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Case report demonstrates effective improvement of facial esthetics in vertical maxillary excess with Le Fort I osteotomy, indicating its role in orthodontic surgical treatment.
Vertical maxillary excess (VME) is one of the significant developmental deformities which is present with excessive vertical growth of the maxilla, which often results in a long facial appearance, incompetence of lips and a gummy smile. Patients with VME apart from aesthetic concerns, there can be functional limitations such as occlusal and speech. Treatment options VME mainly involves orthodontic and surgical interventions. Le Fort I osteotomy being the best treatment approach as it allows for the superior repositioning of the maxilla. This case describes the effectiveness of Le Fort I osteotomy in correction of VME and improving the facial esthetics.
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Nerurkar et al. (2025) studied this question.
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