Original Article

Year : 2023 | Volume : 14 | Issue : 4 | Page : 1-7

Evaluation of upper and lower components of nasolabial angle in different malocclusions- A cephalometric study

V. Sowmya Reddy1 , V D Mahendra Tivanani 2 , MaliReddy Mounika3 , K. S. V. K. Kalyan4 , C. V. Padmapriya5 , V. Sai Keerthi6 1Post Graduate Student, 2,3,4,6Assistant professor, 5Professor and Head of Department, Dept of Orthodontics and Dentofacial Orthopaedics, Vishnu Dental College, Bhimavaram, India.

Address for Correspondence:

Dr. V D Mahendra Tivanani

Assistant Professor, Dept of Orthodontics and Dentofacial Orthopaedics, Vishnu Dental College, Bhimavaram, India.

Phone: +91 8074236310

Email: dr.mahendramds@gmail.com

Introduction: 

Nasolabial angle is composed of two components: a) upper and b) lower component. Various foreign authors have developed different methods for evaluating this but consistent and reproducible methods for Indian population are few. Therefore, this should be placed within acceptable limits by planning treatment procedures accordingly to get the best aesthetic profile result and patient satisfaction.

Aim of the study:

To evaluate upper and lower components of nasolabial angle in different malocclusions in Bhopal population.

Material and methods:

It is a retrospective study, of sample size 150 that comprised of 60 profile pictures of individuals who belonged to Bhopal, out of which 30 were selected as aesthetically pleasing. Their lateral cephalograms were taken and traced. The study also used 120 lateral cephalograms of different malocclusions. The recorded data was analyzed using one-way ANOVA Test.

Result:

Significant results with p value<0.001 were found for the nasolabial angle among ideal group, Class I bimaxillary protrusion, Class II Division 1 and Class II Division 2, Class I crowding.

Conclusion:

Nasolabial angle is correlated with the type of malocclusion and the soft tissue variables also alter this angle.

Keywords:

Nasolabial Angle, Upper Component, Lower Component, Malocclusion.

Source Of Funding:

Nil

Conflict Of Interest:

The authors have no conflicts of interest to declare.

How to cite this article: Shwetneel Singh, Seema Lahoti, Maitreye Priyadarshini, Siddharth Singh, & Sneha Hanna Mathew. (2023). Evaluation of upper and lower components of nasolabial angle in different malocclusions- A cephalometric study: Original Research. International Journal of Orthodontic Rehabilitation, 14(4), 1–7. https://doi.org/10.56501/intjorthodrehabil.v14i4.843

Case Report

Year : 2023 | Volume : 14 | Issue : 1 | Page : 26-35

Ortho-Surgical Management of An Adult Patient with Gummy Smile

V. Sowmya Reddy1 , V D Mahendra Tivanani 2 , MaliReddy Mounika3 , K. S. V. K. Kalyan4 , C. V. Padmapriya5 , V. Sai Keerthi6

1Post Graduate Student, 2,3,4,6 Assistant professor, 5 Professor and Head of Department, Dept of Orthodontics and Dentofacial Orthopaedics, Vishnu Dental College, Bhimavaram, India.

Address for Correspondence:

Dr. V D Mahendra Tivanani

Assistant Professor, Dept of Orthodontics and Dentofacial Orthopaedics, Vishnu Dental College, Bhimavaram, India.

Phone: +91 8074236310

Email: dr.mahendramds@gmail.com

Abstract

Aim:

This case report represents the clinical management of a Skeletal Class II adult patient with gummy smile treated by Orthognathic surgery.

Background: 

Vertical maxillary excess (VME) is the most common skeletal deformity in Skeletal Class II which is treated by Anterior Maxillary Osteotomy (AMO) and Gummy Smile is the characteristic feature of VME in which the anterior part of maxilla is superiorly repositioned. 

Case Description: 

A 19-year-old patient reported our clinic with the complaint of forwardly placed upper front teeth. On extra oral examination, she had convex profile with posterior divergence and interlabial gap of 10mm and everted upper lip. The patient had a gummy smile of 8mm. Intra orally, she had Class II canine relationship on both sides with missing irt 16, 36, 46. Cephalometric values showed Class II skeletal base with protrusive upper and lower incisors and acute nasolabial angle. Initially orthodontic treatment was done and extraction of upper first premolars was planned during surgery. AMO was done with superior impaction of 4mm and posteriorly by 6mm. After 4 weeks of post surgery, the settling of occlusion using intermaxillary elastics was done. At the end of the treatment, the patient had Class I canine relationship on both sides with Skeletal Class I and overjet and overbite was 2mm. The patient gummy smile was reduced to 4mm which was accepted by the patient. Fixed retention was given in both the arches. The total treatment time was around 30 months. 

Conclusion: 

The proper diagnosis and appropriate treatment planning is the main key to achieve stable results in Orthodontics. An interdisciplinary approach with the orthodontist and surgeon will lead to achieve stable, functional and esthetic results.

Key words: Orthodontics, Surgery, Malocclusion, Skeletal discrepancy,

Source of Funding:

Nil

Conflict of Interest:

The authors have no conflicts of interest to declare.

How to Cite this article: Reddy, S., Tivanani, M., Mounika, M., K. S. V. K. Kalyan, C. V. Padmapriya, & V. Sai Keerthi. (2023). Ortho-Surgical Management of An Adult Patient with Gummy Smile: A Case Report . International Journal of Orthodontic Rehabilitation, 14(1), 26–35. https://doi.org/10.56501/intjorthodrehabil.v14i1.764