title: Dilemmas in treating a patient with severe bialveolar protrusion and a hyperdynamic lip.
abstract: A black woman with severe bialveolar protrusion and a hyperdynamic lip on smiling was treated with molar and premolar extractions and orthognathic surgery, including a maxillary 3-piece LeFort, a maxillary segmental osteotomy, a mandibular segmental osteotomy, and a midsymphyseal ostectomy of the mandible.
authors.affiliation: jeb6116@erols.com
authors.forename: John E
authors.initials: JE
authors.lastname: Bilodeau
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Lane
mesh_terms: D000328:Adult; D001741:Black or African American; D000539:Alveolar Process / Q000503:physiopathology* / Q000601:surgery; D002508:Cephalometry; D004955:Esthetics, Dental; D005260:Female; D005881:Gingiva / Q000473:pathology / Q000601:surgery; D006801:Humans; D007180:Incisor / Q000503:physiopathology; D008046:Lip / Q000473:pathology*; D008310:Malocclusion / Q000628:therapy*; D008334:Mandible / Q000601:surgery; D019516:Orthodontic Space Closure; D019340:Osteotomy, Le Fort; D011378:Prognathism / Q000601:surgery* / Q000628:therapy; D014081:Tooth Extraction; D014087:Tooth Movement Techniques