Orthotown June 2021 - 38
Fig. 16: Pre- and post-treatment panos and cephs.
Fig. 17
are coincident with the facial midline. Patient
photos reveal a broader smile, upright upper
incisors, coincident smile arc and attractive
exposure of the upper incisors and the
gingiva. There is improvement of the lingual
inclination of the upper incisors, and the
patient displays a better inclination of the
front teeth along with a profile enhancement
(Fig. 15, p. 37).
All of these parameters contributed
to a transformational outcome for her
overall facial aesthetics. Fig. 16 shows the
pretreatment versus post-treatment panorex
and headfilm; Fig. 17 and 18, respectively,
illustrate the treatment progress from zero
to 30 months.
Conclusion
Gummy smile treatment is considered
one of the most, if not the most, challenging
and difficult cases in the orthodontic field,
with many orthodontists considering surgery
as the only option for this kind of discrepancy.
Fig. 18
This clinical case report demonstrates
an efficient and pragmatic way to treat
gummy smile with confidence, using the
combination of Pitts 21 bracket system,
Pitts protocols and extraradicular TADs
to create an extraordinary transformational
result for this patient.
I believe the goal for aesthetic orthodontists
reaches beyond giving the patient
what they want, to results that they never
thought it was possible for them to have.
The dramatic contrast in Fig. 18 is a perfect
example of what we must consider for our
patients.
The concepts of aesthetic-first, efficient
" active early " treatment protocols, advanced
technological appliance systems and a laser
focus on microaesthetics will enable clinicians
to reach the next level in orthodontics. This
will secure a relevant role for orthodontists
in the transdiscplinary world of aesthetic
providers. n
38 JUNE 2021 // orthotown.com
http://www.orthotown.com
Orthotown June 2021
Table of Contents for the Digital Edition of Orthotown June 2021
Orthotown June 2021 - Intro
Orthotown June 2021 - Cover1
Orthotown June 2021 - Cover2
Orthotown June 2021 - 1
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