Affiliations 

  • 1 Klinik Pergigian Cahaya Suria
  • 2 University of Malaya
Ann Dent, 2018;25(1):1-10.
MyJurnal

Abstract

This report aimed to describe an effective biomechanics to control the upper incisors inclination during the
correction of gummy smile with bimaxillary proclinations. A 14-year-old female presented with a Class II
division I incisor relationship complicated with bimaxillary proclination on a Class 2 skeletal base. The lips
were incompetent, showing 7 mm of upper incisors at rest and 5mm maxillary gingival display on smiling
with normal upper lip length. Treatment involved extraction of all first permanent premolars followed by
upper and lower fixed appliances. Intrusion of the upper incisors with controlled labial crown torque was
accomplished with mini-implant anchorage placed bilaterally on the infrazygomatic crests with the retraction
forces above the centre of resistance using 0.019x0.025-in stainless steel archwire in 0.022-in slot. The
0.019x0.025-in stainless steel archwire in 0.022-in slot provided the vertical play to favour lingual crown
tipping despite having forces above the centre of resistance for concurrent anterior segment intrusion.