ID 113502
Title Alternative
Excessive gingival display treated with two-piece segmental Le Fort I osteotomy : A Case Report
Author
Furutani, Masahiro Rokko Island Konan Hospital
Keywords
Excessive gingival display
two-piece segmental Le Fort I osteotomy
maxillary protrusion
Orthodontics
Smile
Esthetics
Occlusion
Oral and Maxillofacial Surgery
Content Type
Journal Article
Description
Background. The demand for orthognathic surgery has increased worldwide. Women with jaw deformity tend to have a worse quality of life than men owing to the deformity’s negative effects on body image, low self-esteem, lack of self-confidence, and dissatisfaction with life. Therefore, they wish for more reliable treatment options.
Case Description. A woman aged 25 years and 9 months sought treatment for a convex profile and excessive gingival display caused by a skeletal Class II jaw-base relationship. Gingival exposure was up to 6.5 millimeters at full smile. She chose orthognathic surgery, and the authors performed a 2-piece segmental Le Fort I osteotomy and bilateral sagittal split ramus osteotomy. After active orthodontic treatment, the protrusive profile was improved, and an acceptable occlusion and an attractive smile were achieved.
Practical Implications. It is hoped that 2-piece segmental Le Fort I osteotomy becomes a common treatment option for patients with protrusive profiles and excessive gingival displays.
Journal Title
The Journal of the American Dental Association
ISSN
00028177
NCID
AA00692690
AA12301848
Publisher
American Dental Association|Elsevier
Volume
150
Issue
1
Start Page
58
End Page
68
Published Date
2018-11-22
Rights
© 2019. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Author
departments
University Hospital
Oral Sciences