JCO Journal of Clinical Orthodontics
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Surgical-Orthodontic Correction of Skeletal Class III Malocclusion with Vertical Maxillary Excess

VOLUME 50 : NUMBER 12 : PAGES (754-766) 2016

SEUNG-MIN LIM, DDS

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Vertical maxillary excess, characterized by excessive posterior and anterior dentoalveolar height, is often associated with excessive lower facial height and lip incompetence. A gummy smile, an open bite, and a steep mandibular plane angle are commonly involved. The most effective treatment in adults is superior repositioning of the maxilla with a Le Fort I osteotomy, which improves the gummy smile and reduces lower facial height by upward and forward rotation of the mandible. N...

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