The Use of Lip Bumper in Lip Sucking Treatment (original) (raw)

Management of Lip Sucking Habit Using Combination Therapy: A Case Report

International Journal of Dentistry Research

Oral habits are those that are repeatedly performed thereby causing deleterious effects on the teeth and the adjoining oral tissues. In addition to or as a substitute for thumb sucking, lip sucking or biting is often observed. An orthodontic lip bumper, designed to intercept dental and occlusal problems, is a fixed or removable functional appliance. In this case report, the habit was treated using fixed lip bumper, lip exercises and habitual therapy conducted by both parents and the child. Parental encouragement and constant reminders combined with the child’s co-operation in wearing the appliance and performing the advised lip exercises regularly are significant factors in the success of this treatment.

An atypical Lingual Lesion Resulting from the Unhealthy Habit of Sucking the Lower Lip: Clinical Case Study

Journal of Clinical Pediatric Dentistry, 2006

Unhealthy oral habits may be involved in the etiology of a malocclusion, since they may affect development of the orofacial region. There is little information on the habit of sucking the lower lip, to which practitioners attribute less clinical consequences. However, lower lip sucking is a harmful habit which appears frequently in children, especially during situations requiring increased attention and mental concentration. In patients presenting lower lip sucking, strong contractions of the lower lip's orbicular's muscle and the mentalis muscle, associated with hypertonicity of the upper lip caused by sucking, has to be balanced by lingual thrusting during the act of deglutition. A case is presented in which failure to identify the habit of lower lip sucking led to an atypical lesion on the tongue, caused by the tongue's impaction against the orthodontic appliance prescribed to correct a malocclusion. The recognition and elimination of an unhealthy habit is of great im...

Prevalence of lip sucking amongst 6-9-years old children

Padjadjaran Journal of Dentistry

Oral habits in children are a common problem faced in the society. Lip sucking is one of such habit. Often overlooked, persistent lip sucking can bring upon deleterious effects upon the child’s dentition. This research was aimed to identify the signs of lip sucking amongst 6-9 years old children. The research was descriptive using the survey technique and was conducted at Dental Hospital of Faculty of Dentistry Universitas Padjadjaran, Bandung, through observation for signs of lip sucking and filling up a survey form. A total of 100 children were examined in this research. From 100 children, 44 of them were identified to have at least one sign of lip sucking with 11 (25%) children were aged 6 years old, 8 (18%) children were aged 7 years old, 11 (25%) children were aged 8 years old and as much as 14 (32%) children aged 9 years old. The remaining 56 children examined were not found to manifest any signs of lip sucking. Based on the study can be concluded that the prevalence of lip s...

Long-term stability of lip bumper therapy followed by fixed appliances

The Angle orthodontist, 2006

Lip bumper treatment has been shown to successfully increase arch width, procline the incisors, and distalize molars. However, few studies have been performed showing the long-term stability of lip bumper treatment. In this study, mandibular casts taken by a single practitioner from 51 patients treated with lip bumpers without rapid palatal expansion were analyzed at pretreatment, post-lip bumper treatment, posttreatment, and long-term out of treatment. Measurements of arch width, arch depth, arch length, and anterior crowding were made. During treatment, there was a mean decrease in irregularity of 3.73 mm, with a posttreatment increase of 0.76 mm, for a net decrease of 2.97 mm. Despite posttreatment decreases, significant gains in arch width were maintained for extended periods of time. The intercanine width had a net increase of 1.78 mm (19% relapse), first premolars 3.39 mm (26% relapse), second premolars 2.58 mm (34% relapse), and first molars 2.17 mm (20% relapse). Lip bumper ...

The effects of lip bumper therapy in the mixed dentition

American Journal of Orthodontics and Dentofacial Orthopedics, 1997

A prospective clinical trial was undertaken to study the effects of 6 months of continuous lip bumper therapy on patients in the mixed dentition with mild-to-moderate mandibular arch perimeter deficiency. Thirty-four patients, ages 7.9 to 13.1 years (~ = 10.2), seeking treatment in the postgraduate orthodontic clinic of the Medical College of Virginia, presented possessing 3 to 8 mm of mandibular crowding, with both mandibular primary second molars, were randomly placed in either the treatment or nontreatment group. Treated subjects underwent continuous lip bumper therapy, whereas the control subjects were monitored without undergoing any active treatment, each for 6 months. Arch dimension changes were assessed with study models. Alterations of mandibular incisor position were measured from lateral cephalometric radiographs. Mandibular left permanent first molar position changes were determined from both lateral cephalometric and tomographic radiographs, with the resolution of each imaging technique in measuring molar tooth movement also compared. It was found that significant differences in mandibular incisor inclination, molar position, arch length, and arch perimeter existed between treated and untreated subjects. In addition, multiple observer analysis showed that cephalometric examination lacks sensitivity when used to measure molar movement. (Am J Orthod Dentofac Orthop 1997;111:52-8.) A recent trend influencing orthodontic treatment rationale has been the return of a tendency toward nonextraction therapy. Surveys of American orthodontists revealed that approximately 75% of patients are currently being treated in this manner. 13 This can be contrasted with an earlier era during which extraction-based treatment modalities to resolve crowded dentitions were promoted. 4 More recently, however, the "extraction versus nonextraction" pendulum has again swung with the realization that the removal of teeth does not guarantee orthodontic stability. 5-s

AWARENESS OF GUMMY SMILE AND ITS TREATMENT BY LIP REPOSITIONING TECHNIQUE AMONG DENTAL INTERNS AND POSTGRADUATES: A QUESTIONNAIRE STUDY

ijsr, 2020

The purpose behind this study is to explore the awareness and knowledge about aesthetic smile, excessive gingival display and its treatment by lip repositioning technique among dental interns and post graduate students. Method: This is a survey utilizing a self administered, close-ended questionnaire consisting of 10 questions undertaken for 200 dental professionals randomly selected from two dental colleges under People's University, Bhopal. The questions were divided under 4 domains assessing the knowledge about gummy smile and its etiology, concepts about its treatment and awareness about its treatment in contrast to lip repositioning technique. Based on their knowledge, the survey population was divided under two groups; dental interns (n=100) and dental postgraduates (n=100). Result: Statistical analysis was made using chi-square test. Positive attitude towards gummy smile and its correction by lip repositioning technique was observed. Response to Q.no. 4, 9 and 10 were statistically signicant (p = < 0.005) among two groups. Conclusion: The level of awareness was marginally higher with postgraduates regarding basic concepts, etiology and perception about newer treatment modality i.e lip repositioning.

A modified technique that decreases the height of the upper lip in the treatment of gummy smile patients: A case series study

2012

Delayed passive eruption is conventionally treated with osteotomy and osteoplasty, which is limited to the vicinity of cementoenamel junction. The aim of the present study was to evaluate clinical outcome of three gummy smile patients with delayed passive eruption submitted to an extended osteoplasty in the buccal aspect of anterior maxilla. Digital photograph images of maximal smile were taken in order to assess the results before and 9 months after surgery. All maxillary incisors were evaluated. In comparison with baseline, all patients presented lip dropping (calculated in 7.9 ± 1.7%), increase in crown length (18.2 ± 2.7%), and a decrease in the gingival display (46.6 ± 2.7%). On the other hand, considering specifically the decrease in gingival display, 19.7 ± 3.8% of it was due to the amount of lip dropping, while 26.9 ± 1.2% was due to the increase in crown length. Within the limits of the present study, it could be concluded that after the extended osteoplasty, upper lip has ...

LipStaT® Surgery, A Novel Technique for the Treatment of Gummy Smile: Case Report

Acta Odontológica Colombiana

Introduction: The lip stabilization technique (LipStaT®) is a novel surgical approach for the management of gummy smile. It is an outpatient technique, minimally invasive, with low risk of morbidity and low incidence of complications. The goal of the technique is to reduce the excessive gingival display during smile. Objective: to describe the LipStaT® technique including its indications, preoperative evaluation, surgical approach and patient post procedure care instructions. Clinical Cases: the authors present two female patients, aged 20 and 31 years, with excessive gingival display (over 3mm) and with experiences of failures with other procedures. The LipStaT® technique allowed to achieve aesthetic, harmonic and functional results. Conclusion: The LipStaT® technique is a safe outpatient procedure that allows to obtain predictable results, which are well accepted by patients.

The effect of oral habits in the oral cavity of children and its treatment

Padjadjaran Journal of Dentistry

Oral habits include habit which is continuously done and has the potential to cause defects in teeth and perioral tissues. Some of the oral habits are finger/thumb sucking, lip sucking/biting, nail biting, bruxism, abnormal swallowing and mouth breathing. The etiology of oral habits includes the disharmonious relationship between parents and children, dissatisfaction in oral phase, premature weaning, emotional disturbance, anomaly, and diseases. Oral habits will influence the development of occlusion and perioral structures in children in the growing and development process. The treatment of oral habits can be done with or without appliances. The non-appliance treatment consists of psychological approach, medical approach and myofunctional therapy while the appliance treatment will include the use of orthodontic appliances.