title: Management of an Adult with Class III Malocclusion, Gummy Smile, and Spaced Dentition.
abstract: This case report presents an interdisciplinary approach to achieve functioning occlusion and an aesthetically pleasing smile. This patient's concerns were spacing between upper front teeth and a gummy smile. The case was evaluated, and treatment was planned using a multidisciplinary approach. The patient rejected the option of orthognathic surgery to correct a skeletal problem. Treatment included orthodontics, osteoplasty, gingivoplasty, and porcelain veneer restorations to achieve the desired aesthetic result. Comprehensive orthodontics resulted in a functionally stable occlusion. Space distribution between maxillary anterior teeth with adequate overjet and overbite relationships allowed for conservative preparation to receive porcelain veneer restorations.
authors.affiliation: Peninsula Dental center, 1101 Healthway Dr, Salisbury, MD 21804, USA.
authors.forename: Sameera
authors.initials: S
authors.lastname: Babar
authors.affiliation: Department of Cariology and Comprehensive Care, New York University, College of Dentistry, NY 10010, USA. Electronic address: jrc1@nyu.edu.
authors.forename: John R
authors.initials: JR
authors.lastname: Calamia
authors.affiliation: Department of Orthodontics, New York University, College of Dentistry, NY 10010, USA.
authors.forename: Jerry M
authors.initials: JM
authors.lastname: Sorrel
mesh_terms: D000328:Adult; D000543:Alveoloplasty / Q000379:methods; D057189:Checklist; D016556:Crown Lengthening / Q000379:methods; D003776:Dental Porcelain / Q000737:chemistry; D003801:Dental Veneers; D003970:Diastema / Q000628:therapy*; D004955:Esthetics, Dental; D005500:Follow-Up Studies; D005893:Gingivoplasty / Q000379:methods; D006801:Humans; D053685:Laser Therapy / Q000379:methods; D008297:Male; D008313:Malocclusion, Angle Class III / Q000628:therapy*; D010347:Patient Care Planning; D010348:Patient Care Team; D012904:Smiling; D014087:Tooth Movement Techniques / Q000379:methods
chemical_list: D003776:Dental Porcelain
keywords: Aesthetics; Class III malocclusion; Multidiscipline