Dental Tribune United Kingdom Edition

standing our patients and their desires. More recent changes to procedure to minimise relapse in the more complex cases include using shorter but wider ovoid in- cisions (3 to 3 inch width), deeper connective tissue suturing (Fig 20) and Myectomies done by a plastic surgeon. A multi-disciplinary approach to the solution of this complex emotional problem with a varia- ble aetiology may require special- ist referral as this type of solution is often the best option. We are currently working with a US Den- tal School, carrying out long-term research into the situation of this surgical procedure. DT For further enquiries about the British Academy of Cosmetic Dentistry (BACD) and to regis- ter for the BACD 2012 Annual Conference in November: visit: www.bacd.com, call: 0207 612 4166 or email: suzy@bacd.com REFERENCES Fairbairn P, The Art of treatment Plan- ning, Edited by Rafi Romano, Quintes- sence 2009; Ch 18: 392-406. Lee EA, Aesthetic Crown lengthening: Classification ,biologic rationale and treatment planning considerations. Pract Proced Aesthetic Dent 2004; 16: 769-778. Saadoun A, Art of the Smile edited by Rafi Romano, Quintessence 2005: 265-295. Rosenblatt A, Simon Z, ‘Lip Re-positioning for the reduction of excessive gingival dis- play; a clinical report’ , Int J Periodontics Restorative Dent 2006;26: 433-437. Fairbairn P, ‘Lip Repositioning surgery’. Aesthetic and Implant dentistry 2006; 9: 33-37 Fairbairn P, ‘Lip repositioning surgery – a photographic guide’. Aesthetic Dentistry Today 2007; 1: 66-73. Fig 10: Smiling hard to show ‘gummy’ smile Fig 12: Lip repositioning surgery, now only 2 to 2 Fig 13: Six months post-op. Rest position the same Fig 14: Hard smiling improved, but still not balanced Fig 20: Deep suturing technique Fig 18: Hard smiling. Further balance improvement at 9 months post-surgery Fig 17: Post-op rest position. Balance improved Fig 19: Patient happy Fig 15: Hard and soft tissue crown lengthening Fig 16: Steel and electro-surgery. Sutured with Prolene, showing scar from lip surgery Fig 11: Split thickness mucosal removal Fig 9: Extreme high lip line at rest Fig 8: A year post-surgery, improved balance Fig 7: Before crown lengthening and lip repositioning Fig 6: Use of Botullinum Toxin to correct 26 November 12 - 18, 2012United Kingdom EditionClinical Dr Peter JM Fairbairn is the principal dentist at the referral based S c a r s d a l e Dental Aes- thetic and Im- plant Clinic based in West London and has a special interest in surgical dentistry. He has lec- tured globally on surgical proce- dures in over 30 countries as well as written numerous articles and chapters in two published books. He is an active member of the BACD, ADI and LDF. About the author page 25DTß