5 to 8 mm or more of gingival exposure this procedure is not enough. Many patients decline the more invasive Le Fort osteotomy and opt for a less invasive surgical lip repositioning procedure. Currently Botox is used as alternative, but this is only a temporary treatment with very short effectiveness. That is why we suggest surgical lip repositioning as an effective procedure to reduce gingival display by positioning the upper lip in a more coronal location. The long-term stability of the results remains to be seen, but it holds promise as an alternative treatment to more invasive procedures

Date Added:
9/10/2015

Author(s):

Kenneth P. Valladares, DDS, CDT Kenneth P. Valladares, DDS, CDT
Dr. Kenneth P. Valladares

Graduated from Central University College of Dentistry with DDS (Ecuador, 1995).

Certificate in Prosthodontics from IN...
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Online Videos / Surgery / Periodontic Surgery / Excessive Gingival Display Managed by Surgical Lip Reposition, Aesthetic Crown Lengthening and Veneers




Questions & Comments
Bunhean Chav - (11/7/2016 8:44 AM)

DR. Kenneth, what is the purpose of muscle suturing. (some people didn't do the muscle suturing. and one more question, any specific amount of epithelium tissue need to be remove? i mean how many millimeter (is it according to the gum exposure? Sincerely.

Ahmed Boshra - (12/29/2015 5:12 PM)

fantastic lecture ...its really great thanks much i enjoyed watching it and learned much for it

Ricardo Orlando - (11/13/2015 1:55 PM)

Fantastic lecture and fantastic cases. Thanks for sharing Dr. Kenneth

Amer Al-Atassi - (10/28/2015 9:18 AM)

Great job. Very impressive. Excellent case selection.

Murat Atli - (9/18/2015 11:48 PM)

well organized,and productive, thanks

Kenneth Valladares - (9/17/2015 10:01 PM)

Thank you Rafael Molina, please check the video again, the procedure is fully described. I´ve had the same problem with many patients performing the conventional technique, and that´s why my team and I have developed this new technique. which offers long term stability and which is currently under study. Regards.

Kenneth Valladares - (9/17/2015 9:46 PM)

Sorry Maurice, I wanted to say: as I mentioned in other presentation...

Rafael Molina - (9/16/2015 5:59 PM)

Dr. Kenneth i want to say amazing work!! can you please can talk about this sutures in the muscle?? i have these problems of regresion in 3 patients with the lip reposition, but i do a new cirurgia and put a little of botox, but i see your technique very much better, can you talk a little about that??

Kenneth Valladares - (9/13/2015 1:27 PM)

Thanks Maurice, as you mentioned in other presentation. I have been following up on almost all my cases of surgical lip repositioning. I started to perform this modified technique (involving muscles) about three years ago, so the oldest cases are only three years old. However I have seen stability over this amount of time. I have also seen a huge difference in terms of stability compared to the conventional technique. In our experience looking at the stability of the conventional technique over the same time (three years), it shows no stability. Our modified technique is currently under study, so far the technique has proven to yield stable results. Regards Kenneth

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