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Vicky: Too much teeth showing - jaw surgery and implants.

Facial diagnosis

  • Receding lower jaw
  • Too long upper jaw
  • Failing teeth, upper teeth considered lost.

Dental diagnosis

  • Class II division 1

Treatment jaw surgery

  • Advancement lower jaw (BSSO)
  • Chin surgery (Sliding genioplasty)
  • Upper jaw shortening by alveolar reduction, not by Le Fort I

Treatment dental implants

  • Implant supported bridge (fixed denture) upper jaw
  • Implants with osteotomy
  • Implants with bone graft

About this case

Vicky has a tremendous gummy smile. It started at the end to dominate her live. Vicky came finally to my office. Gradually we came to a treatment plan with the help of jaw surgery and implants. Vicky is young. Just imagine the impact that this final result has on a person’s live. Probably there are other approaches and treatment plans that could have been followed. The art is to pick the one that fits you best. We choose to correct the gummy smile with direct alveolar bone reduction, and not with a classic Lefort I intrusion , what most surgeon’s probably would choose. We indeed choose to give up her already extensively damaged teeth and replace them within a week with new teeth on implants, that would fit into her face. A genioplasty advancement finished the surgery.