Correction of Vertical Maxillary Excess with Le Fort I Osteotomy: A Case Report
Vertical maxillary excess (VME) is one of the significant developmental deformities which is present with excessive vertical growth of the maxilla, which often results in a long facial appearance, incompetence of lips and a gummy smile. Patients with VME apart from aesthetic concerns, there can be functional limitations such as occlusal and speech. Treatment options VME mainly involves orthodontic and surgical interventions. Le Fort I osteotomy being the best treatment approach as it allows for the superior repositioning of the maxilla. This case describes the effectiveness of Le Fort I osteotomy in correction of VME and improving the facial esthetics.
1. Benkhalifa M, Tobji S, Moatemri R, Ben Amor A, Dallel I, Ben Amor W: Surgical-orthodontic approach for correcting vertical maxillary excess: case report. SAGE Open Med Case Rep. 2024;12:2050313-241256805. 10.1177/2050313X241256805
2. Brizuela M, Ines D: Excessive Gingival Display. In . StatPearls. StatPearls Publishing, Treasure Island; 2024.
3. Kaku M, Kojima S, Sumi H, Koseki H, Abedini S, Motokawa M, et al. Gummy smile and facial profile correction using miniscrew anchorage . Angle Orthod. 2012;82(1):170-7.
4. Sekar M, Parameswaran R, Rajkumar B, Boovaraghavan S, Vijayalakshmi D. Enhancing smile esthetics in a patient with vertical maxillary excess by total maxillary arch intrusion using temporary skeletal anchorage system: TSADassisted VME correction: a case report. Int J Orthod Rehabil. 2022;13(4):25-38.
5. Paik CH, Park HS, Ahn HW. Treatment of vertical maxillary excess without open bite in a skeletal class II hyperdivergent patient. Angle Orthod. 2017;87(4):625-33.
6. Shimo T, Nishiyama A, Jinno T, Sasaki A. Severe gummy smile with class II malocclusion treated with Le Fort I osteotomy combined with horseshoe osteotomy and intraoral vertical ramus osteotomy. Acta Med Okayama. 2013;67(1):55-60.
7. Anehosur V, Joshi A, Nathani J, Suresh A. Modification of LeFort I osteotomy for severe maxillary vertical excess asymmetry. Br J Oral Maxillofac Surg. 2019;57(4):374-7.
8. Farhat Z, Osman E, Kassem H, Bouserhal J. Correlation of vertical dentoalveolar heights with palatal plane inclination in adults with different vertical facial patterns. Orthod Fr. 2022;93(4):321-31.
9. Buchanan EP, Hyman CH. Le Fort I Osteotomy. Semin Plast Surg. 2013;27(3):149-54.
10. Mommaerts MY, Abeloos JV, De Clercq CA, Neyt LF. The effect of the subspinal Le Fort I-type osteotomy on interalar rim width. Int J Adult Orthodon Orthognath Surg. 1997;12(2):95-100.
11. Garber DA, Salama MA. The aesthetic smile: diagnosis and treatment. Periodontol 2000. 1996;11:18-28.
12. Gil A., Fernandez A, Martinez R, Alfaro F, Haas O, Oliveria R. Le Fort I osteotomy and soft tissue response: a retrospective cohort study comparing three different techniques. J Craniomaxillofac Surg. 2022;50(2):107-13.