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

Suez Canal University

Status: Completed

Conditions: Excessive Gingival Display

Treatments: Procedure: z plasty frenectomy; Procedure: Modified lip repositioning

Study type: Interventional

Funder types: Other

Identifiers

NCT07334015

2024/857

Details and patient eligibility

About

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

Full description

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.

Enrollment: 16 patients

Sex: Female

Ages: 18 to 30 years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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16 participants in 2 patient groups

study group: z plasty frenectomy

Experimental group

Description:

Participants in the study group will be treated with Z- plasty frenectomy and will be followed up for 9 months

Treatment:

Procedure: z plasty frenectomy

control group : modified lip repositioning

Experimental group

Description:

Participants in the control group will undergo modified lip repositioning with a follow-up period of 9 months.

Treatment:

Procedure: Modified lip repositioning