Efficacy of a Modified Lip Repositioning Surgery Technique With Tie Levator Labii Superioris and Without Frenectomy and Myotomy for Treatment of Excessive Gingival Display: A Retrospective Study

NCT ID: NCT06944535

Last Updated: 2025-09-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

32 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-09-12

Study Completion Date

2024-09-20

Brief Summary

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This retrospective study aims to evaluate the effectiveness and safety of a modified lip repositioning surgery technique, performed without frenectomy and without myotomy, for the correction of excessive gingival display ("gummy smile"). Data were collected from the medical records and clinical photographs of patients who had previously undergone this surgical procedure at the study site.

Detailed Description

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Excessive gingival display, commonly referred to as a "gummy smile," is an esthetic concern that may reduce patient satisfaction with their smile and overall facial appearance. Several treatment modalities have been suggested to address this condition, including orthodontic treatment, botulinum toxin injection, and various surgical techniques. Among surgical approaches, lip repositioning surgery has gained popularity due to its minimally invasive nature and ability to provide predictable esthetic outcomes.

A modified lip repositioning technique, performed without frenectomy and without myotomy, has been introduced to reduce morbidity and simplify the procedure while maintaining effectiveness. However, published evidence has largely come from prospective interventional series.

To further evaluate the clinical performance of this modified technique, we conducted a retrospective observational cohort study. Data were obtained from the medical records and clinical photographs of patients who had previously undergone the modified lip repositioning surgery at the study site. No new patients were enrolled and no interventions were prospectively carried out.

Conditions

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Excessive Gingival Display

Study Design

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Observational Model Type

OTHER

Study Time Perspective

RETROSPECTIVE

Study Groups

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Modified Lip Repositioning Surgery (Retrospective Cohort)

This cohort includes patients who had previously undergone the modified lip repositioning surgery technique without frenectomy and without myotomy. Data were obtained retrospectively from medical records and clinical photographs. No prospective intervention was performed.

Modified Lip Repositioning Surgery (Retrospective)

Intervention Type PROCEDURE

Patients previously underwent a modified lip repositioning surgery technique without frenectomy and without myotomy. For this retrospective study, only existing medical records and clinical photographs were reviewed. No new surgical intervention was performed.

Interventions

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Modified Lip Repositioning Surgery (Retrospective)

Patients previously underwent a modified lip repositioning surgery technique without frenectomy and without myotomy. For this retrospective study, only existing medical records and clinical photographs were reviewed. No new surgical intervention was performed.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients treated with the modified lip repositioning surgery without frenectomy and without myotomy.
* Complete medical records including pre- and post-operative documentation.
* Clinical photographs available before and after surgery.
* Minimum follow-up period documented (≥ 3 months).

Exclusion Criteria

* The patient has trauma and facial deformities
* Incomplete medical records or missing photographs.
* Patients lost to follow-up before minimum period.
* Patients who had undergone other concurrent surgical/orthodontic procedures affecting gingival display.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Can Tho University of Medicine and Pharmacy

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lam N Le, PhD

Role: PRINCIPAL_INVESTIGATOR

Can Tho University of Medicine and Pharmacy

Locations

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Can Tho University of Medicine and Pharmacy

Can Tho, , Vietnam

Site Status

Countries

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Vietnam

References

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Tawfik OK, El-Nahass HE, Shipman P, Looney SW, Cutler CW, Brunner M. Lip repositioning for the treatment of excess gingival display: A systematic review. J Esthet Restor Dent. 2018 Mar;30(2):101-112. doi: 10.1111/jerd.12352. Epub 2017 Nov 27.

Reference Type RESULT
PMID: 29193632 (View on PubMed)

Other Identifiers

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Le Nguyen Lam

Identifier Type: -

Identifier Source: org_study_id

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