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Dual Esthetic Enhancement of Class III Profile and Gummy Smile With Facial Esthetic Bone Augmentation and Orthodontic
Junichi Watahiki1,2, Akihiro Wada1,2, Tetsuo Suzawa1,2
1Private Practice, Tokyo Nihonbashi AQUA Dental Orthodontic Interdisciplinary Clinic, Tokyo, Japan.
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.
