Excessive anterior tooth display during smiling can significantly affect adolescents’ psychological well-being, self-esteem, and social interactions. This case report presents a 11-year-old boy patient with excessive maxillary incisor display, deep overbite, and a vertical growth pattern, who sought orthodontic treatment primarily for esthetic concerns. Clinical examination revealed a convex facial profile with a vertical growth pattern. Proclined and over-erupted maxillary incisors contribute to lip incompetence. Treatment involved non-extraction therapy using a maxillary utility arch for anterior tooth intrusion, followed by fixed appliance therapy. Post-treatment results demonstrated successful intrusion of the maxillary incisors, correction of overjet and overbite, improved facial profile, and enhanced smile esthetics. Psychosocial benefits were also observed, including improved self-confidence and reduced social anxiety. This case highlights the efficacy of utility arch mechanics in managing excessive anterior tooth display and underscores the importance of addressing both functional and psychological outcomes in orthodontic treatment planning.
Mendigeri et al. (Sat,) studied this question.