Authors :
Dr. Sharath Kumar Shetty; Dr. Aswathy Susan Kuruvilla; Dr. Mahesh Kumar Y
Volume/Issue :
Volume 10 - 2025, Issue 6 - June
Google Scholar :
https://tinyurl.com/2txw2dpa
DOI :
https://doi.org/10.38124/ijisrt/25jun310
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Vertical Maxillary Excess (VME) is a common dentofacial deformity characterized by excessive vertical growth
of the maxilla, often resulting in a gummy smile and facial disproportion. This review explores the various treatment
modalities available for VME, ranging from conservative orthodontic approaches and minimally invasive procedures to
orthognathic surgery, the gold standard for severe cases. Each modality’s indications, procedures, advantages, and
limitations are discussed to provide a comprehensive understanding for clinicians aiming to achieve optimal functional and
esthetic outcomes. Recent advances in surgical planning and patient-centered treatment strategies are also reviewed.
References :
- Proffit WR, White RP Jr. Surgical-Orthodontic Treatment of Vertical Maxillary Excess. In: Proffit WR, White RP Jr, Sarver DM, editors. Contemporary Treatment of Dentofacial Deformity. 2nd ed. St Louis: Mosby; 2003. p. 527-85.
- Chen CM, Chen CM, Lai ST, Hsu KF, Tseng YC. Treatment of vertical maxillary excess: a review of 26 cases. J Oral Maxillofac Surg. 2003;61(9):1116-20. doi:10.1016/S0278-2391(03)00616-6.
- Polo M. Botulinum toxin type A for the treatment of excessive gingival display. Am J Orthod Dentofacial Orthop. 2005;127(2):214-8. doi:10.1016/j.ajodo .2004.09.023.
- Ishida LH, Sant’Anna EF, Maia LC, Sant’Anna AP. Lip repositioning: a plastic surgery technique to improve the smile. J Appl Oral Sci. 2010;18(1):53-7. doi:10.1590/S1678-77572010000100011.
- Bailey LJ, Proffit WR, White RP Jr. Stability and predictability of superior repositioning of the maxilla. J Oral Maxillofac Surg. 1997;55(11):1288-93. doi:10.1016/S0278-2391(97)90046-9.
Vertical Maxillary Excess (VME) is a common dentofacial deformity characterized by excessive vertical growth
of the maxilla, often resulting in a gummy smile and facial disproportion. This review explores the various treatment
modalities available for VME, ranging from conservative orthodontic approaches and minimally invasive procedures to
orthognathic surgery, the gold standard for severe cases. Each modality’s indications, procedures, advantages, and
limitations are discussed to provide a comprehensive understanding for clinicians aiming to achieve optimal functional and
esthetic outcomes. Recent advances in surgical planning and patient-centered treatment strategies are also reviewed.
