Abstract

In this case report, treatment of skeletal Class I malocclusion with a convex profile showing a gummy smile with incisive diastema was described.

Intrusion of the upper incisors using mini-screw implants as an orthodontic anchorage was our treatment of choice. The patient’s smile was also improved using periodontal procedures.

An adequate overbite and overjet, as well as a satisfactory maxillary gingival exposure in the smile were obtained at the end of the treatment.

The aim of this paper was to highlight the importance of mini-implants for incisors intrusion and gummy smile correction in the anterior area. In order to intrude and procline the retroclined extruded incisors, both upper anterior mini-implants (1.2 x 8.0 mm) and elastic chains were utilized. Mini-implants can successfully be used as orthodontic anchorage for anterior teeth intrusion.

Keywords: Gummy Smile; TADs; Orthodontic Anchorage; Intrusion

References

1. Ricketts R. “Esthetics, environment and the law of lip relation”. American Journal of Orthodontics 54 (1968): 272-289.
2. Janzen E. “A balanced smile d a most important treatment objective”. American Journal of Orthodontics 72 (1977): 359-372.
3. Peck S., et al. “The gingival smile line”. Angle of Orthodontics 62 (1992): 91-100.
4. Turkich Kokich VG. “Esthetics: The orthodontic-periodontic-restorative connection”. Seminar on Orthodontics 2 (1996): 21-30.
5. Garber DA and Salama MA. “The aesthetic smile: Diagnosis and treatment”. Periodontology 11 (2000): 18-28.
6. Brägger U., et al. “Surgical lgthening of the clinical crown”. Journal of Clinical Periodontology 19 (1992): 58-63.
7. Ohnishi H, ., et al. “A mini-implant for orthodontic anchorage in a deep overbite case”. Angle of Orthodontics 75 (2005): 444-452.
8. Bonetti GA and Giunta D. “Molar intrusion with a removable appliance”. Journal of Clinical Orthodontics 30 (1996): 434-437.
9. Chun YS., et al. “Maxillary molar intrusion with the molar intrusion arch”. Journal of Clinical Orthodontics 34 (2000): 90-93.
10. Costa A., et al. “Mini screws as orthodontic anchorage: a preliminary report”. International Journal of Adult Orthodontics and Orthognathic Surgery 13 (1998): 201-209.
11. Tae-Woo Kim., et al. “Correction of deep overbite and gummy smile by using a mini-implant with a segmented wire in a growing Class II Division 2 patient”. American Journal of Orthodontics and Dentofacial Orthopedics 5 (2006): 676-685.
12. Monaco A., et al. “Gummysmile: clinical parameters useful for diagnosis and therapeutic approach”. Journal of Clinical Pediatric Dentistry 29 (2004): 19-25.
13. Burstone CJ. “Deepoverbite correction by intrusion”. American Journal of Orthodontics 72 (1977): 1-22.
14. Proffit WR., et al. “Contemporary treatment of dentofacial deformity”. St Louis: Mosby 111 (2003): 500-506.
15. Ataoglu H., et al. “Bimaxillaryorthog-nathic surgery in a patient with long face: a case report”. International Journal of Adult Orthodontics and Orthognathic Surgery 14 (1999): 304-309.
16. Miskinyar SA. “A new method for correcting a gummysmile”. Plastic and Reconstructive Surgery 72 (1983): 397-400.
17. Melsen , et al. “Intrusion of incisors in adult patients with marginal bone loss”. American Journal of Orthodontics and Dentofacial Orthopedics 96 (1989): 232-241.
18. Burstone CR. “Deep overbite correction by intrusion”. American Journal of Orthodontics 72 (1977): 1-22
19. Gianelly AA and Goldman HM. “Biologic basis of orthodontics”. Philadelphia: Lea and Febiger (1971).
20. E IZRAELEWICZ-DJEBALI and C CHABRE. “Gummysmile: orthodontic or surgical treatment?” Journal of Dentofacial Anomalies and Orthodontics 18 (2015): 102.
21. Mueller Storrer., et al. “Treatment of Gingival Smile”. Journal of the International Academy of Periodontology 19/2 (2017): 51-56
22. James Cheng-Yi Lin., et al. “Treatment of skeletal origin gummy smiles with minis crew implant-supported biomechanics”. (2015): 196-203.
23. Ricketts , et al. “Bioprogressive Therapy”. Denver, Co: Rocky Mountain Orthodontics (1979): 111-126.
24. Burstone CR. “Deep overbite correction by intrusion”. American Journal of Orthodontics 72 (1977): 1-22.
25. Ines AYADI., et al. “Ingression orthodontique sur mini-vis d’ancrage”. Orthodontie Française 89 (2018): 397-410.
26. CA Estevanell Tavares., et al. “Mini-implants for the management of a gummysmile”. Journal of the World Federation of Orthodontists 2 (2013): e99-e106.

Citation

Citation: Meriam Nasfi.,et al. “Mini-implants for Gummy Smile Management: A Case Report”. Acta Scientific Dental Sciences 5.2 (2021): 128-134.

Copyright

Copyright: © 2021 Meriam Nasfi.,et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.