Year : 2017

Volume : Volume 7

Issue : Issue 2

Address for correspondence :
Dr. Yama Patel
yamanpatel@gmail.com

Abstract

Background:  Correction of skeletal deformities in adult patients with orthodontics is limited. Orthognathic surgery is the best option for cases when camouflage treatment is questionable and growth modulation is not possible. This paper describes a case of young Indian female having severe class-II skeletal relation with gummy smile. The case was managed with a combination of presurgical orthodontic treatment followed by an orthognathic surgery in maxilla and then another phase of orthodontic treatment for final occlusal detailing and at a second stage advancement genioplasty was performed. Anterior maxillary setback and 6mm superior positioning of maxilla at 1st stage and at the 2nd stage 4mm advancement genioplasty were performed.  Although the anteroposterior discrepancy and the facial convexity were so severe, highly acceptable results were obtained, both esthetically as well as occlusally.

Keywords: Vertical Maxillary Excess, Anterior Maxillary Setback, Gummy Smile, Genioplasty.