A Multidiscipline Approach to Improve Aesthetics in a Patient with High Lip Line: A Clinical Report

In the analysis of characteristics of a pleasant smile, a gummy smile has negative effects. A 25-year-old female patient was referred to the Marmara University, Faculty of Dentistry, Department of Prosthodontics. On the basis of radiographic, cephalometric and oral examinations, the patient was diagnosed with Class II skeletal malocclusion, high angle facial profile and partially edentulous. There was a severe aesthetic problem in the anterior maxillary segment because of high lip line and an excessive vertical growth of the maxillary anterior jaw. A surgical approach was performed and excessive bone in the maxillary anterior region was removed after extraction. 9 implants (SwissPlus, Zimmer Dental, Carlsbad, CA, USA) were inserted in maxilla and 8 implants in the mandible. The stability of the implants was evaluated by the resonance frequency analysis. After prosthodontic treatment, the patient was recalled up to 5 years. The implants were successful and patient satisfaction was high.