The Management of Vertical Maxillary Excess with Orthodontic Mini Screws to Achieve a Pleasant Smile: A Two Year Follow Up Case Report

Background: In gummy smile subjects with short clinical crown periodontal surgeries are the classic essential aesthetic approach. However, in gummy smile caused by vertical maxillary excess Le Fort I osteotomy, but patient refuse to go for Le Fort I osteotomy, then orthodontic treatment alone doesn’t restore the complete esthetic. Currently mini screw with orthodontic treatment is the best choice. Objective of Case Report: To determine the outcome of gummy smile managing with orthodontic treatment and mini screw. Methodology: A 35-year-old female patient with skeletal class II malocclusion, convex profile, and noticeable gummy smile. The case was treated with first premolar extraction and mini screw for intrusion and retraction. Followed by plastic periodontal surgery to increase crown length and accumulated gingival overgrowth. Conclusions: The case was completed with class I malocclusion with restoring acceptable gum visibility.