대한두개안면성형외과학회지 (Archives of Craniofacial Surgery)

  • 제25권5호
  • /
  • Pages.240-246
  • /
  • 2024
  • /
  • 2287-1152(pISSN)
  • /
  • 2287-5603(eISSN)
대한두개안면성형외과학회 (Korean Cleft Palate-Craniofacial Association)
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Improvements of facial profile and smile aesthetic using temporary anchorage devices and botulinum toxin: a case report

  • Hoang Viet (Department of Orthodontics and Pedodontics, Faculty of Dentistry, Van Lang University) ;
  • Dang Thi Nhu Thao (Department of Orthodontics and Pedodontics, Faculty of Dentistry, Van Lang University) ;
  • Nguyen Khanh My (Department of Orthodontics and Pedodontics, Faculty of Dentistry, Van Lang University) ;
  • Tran Hong Phuoc (Department of Oral Surgery, Saigon Dental Private Hospital) ;
  • Hoang Minh Tuyen (Department of Prosthodontics, Saigon Dental Private Hospital)
  • 투고 : 2024.01.26
  • 심사 : 2024.10.01
  • 발행 : 2024.10.20
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초록

The severe gummy smile and a skeletal class II profile pose challenges in treatment. This case report outlines an effective alternative for addressing these problems in a patient with skeletal class II division 2, class II molar relationship, retroclination of upper incisors, and lip protrusion. Treatment objectives included normalizing the overjet and overbite, improving the gummy smile, and establishing a satisfactory occlusion. A three-dimensional simulation was performed to consult with the patient, assess possible results, and predict treatment biomechanics. The treatment involved the use of two zygomatic and one inter-radicular temporary anchorage devices, along with botulinum toxin. After the 2-year follow-up, a satisfactory dental occlusion, aesthetic improvement, and adequate function were achieved. This approach offers a viable alternative to orthognathic surgery for adults with skeletal class II malocclusion and a severe gummy smile due to hypermobile lip.

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참고문헌

  1. Pithon MM, Nascimento CC, Barbosa GC, Coqueiro Rda S. Do dental esthetics have any influence on finding a job? Am J Orthod Dentofacial Orthop 2014;146:423-9.
  2. Hoang V, Tran PH, Dang TT. Buccal corridor and gummy smile treatment with MARPE and gingivoplasty: a 2-year follow-up case report. APOS Trends Orthod 2024 Feb 22 [Epub] https://doi.org/10.25259/APOS_216_2023
  3. Anh NV, Son TM, Ngoc VT, Anh NT. Management of moderate crowding by two-arch distalization using passive self-ligating lingual brackets, in-house digital indirect bonding, and mini-screw anchorage: a case report. APOS Trends Orthod 2023;13:184-92.
  4. Sereewisai B, Chintavalakorn R, Santiwong P, Nakornnoi T, Neoh SP, Sipiyaruk K. The accuracy of virtual setup in simulating treatment outcomes in orthodontic practice: a systematic review. BDJ Open 2023;9:41.
  5. Mattos CT, Ruellas AC, Elias CN. Is it possible to re-use mini-implants for orthodontic anchorage? results of an in vitro study. Mater Res 2010;13:521-5.
  6. Chen YJ, Chang HH, Huang CY, Hung HC, Lai EH, Yao CJ. A retrospective analysis of the failure rate of three different orthodontic skeletal anchorage systems. Clin Oral Implants Res 2007;18:768-75.
  7. Gracco A, Tracey S. Botox and the gummy smile. Prog Orthod 2010;11:76-82.
  8. Razmaite A, Trakiniene G. The effect of botox for the correction of the gummy smile: a systematic review. Stomatologija 2021;23:63-8.
  9. Sabri R. The eight components of a balanced smile. J Clin Orthod 2005;39:155-67.
  10. Kesling HD. The diagnostic setup with consideration of the third dimension. Am J Orthod. 1956;42:740-8.
  11. Le T, Tran P, Tran V. Factors that affect lip changes following incisor retraction in Vietnamese adults with a convex facial profile. J Orthod Sci 2022;11:40.
  12. Anh NV, Ninh DV. The treatment of severe class II division 2 patients with deep overbites and gummy smiles using lingual appliances: a case series. Aust Orthod J 2024;40:95-110.
  13. Horiuchi Y, Horiuchi M, Soma K. Treatment of severe Class II Division 1 deep overbite malocclusion without extractions in an adult. Am J Orthod Dentofacial Orthop 2008;133(4 Suppl):S121-9.
  14. Paredes-Gallardo V, Bellot-Arcis C, Garcia-Sanz V. Miniscrew mechanics for molar distalization and incisor intrusion in a patient with a class II brachyfacial pattern and gummy smile. Am J Orthod Dentofacial Orthop 2020;158:273-85.
  15. Fagien S, Carruthers JDA. A comprehensive review of patient-reported satisfaction with botulinum toxin type a for aesthetic procedures. Plast Reconstr Surg 2008;122:1915-25.