Qamruddin, Irfan and Shahid, Fazal and Alam, Mohammad Khursheed and Jamal, Wafa Zehra
(2014)
Camouflage of Severe Skeletal Class II Gummy Smile Patient
Treated Nonsurgically with Mini Implants.
Case Reports in Dentistry, 2014 (382367).
pp. 1-7.
ISSN 2090-6447
Abstract
Skeletal class II has always been a challenge in orthodontics and often needs assistance of surgical orthodontics in nongrowing
patients when it presents with severe discrepancy. Difficulty increases more when vertical dysplasia is also associated with sagittal
discrepancy. The advent of mini implants in orthodontics has broadened the spectrum of camouflage treatment. This case report
presents a 16-year-old nongrowing girl with severe class II because of retrognathic mandible, and anterior dentoalveolar protrusion
sagittally and vertically resulted in severe overjet of 13mmand excessive display of incisors and gums. Bothmaxillary central incisors
were trimmed by general practitioner few years back to reduce visibility. Treatment involved use of micro implant for retraction and
intrusion of anterior maxillary dentoalveolar segment while lower incisors were proclined to obtain normal overjet, and overbite
and pleasing soft tissue profile. Smile esthetics was further improved with composite restoration of incisal edges of both central
incisors.
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