Midline mini-implant-assisted true intrusion of maxillary anterior teeth for improved smile esthetics in gummy smile

Abstract

A 15-year-old female patient reported with a chief complaint of reduced facial esthetics due to proclination of incisors and excess visibility of teeth during smile. On clinical and radiographic examination, she had convex facial profile, Angle's Class I malocclusion, proclination of incisors with deep bite and excessive gingival display on smile. Comprehensive orthodontic therapy using fixed appliances, with four first premolar extraction and simultaneous intrusion and retraction of the anteriors with the help of midline mini-implant resulted in achieving all the treatment objectives without any adverse effects on the periodontium or the dentition.