Authors : Ekta Lahoti, Partha Pratim Choudhury, Ali Asger Nakib, Anuranjan Das
DOI : 10.18231/j.jco.2017.037
Volume : 1
Issue : 1
Year : 2017
Page No : 58-63
Gummy smile along with a hyperdivergent profile is one of the most complex malocclusions in clinical orthodontics. It is often characterized
by excessive maxillary posterior dentoalveolar height along with excessive anterior dentoalveolar height. Such situation in an adult
patient often demands surgical therapy. However, patient reluctance towards surgery and alternative method using miniscrews is now
frequently used in such cases. In case report, orthodontic treatment of a 25year old male patient with skeletal class II malocclusion,
gummy smile and hyperdivergent profile has been described. For the correction of gummy smile and facial profile, we decided for full
maxillary arch intrusion using a single palatal miniscrew implant along with a modified transpalatal arch. The active treatment phase
lasted 24 months.
Keywords: Gummy smile; Miniscrew; Facial profile; Adult patient