Assessment of Modified Lip Repositioning Surgery and Z Plasty Frenectomy for Treatment of Excessive Gingival Display
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Suez Canal University
- Enrollment
- 16
- Locations
- 1
- Primary Endpoint
- Change in Gingival Display (mm)
Overview
Brief Summary
evaluate clinically the postoperative outcomes of the Z plasty frenectomy technique in comparison to modified lip repositioning surgery
Detailed 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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 30 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- Yes
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
Arms & Interventions
study group: z plasty frenectomy
Participants in the study group will be treated with Z- plasty frenectomy and will be followed up for 9 months
Intervention: z plasty frenectomy (Procedure)
control group : modified lip repositioning
Participants in the control group will undergo modified lip repositioning with a follow-up period of 9 months.
Intervention: Modified lip repositioning (Procedure)
Outcomes
Primary Outcomes
Change in Gingival Display (mm)
Time Frame: Up to 9 months
Gingival display will be assessed in millimeters using standardized clinical photographs taken at maximum smile. Measurements will be performed using a periodontal probe to determine the vertical distance between the inferior border of the upper lip and the gingival margin of the maxillary central incisors. A reduction in gingival display indicates improvement, while an increase indicates relapse. Measurements will be recorded at baseline and during follow-up visits.
Secondary Outcomes
- Pain score(Up to 9 months)
- Patient Satisfaction Score(Up to 9 months)
- Signs of infection(Up to 9 months)
- Surgical Time(During surgery)
Investigators
Leen somaf
Dr
Suez Canal University