Abstract
Background:
Anterior oral rehabilitation poses significant functional and aesthetic challenges due to the complex interplay between gingival architecture, mucosal integrity, lip dynamics, and facial soft tissues. Traditional single-discipline approaches often fail to address these interdependent factors comprehensively.
Objective:
This literature review aims to evaluate the functional and aesthetic outcomes of combined periodontal–maxillofacial soft-tissue repositioning in anterior oral rehabilitation.
Methods:
A narrative review of the literature was conducted focusing on periodontal soft-tissue repositioning, maxillofacial soft-tissue surgical techniques, and multidisciplinary approaches in anterior oral rehabilitation. Emphasis was placed on functional outcomes, aesthetic parameters, patient-reported satisfaction, and long-term stability.
Results:
The reviewed literature demonstrates that periodontal techniques such as coronally advanced flaps, connective tissue grafts, and papilla reconstruction effectively optimize gingival contours, while maxillofacial procedures including vestibuloplasty and lip repositioning correct broader anatomical and muscular discrepancies. Combined approaches consistently result in superior functional outcomes—such as improved speech, mastication, and lip competence—and enhanced aesthetic results, including gingival symmetry, smile harmony, and soft-tissue stability. Patient satisfaction rates were notably higher with multidisciplinary interventions.
Conclusion:
Combined periodontal–maxillofacial soft-tissue repositioning represents a comprehensive and effective strategy for anterior oral rehabilitation. While current evidence supports improved functional and aesthetic outcomes, further high-quality prospective studies and standardized assessment tools are required to establish definitive clinical protocols.