A surgery- first approach for correcting skeletal class II malocclusion with gummy smile

Abstract

This case report illustrates a surgery-first approach for correction of Class II malocclusion. A 31-year-old female, presenting a chief complaint of increased gum visibility, came to seek treatment. She had skeletal Class II and dental Class II malocclusion with 7 mm excessive overjet. Intraoral examination revealed mandibular curve of Spee of 4 mm. Treatment was performed with a surgery-first approach, moving the dentition towards edge-to-edge bite.