Hello -
I have been investigating orthognathic surgery to help correct some
excess bone growth in my upper jaw (had bad allergies as a kid/mouth
breather). I originally started looking into this because I have about
5mm of gum that shows when I smile and I would like to correct that. I
went to a denist today and he suggested crown lengthening instead. I've
looked it up online and my concern now is this: crown lengthening is
usually used to correct gummy smiles where the gums are over grown,
making the teeth short. I do not have short teeth, they're about 10mm.
He mentioned something about removing some bone and pushing the teeth
up, which kind of didn't make sense to me and I haven't read anything
about it. I'm going to speak to a periodonist about it but I'm
impatient, because I would LOVE to not have to go through 2 years of
braces and a major surgery.
Thanks for any help you can give.
Mark & Steven Bornfeld - 25 Oct 2006 20:58 GMT
> Hello -
>
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>
> Thanks for any help you can give.
It's a matter of degree. Also, orthognathic surgery, while it can
address the gummy smile, has the ability to more drastically change the
configuration of your face. If your upper jaw is too long, crown
lengthening won't do anything to address that. Obviously you're limited
in how much gum tissue and bone can be removed in a crown lengthening
procedure.
In short, you should be very informed about exactly why orthognathic
surgery is being done.
Steve

Signature
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
MD - 26 Oct 2006 17:50 GMT
Hello
Orthognathic surgery is the onlyway to eleminate and to reach over the
time a stabe result. Normally in cases like you a vertical excess of
the upper jaw can be observed; that means it is problem of bone-growth.
I never consider crown-lengthening; only in patients with short teeth
gingivectomy can be considered. Bone remove in the frontel upper zone
can result in an open bite, that means that by intruding your frontal
teeth, frontal occlusion can be lost.
As your problem is an esthetic one, I suggest you to search an
orthodontist which is specialized in presurgical orthodontics (in
totally 1/2 year of orthodontics), and a maxillofacial surgeon (with a
lot of experience in esthetic orthognatic surgery). You have to speak
with orthodontists AND maxillofacial surgeon - everyone is specialized
and can tell you exactly in which treatment consist. Do not beleave
only in less-experienced general dentist.
if you would like more information send me an email!
> Hello -
>
[quoted text clipped - 13 lines]
>
> Thanks for any help you can give.
Mark & Steven Bornfeld - 26 Oct 2006 18:47 GMT
> Hello
>
[quoted text clipped - 13 lines]
> only in less-experienced general dentist.
> if you would like more information send me an email!
Unless you have a crystal ball, or the OP has sent you photos and/or
radiographs, you cannot know what the problem is. Yes, it is quite
likely that the patient is a candidate for orthognathic surgery; he has
stated as such. He has also noted that he is consulting with a
periodontist, so presumably he won't have to deal with any
"inexperienced general dentist). You don't know the patient's treatment
goals, and it is clear to me that the patient's primary concerns are
esthetic--not occlusal, not facial profile.
I recommend the patient continue with his plan to see the periodontist
to see if a gingival procedure would meet his goals.
Steve

Signature
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001