Before/After Photos > Overbites

Double jaw surgery, lip incampetence, overbite, gummy smile

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sarzo14:
I had my consultation with a surgeon and my orthodontist. I've never had braces since my teeth were straight. After my 18Th birthday (maybe even before that) my wisdom teeth started growing and my teeth started getting a little bit crooked (my left fronth tooth is moving a little forward). I've always had a gummy smile and a lip incompetence. I never knew I could fix it until I started researching. So now the surgeon said he Will impact my upper teeth (a little more in the back than in the fronth), but I thought that was for an open bite? I don't have an open bite. Plus he was going to bring my lower jaw a little forward (that ok, because of my overbite). But I don't undersand why he said he was going to impact the back of my teeth more than the fronth. Does anyone have a clue what he's on about? (the moment I was there I didn't worry about this because he was so sure that that was right in my case)
Have are my pictures:
- gummy smile
- gummy smile
- lip incompetence
- biting down
- biting down from the side (teeth showing)
- biting down from the side (no teeth showing)

I have 10mm of gummy smile showing, my surgeon said he can bring it down to 4mm of gum showing and no less. I'm also thinking of getting my crowns lengthened after surgery (I will see then how much the gummy smile bothers me).
What do you think, will I look much better when this is all done. I do hope I can close my mouth but the gummy smile is the reason for me thinking I need this operation. My insurance is covering everything except braces (which I will probably get in 1-2months).

PloskoPlus:
Over impaction is worse than under impaction. 4 mm is acceptable for a woman as long as the lip incompetence is fixed. Your lip will elongate with age anyway.

Lazlo:

--- Quote from: PloskoPlus on July 22, 2016, 05:56:14 PM ---Over impaction is worse than under impaction. 4 mm is acceptable for a woman as long as the lip incompetence is fixed. Your lip will elongate with age anyway.

--- End quote ---

yeah agreed, but wow you have one of the gummiest smiles I've ever seen you have more gum than teeth showing.

sarzo14:

--- Quote from: Lazlo on July 22, 2016, 06:52:31 PM ---yeah agreed, but wow you have one of the gummiest smiles I've ever seen you have more gum than teeth showing.

--- End quote ---
That's the main reason I'm thinking of getting it. My mother has almost the same smile (maybe she shows 1-2mm less but I got it from her). I'm really worried my children will have the same problem and will also have to get surgery :(

--- Quote from: PloskoPlus on July 22, 2016, 05:56:14 PM ---Over impaction is worse than under impaction. 4 mm is acceptable for a woman as long as the lip incompetence is fixed. Your lip will elongate with age anyway.

--- End quote ---
By over and under impaction you mean it's better to move my jaw/teeth too much up than too little. Sory english is not my first language ;)

PloskoPlus:

--- Quote from: sarzo14 on July 22, 2016, 10:36:17 PM ---That's the main reason I'm thinking of getting it. My mother has almost the same smile (maybe she shows 1-2mm less but I got it from her). I'm really worried my children will have the same problem and will also have to get surgery :(By over and under impaction you mean it's better to move my jaw/teeth too much up than too little. Sory english is not my first language ;)

--- End quote ---
No, it's better to impact ("impact" means vertically shorten) the upper jaw too little than too much.  Showing no gum at all when smiling is ageing, especially in women.  There are quite a few cases you can see on the web where there is no gum show after impaction.  It doesn't look great.  The golden standard is 1-2 mm of gum when smiling and 1mm of tooth tip show at rest when your mouth is slightly open.  More maybe acceptable, especially in women. It's generally a sign of youth, as the lip lengthens with age and you may have zero tooth show at rest and no gum show when smiling.

A gummy smile can be caused by maxillary excess (definitely the case with you, because of your lip strain) and short crowns (probably the case with you as well).  Google Jessica Pare.  She has a very gummy smile, but no lip strain or jaw issues at all.  She just seems to have very short crowns.

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