{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T10:44:37Z","timestamp":1784544277526,"version":"3.55.0"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,11,1]],"date-time":"2014-11-01T00:00:00Z","timestamp":1414800000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Adv Periodontics"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:p><jats:bold>Focused Clinical Question:<\/jats:bold><\/jats:p><jats:p>In patients with normal crown dimensions and excessive gingival display, does lip\u2010repositioning surgery improve long\u2010term smile outcome and dental esthetics?<\/jats:p><jats:p><jats:bold>Clinical Scenario:<\/jats:bold><\/jats:p><jats:p>A 27\u2010year\u2010old systemically healthy female presents with the chief complaint of \u201cexcessive gingival display when smiling\u201d (). She reports that orthodontic treatment was performed and that she was referred for orthognathic surgery to correct the maxillary vertical excess and altered passive eruption. Clinically, the patient is periodontally healthy with favorable long\u2010term periodontal prognosis. She is unsatisfied with her smile and states that it is \u201ccompromising her self\u2010esteem.\u201d However, she refuses to accept the orthognathic surgery because of the extensiveness and morbidity of the procedure. She inquires about alternative solutions for her esthetic problem and whether it is possible to solve her gummy smile with a less invasive procedure. Lip\u2010repositioning and anatomic crown\u2010lengthening surgeries are presented as treatment options. The patient decides to pursue these treatment options. Lip\u2010repositioning surgery is performed as described by Rosenblatt and Simon and Simon et al., and healing is uneventful. Anatomic crown lengthening is performed 6 months after the previous surgery. The patient is pleased with the reduction of the excessive gingival display after these procedures (). However, there is lack of clinical evidence regarding the long\u2010term stability of this surgical procedure.<\/jats:p>","DOI":"10.1902\/cap.2014.130092","type":"journal-article","created":{"date-parts":[[2014,3,18]],"date-time":"2014-03-18T20:44:40Z","timestamp":1395175480000},"page":"280-287","source":"Crossref","is-referenced-by-count":7,"title":["Does Lip\u2010Repositioning Surgery Improve Long\u2010Term Smile Outcome and Dental Esthetics in Patients With Excessive Gingival Display? A Review of the Current Literature"],"prefix":"10.1002","volume":"4","author":[{"given":"Maria Fernanda S.","family":"Peres","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"Ricardo","family":"Peres","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ed Gilson B.","family":"Lopes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra P.","family":"Ramos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica G.","family":"Correa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernanda V.","family":"Ribeiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eros","family":"Chaves","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,11]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"433","article-title":"Lip repositioning for reduction of excessive gingival display: A clinical report","volume":"26","author":"Rosenblatt A","year":"2006","journal-title":"Int J Periodontics Restorative Dent"},{"key":"e_1_2_7_3_1","first-page":"100","article-title":"Eliminating a gummy smile with surgical lip repositioning","volume":"23","author":"Simon Z","year":"2007","journal-title":"J Cosmet Dent"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1902\/annals.1999.4.1.1"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0757.1996.tb00179.x"},{"key":"e_1_2_7_6_1","first-page":"952","article-title":"Esthetic surgery for smile malformation (in Spanish)","volume":"60","author":"Rubinstein AM","year":"1973","journal-title":"Prensa Med Argent"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12046"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/0972-124X.76936"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.1483"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.11607\/prd.1325"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2010.100292"},{"key":"e_1_2_7_12_1","first-page":"162","article-title":"Smile enhancement by lip repositioning surgery: A case report","volume":"2","author":"Ashtaputre V","year":"2012","journal-title":"Am J Esthet Dent"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181e3b6d4"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/19424396.2004.12223954"},{"key":"e_1_2_7_15_1","first-page":"187","article-title":"Esthetic crown lengthening: Appropriate diagnosis for achieving gingival balance","volume":"36","author":"Kao RT","year":"2008","journal-title":"J Calif Dent Assoc"},{"key":"e_1_2_7_16_1","first-page":"809","article-title":"Excessive gingival display \u2014 Etiology, diagnosis, and treatment modalities","volume":"40","author":"Silberberg N","year":"2009","journal-title":"Quintessence Int"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2006.04.017"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198309000-00027"},{"key":"e_1_2_7_19_1","first-page":"245","volume-title":"Aesthetic Plastic Surgery","author":"Rees TD","year":"1994"},{"key":"e_1_2_7_20_1","first-page":"51","article-title":"A clinical study: The diastema, the frenum, the frenectomy","volume":"67","author":"Edwards JG","year":"1977","journal-title":"Oral Health"}],"container-title":["Clinical Advances in Periodontics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/pdf\/10.1902\/cap.2014.130092","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:52:48Z","timestamp":1760057568000},"score":1,"resource":{"primary":{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/10.1902\/cap.2014.130092"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,11]]},"references-count":19,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2014,11]]}},"alternative-id":["10.1902\/cap.2014.130092"],"URL":"https:\/\/doi.org\/10.1902\/cap.2014.130092","archive":["Portico"],"relation":{},"ISSN":["2573-8046","2163-0097"],"issn-type":[{"value":"2573-8046","type":"print"},{"value":"2163-0097","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,11]]}}}