Orthognathic surgery for gingival smile (gummy smile) correction
 

Before the surgery, the patient shows a non esthetic area of gingiva during the smile.

 
Before
After
Before
After
 
 
Before
After
 


With the maxilla Le Fort I osteotomy the dental arch was lifted up, which allowed to hide underneath the lip the non esthetic area of gingival. Those patients also breathe badly by the nose and because of that bilateral inferior turbinates were removed from the using intraoral access. Nowadays they breathe only by the nose.The principle for correcting the smile that does not show upper teeth is the same described previously. However, the maxilla is lowered to the correct level in order to achieve a good dental exposition.