Acta Scientific Dental Sciences (ASDS)(ISSN: 2581-4893)

Case Report Volume 5 Issue 2

Mini-implants for Gummy Smile Management: A Case Report

Meriam Nasfi1*, Hiba Gmati2, Mounira Rtibi2, Abdelatif Boughzela3 and Anissa Zinelabidine4

1Resident in Orthodontics, Farhat Hached University Hospital, Sousse, Tunisia
2Resident in Orthodontics, Department of Orthodontics, Farhat Hached University Hospital, Sousse, Tunisia
3Professor and Head of Department, Department of Orthodontics, Farhat Hached Hospital, Sousse, Tunisia
4Professor, Department of Orthodontics, Farhat Hached University Hospital, Sousse, Tunisia

*Corresponding Author: Meriam Nasfi, Resident in Orthodontics, Farhat Hached University Hospital, Sousse, Tunisia.

Received: December 18, 2020; Published: January 28, 2021

×

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.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days
Impact Factor0.614

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is September 30, 2021.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US






    Warning: include(footer.php): failed to open stream: No such file or directory in /home/emailacta1/public_html/ASDS/ASDS-05-1030.php on line 320

    Warning: include(): Failed opening 'footer.php' for inclusion (include_path='.:/opt/alt/php56/usr/share/pear:/opt/alt/php56/usr/share/php') in /home/emailacta1/public_html/ASDS/ASDS-05-1030.php on line 320