Dual Esthetic Enhancement of Class III Profile and Gummy Smile With Facial Esthetic Bone Augmentation and Orthodontic Therapy.

IF 3.2 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Esthetic and Restorative Dentistry Pub Date : 2025-02-17 DOI:10.1111/jerd.13436

Junichi Watahiki, Akihiro Wada, Tetsuo Suzawa, Hidehiko Izawa, Hiroyasu Onizuka

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Abstract

Objective: This case report examines the combination of orthodontic treatment and bone augmentation using an interdisciplinary approach to simultaneously improve a gummy smile and Class III facial profile. The subject is a 26-year-old female presenting with a gummy smile, congenitally missing teeth, an open bite tendency, and a Class III profile with a left-deviated mandible.

Clinical considerations: The interdisciplinary treatment included lingual inclination of the maxillary and mandibular anterior teeth to improve the gummy smile, facial esthetic bone augmentation (FABA) to enhance facial esthetics, and implant therapy for the missing teeth. Additionally, interdisciplinary treatment objectives and postoperative facial profile predictions were planned using the Dual Incisal Positioning (DIP) method.

Conclusion: The desired facial profile was achieved, with esthetic improvements in both the gummy smile and Class III profile. This case demonstrates the effectiveness of a comprehensive interdisciplinary approach that combines the DIP and FABA methods to address multifaceted dental and facial esthetic challenges.

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来源期刊

Journal of Esthetic and Restorative Dentistry 医学-牙科与口腔外科

CiteScore

6.30

自引率

6.20%

发文量

124

审稿时长

>12 weeks

期刊介绍： The Journal of Esthetic and Restorative Dentistry (JERD) is the longest standing peer-reviewed journal devoted solely to advancing the knowledge and practice of esthetic dentistry. Its goal is to provide the very latest evidence-based information in the realm of contemporary interdisciplinary esthetic dentistry through high quality clinical papers, sound research reports and educational features. The range of topics covered in the journal includes: - Interdisciplinary esthetic concepts - Implants - Conservative adhesive restorations - Tooth Whitening - Prosthodontic materials and techniques - Dental materials - Orthodontic, periodontal and endodontic esthetics - Esthetics related research - Innovations in esthetics