Gummy smile correction with miniscrews in Class II vertical maxillary excess

Abstract

Clinical orthodontic treatment of gummy smile with VME has conventionally treated by Lefort 1 osteotomy and superior impaction of maxilla. Recent advents in TADs has broadened the scope and is replaced as less invasive procedure for such patients. This case reports describes the biomechanics and shows the excellent changes obtained with dual buccal mini screws supported orthodontic treatment.