Surgery First Approach to Correct Gummy Smile in an Adult Female
Vertical maxillary excess associated with long face syndrome or a hyperdivergent growth pattern gives patients an excessive gummy smile with overexposure of the upper anterior teeth. This results in a very unesthetic gummy smile and facial profile for the patient. Hyperdivergent growth patterns also...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | Advances in Human Biology |
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| Online Access: | https://journals.lww.com/10.4103/aihb.aihb_138_24 |
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| author | Sujeeth Kumar Shetty Nitin V Muralidhar T Jerusha |
| author_facet | Sujeeth Kumar Shetty Nitin V Muralidhar T Jerusha |
| author_sort | Sujeeth Kumar Shetty |
| collection | DOAJ |
| description | Vertical maxillary excess associated with long face syndrome or a hyperdivergent growth pattern gives patients an excessive gummy smile with overexposure of the upper anterior teeth. This results in a very unesthetic gummy smile and facial profile for the patient. Hyperdivergent growth patterns also affect the normal maxilla-mandibular relationship, as there is a presence of mandibular clockwise rotation, which compromises the functional component. Hence, this condition leads to poor aesthetics and function. This condition is treated by a non-surgical approach using Temporary anchorage device (TAD) s in recent years. However, for an excessive gummy smile, the ideal treatment option is orthognathic surgery combined with orthodontic treatment to correct the dental irregularities. In this case report, we will discuss gummy smile correction in a young adult female using a surgery-first approach, with a combined orthodontic and orthognathic surgical treatment, highlighting absolutely no forward movement of the mandible after the maxillary impaction, thus maintaining perfect Class I molar and canine relations. |
| format | Article |
| id | doaj-art-37f2db82850d44d99ed4e4b3a3ff1102 |
| institution | DOAJ |
| issn | 2321-8568 2348-4691 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Advances in Human Biology |
| spelling | doaj-art-37f2db82850d44d99ed4e4b3a3ff11022025-08-20T03:07:38ZengWolters Kluwer Medknow PublicationsAdvances in Human Biology2321-85682348-46912025-04-0115229329710.4103/aihb.aihb_138_24Surgery First Approach to Correct Gummy Smile in an Adult FemaleSujeeth Kumar ShettyNitin V MuralidharT JerushaVertical maxillary excess associated with long face syndrome or a hyperdivergent growth pattern gives patients an excessive gummy smile with overexposure of the upper anterior teeth. This results in a very unesthetic gummy smile and facial profile for the patient. Hyperdivergent growth patterns also affect the normal maxilla-mandibular relationship, as there is a presence of mandibular clockwise rotation, which compromises the functional component. Hence, this condition leads to poor aesthetics and function. This condition is treated by a non-surgical approach using Temporary anchorage device (TAD) s in recent years. However, for an excessive gummy smile, the ideal treatment option is orthognathic surgery combined with orthodontic treatment to correct the dental irregularities. In this case report, we will discuss gummy smile correction in a young adult female using a surgery-first approach, with a combined orthodontic and orthognathic surgical treatment, highlighting absolutely no forward movement of the mandible after the maxillary impaction, thus maintaining perfect Class I molar and canine relations.https://journals.lww.com/10.4103/aihb.aihb_138_24gummy smileorthodontic treatmentorthognathic surgeryvertical maxillary excess |
| spellingShingle | Sujeeth Kumar Shetty Nitin V Muralidhar T Jerusha Surgery First Approach to Correct Gummy Smile in an Adult Female Advances in Human Biology gummy smile orthodontic treatment orthognathic surgery vertical maxillary excess |
| title | Surgery First Approach to Correct Gummy Smile in an Adult Female |
| title_full | Surgery First Approach to Correct Gummy Smile in an Adult Female |
| title_fullStr | Surgery First Approach to Correct Gummy Smile in an Adult Female |
| title_full_unstemmed | Surgery First Approach to Correct Gummy Smile in an Adult Female |
| title_short | Surgery First Approach to Correct Gummy Smile in an Adult Female |
| title_sort | surgery first approach to correct gummy smile in an adult female |
| topic | gummy smile orthodontic treatment orthognathic surgery vertical maxillary excess |
| url | https://journals.lww.com/10.4103/aihb.aihb_138_24 |
| work_keys_str_mv | AT sujeethkumarshetty surgeryfirstapproachtocorrectgummysmileinanadultfemale AT nitinvmuralidhar surgeryfirstapproachtocorrectgummysmileinanadultfemale AT tjerusha surgeryfirstapproachtocorrectgummysmileinanadultfemale |