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심한 gummy smile 환자에서 악교정술을 이용한 교정: 증례보고

The correction of severe gummy smile using orthognathic surgery: Case report

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초록

The purpose of this study is to report onoperative treatment for patients with severe gummy smile. In this case, the patient was a 17-year-old female who had a chief complaint of too much exposed gingiva when smiling. The patient had a class I molar key with bimaxillary protrusion and severe gummy smile. Because achievement of complete improvement of gummy smile was thought to be diffi cult, bimaxillary orthognathic surgery was planned. LeFort I osteotomy and bilateral sagittal split osteotomy (BSSRO) performedunder general anesthesiaresulted in alleviation of bimaxillary protrusion and severe gummy smile. A satisfactory esthetic result was achieved. Therefore, for a satisfactory result, two-jaw surgery using LeFort I osteotomy and BSSRO may be considered as a solution for treatment of severe gummy smile, which is thought to be diffi cult to solve using only an orthodontic method.

Abstract

The purpose of this study is to report onoperative treatment for patients with severe gummy smile. In this case, the patient was a 17-year-old female who had a chief complaint of too much exposed gingiva when smiling. The patient had a class I molar key with bimaxillary protrusion and severe gummy smile. Because achievement of complete improvement of gummy smile was thought to be diffi cult, bimaxillary orthognathic surgery was planned. LeFort I osteotomy and bilateral sagittal split osteotomy (BSSRO) performedunder general anesthesiaresulted in alleviation of bimaxillary protrusion and severe gummy smile. A satisfactory esthetic result was achieved. Therefore, for a satisfactory result, two-jaw surgery using LeFort I osteotomy and BSSRO may be considered as a solution for treatment of severe gummy smile, which is thought to be diffi cult to solve using only an orthodontic method.

참고문헌 (10)

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