Gummy smile and facial profile correction using miniscrew anchorage.
This case report describes the treatment of a case involving a skeletal Class II facial profile with a gummy smile. While treating a facial profile and a gummy smile, the outcome may not always be successful with orthodontic therapy alone. For this reason, surgical therapy is often chosen to gain an esthetic facial profile and a good smile. However, sometimes the patients reject surgical treatment and an alternative method must be considered. Skeletal anchorage systems such as miniscrews are now frequently used for correcting severe malocclusion that should be treated by surgical therapy. In this case report, we treated a skeletal Class II malocclusion with a convex profile and a gummy smile using miniscrews, which were placed in the upper posterior and anterior areas. The active treatment period was 3.5 years, and the patient's teeth continued to be stable after a retention period of 36 months.
Department of Orthodontics and Craniofacial Developmental Biology, Hiroshima University Graduate School of Biomedical Sciences, Hiroshima, Japan. mkaku@hiroshima-u.ac.jp
Masato
M
Kaku
Shunichi
S
Kojima
Hiromi
H
Sumi
Hiroyuki
H
Koseki
Sara
S
Abedini
Masahide
M
Motokawa
Tadashi
T
Fujita
Junji
J
Ohtani
Toshitsugu
T
Kawata
Kazuo
K
Tanne
D000328:Adult; D004955:Esthetics, Dental; D005260:Female; D005881:Gingiva; D006801:Humans; D052280:Orthodontic Anchorage Procedures / Q000295:instrumentation*; D009971:Orthodontics, Corrective / Q000295:instrumentation / Q000379:methods*; D057887:Overbite / Q000628:therapy*; D012904:Smiling; D016896:Treatment Outcome