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Lip repositioning with or without myotomy: a systematic review

대한구강악안면외과학회지 2021년 47권 1호 p.3 ~ 14
Ardakani Mohammadreza Talebi, Moscowchi Anahita, Valian Nasrin Keshavarz, Zakerzadeh Elham,
소속 상세정보
 ( Ardakani Mohammadreza Talebi ) - Shahid Beheshti University of Medical Sciences School of Dentistry Department of Periodontics
 ( Moscowchi Anahita ) - Shahid Beheshti University of Medical Sciences School of Dentistry Department of Periodontics
 ( Valian Nasrin Keshavarz ) - Shahid Beheshti University of Medical Sciences School of Dentistry Department of Periodontics
 ( Zakerzadeh Elham ) - Private practice

Abstract


Excessive gingival display is an esthetic issue that is commonly managed by different procedures. Lip repositioning is a modality to address concerns of affected patients. The aim of this review was to investigate the scientific evidence on outcomes and long-term stability of lip repositioning surgery with or without myotomy. The electronic search was conducted in three databases: MEDLINE, Embase, and the Cochrane Library up to October 2019.
No publication status, language, or time restrictions were applied. The electronic search was complemented by a manual search of the reference lists.
Three hundred thirty-eight studies were screened by title, and 16 articles remained for data extraction. The included studies assessed the lip repositioning procedure in 144 patients aged between 15-59 years (134 females and 10 males). Based on the available data, lip repositioning with myotomy/muscle containment can be a successful treatment for minor discrepancies in gingival display in selected cases. However, further well-organized controlled clinical trials are recommended to derive a conclusion about the long-term stability compared with other alternatives.

키워드

Esthetics; Gingiva; Lip; Dental

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