{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T15:05:26Z","timestamp":1780067126211,"version":"3.54.0"},"reference-count":32,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Inadequate maxillary incisor display can negatively impact facial esthetics. Various treatment options exist depending on the underlying cause and severity of the condition. Skeletal anchorage was used to extrude the maxillary dentition and rotate the mandible backward, enhancing visibility of the maxillary incisors. An extrusion assembly was introduced to achieve orthodontic extrusion. Use of bite raisers and interarch elastics was also discussed. Treatment results demonstrated successful achievement of the treatment goals. In addition to optimal occlusion, the patient\u2019s facial profile improved with increased lip fullness. There was an increase in vertical facial height, and maxillary incisor display was significantly improved, resulting in a more pleasant smile. Two-year postretention records evidenced the stability of total arch extrusion to improve maxillary incisor display.<\/jats:p>","DOI":"10.2319\/070323-462.1","type":"journal-article","created":{"date-parts":[[2023,11,14]],"date-time":"2023-11-14T19:08:15Z","timestamp":1699988895000},"page":"247-257","source":"Crossref","is-referenced-by-count":3,"title":["Total arch extrusion with skeletal anchorage to improve inadequate maxillary incisor display in a case of vertical maxillary deficiency"],"prefix":"10.2319","volume":"94","author":[{"given":"Johnny J. L.","family":"Liaw","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae Hyun","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fang Fang","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Betty M. Y.","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy W. T.","family":"Liao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i1945-7103-94-2-247-b01","series-title":"Am J Orthod","first-page":"499","article-title":"The short face syndrome","volume":"73","author":"Opdebeeck","year":"1978","unstructured":"Opdebeeck\n              H,\n            \n            \n              Bell\n              W.\n            \n          \n          The short face syndrome.\nAm J Orthod.\n1978;\n73:499\u2013511."},{"key":"i1945-7103-94-2-247-b02","series-title":"Br Dent J","first-page":"463","article-title":"Diagnosing and treatment planning inadequate tooth display","volume":"221","author":"Spear","year":"2016","unstructured":"Spear\n              F.\n            \n          \n          Diagnosing and treatment planning inadequate tooth display.\nBr Dent J.\n2016;\n221:463\u2013472."},{"key":"i1945-7103-94-2-247-b03","series-title":"Semin Orthod","first-page":"138","article-title":"Orthodontic management of the short face patient","volume":"2","author":"Turley","year":"1996","unstructured":"Turley\n              PK.\n            \n          \n          Orthodontic management of the short face patient.\nSemin Orthod.\n1996;\n2:138\u2013152."},{"key":"i1945-7103-94-2-247-b04","series-title":"J Maxillofac","first-page":"69","article-title":"Inferior positioning of the maxilla by a Le Fort I osteotomy: a review of 25 patients with vertical maxillary deficiency","volume":"24","author":"van Otterloo","year":"1996","unstructured":"van Otterloo\n              JdM,\n            \n            \n              Tuinzing\n              D,\n            \n            \n              Kostense\n              P.\n            \n          \n          Inferior positioning of the maxilla by a Le Fort I osteotomy: a review of 25 patients with vertical maxillary deficiency.\nJ Maxillofac.\n1996;\n24:69\u201377."},{"key":"i1945-7103-94-2-247-b05","series-title":"Facial Plast","first-page":"385","article-title":"The modified upper lip lift: advanced approach with deep-plane release and secure suspension: 823-patient series","volume":"27","author":"Talei","year":"2019","unstructured":"Talei\n              B.\n            \n          \n          The modified upper lip lift: advanced approach with deep-plane release and secure suspension: 823-patient series.\nFacial Plast.\n2019;\n27:385\u2013398."},{"key":"i1945-7103-94-2-247-b06","series-title":"AJO-DO Clinical Companion","first-page":"22","article-title":"New orthopedic and orthodontic treatment modality for adult patients with skeletal Class III malocclusion with insufficient maxillary incisor exposure","volume":"1","author":"Paik","year":"2021","unstructured":"Paik\n              C-H,\n            \n            \n              Park\n              K-H,\n            \n            \n              Park\n              JH.\n            \n          \n          New orthopedic and orthodontic treatment modality for adult patients with skeletal Class III malocclusion with insufficient maxillary incisor exposure.\nAJO-DO Clinical Companion.\n2021;\n1:22\u201330."},{"key":"i1945-7103-94-2-247-b07","series-title":"Am J Orthod Dentofacial Orthop","first-page":"510","article-title":"Redirecting mandibular growth through orthodontic dentoalveolar height development in growing patients with Class III malocclusion undergoing maxillary orthopedic protraction","volume":"162","author":"Loca-Apichai","year":"2022","unstructured":"Loca-Apichai\n              P,\n            \n            \n              Liou\n              EJ-W.\n            \n          \n          Redirecting mandibular growth through orthodontic dentoalveolar height development in growing patients with Class III malocclusion undergoing maxillary orthopedic protraction.\nAm J Orthod Dentofacial Orthop.\n2022;\n162:510\u2013519."},{"key":"i1945-7103-94-2-247-b08","series-title":"Br Dent J","first-page":"251","article-title":"Increasing occlusal vertical dimension\u2014Why, when and how","volume":"200","author":"Bloom","year":"2006","unstructured":"Bloom\n              D,\n            \n            \n              Padayachy\n              J.\n            \n          \n          Increasing occlusal vertical dimension\u2014Why, when and how.\nBr Dent J.\n2006;\n200:251\u2013256."},{"key":"i1945-7103-94-2-247-b09","series-title":"Aust Dent J","first-page":"2","article-title":"Clinical considerations for increasing occlusal vertical dimension: a review","volume":"57","author":"Abduo","year":"2012","unstructured":"Abduo\n              J,\n            \n            \n              Lyons\n              K.\n            \n          \n          Clinical considerations for increasing occlusal vertical dimension: a review.\nAust Dent J.\n2012;\n57:2\u201310."},{"key":"i1945-7103-94-2-247-b10","series-title":"Int Orthod","first-page":"217","article-title":"Orthodontic-periodontal interactions: orthodontic extrusion in interdisciplinary regenerative treatments","volume":"16","author":"Paolone","year":"2018","unstructured":"Paolone\n              MG,\n            \n            \n              Kaitsas\n              R.\n            \n          \n          Orthodontic-periodontal interactions: orthodontic extrusion in interdisciplinary regenerative treatments.\nInt Orthod.\n2018;\n16:217\u2013245."},{"key":"i1945-7103-94-2-247-b11","series-title":"Am J Orthod Dentofacial Orthop","first-page":"63","article-title":"Masticatory muscle activity in children and adults with different facial types","volume":"118","author":"Ueda","year":"2000","unstructured":"Ueda\n              HM,\n            \n            \n              Miyamoto\n              K,\n            \n            \n              Saifuddin\n              M,\n            \n            \n              Ishizuka\n              Y,\n            \n            \n              Tanne\n              K.\n            \n          \n          Masticatory muscle activity in children and adults with different facial types.\nAm J Orthod Dentofacial Orthop.\n2000;\n118:63\u201368."},{"key":"i1945-7103-94-2-247-b12","series-title":"Am J Orthod Dentofacial Orthop","first-page":"599","article-title":"A novel method for the treatment of Class II malocclusion","volume":"158","author":"El-Bokle","year":"2020","unstructured":"El-Bokle\n              D,\n            \n            \n              Abbas\n              NH.\n            \n          \n          A novel method for the treatment of Class II malocclusion.\nAm J Orthod Dentofacial Orthop.\n2020;\n158:599\u2013611."},{"key":"i1945-7103-94-2-247-b13","series-title":"J Maxillofac","first-page":"584","article-title":"Botulinum toxin as a therapeutic agent to prevent relapse in deep bite patients","volume":"44","author":"M\u00fccke","year":"2016","unstructured":"M\u00fccke\n              T,\n            \n            \n              L\u00f6ffel\n              A,\n            \n            \n              Kanatas\n              A,\n            \n            et al.\n          \n          Botulinum toxin as a therapeutic agent to prevent relapse in deep bite patients.\nJ Maxillofac.\n2016;\n44:584\u2013589."},{"key":"i1945-7103-94-2-247-b14","series-title":"Int Orthod","first-page":"179","article-title":"Forced eruption with miniscrews; intra-arch method with vertical elastics versus intra-arch method using the Derton-Perini technique: two case reports","volume":"9","author":"Derton","year":"2011","unstructured":"Derton\n              N,\n            \n            \n              Derton\n              R,\n            \n            \n              Perini\n              A.\n            \n          \n          Forced eruption with miniscrews; intra-arch method with vertical elastics versus intra-arch method using the Derton-Perini technique: two case reports.\nInt Orthod.\n2011;\n9:179\u2013195."},{"key":"i1945-7103-94-2-247-b15","series-title":"Am J Orthod Dentofacial Orthop","first-page":"499","article-title":"Nonsurgical approach to Class I open-bite malocclusion with extrusion mechanics: a 3-year retention case report","volume":"147","author":"Atsawasuwan","year":"2015","unstructured":"Atsawasuwan\n              P,\n            \n            \n              Hohlt\n              W,\n            \n            \n              Evans\n              CA.\n            \n          \n          Nonsurgical approach to Class I open-bite malocclusion with extrusion mechanics: a 3-year retention case report.\nAm J Orthod Dentofacial Orthop.\n2015;\n147:499\u2013508."},{"key":"i1945-7103-94-2-247-b16","series-title":"Am J Orthod Dentofacial Orthop","first-page":"353","article-title":"Contact damage to root surfaces of premolars touching miniscrews during orthodontic treatment","volume":"134","author":"Kadioglu","year":"2008","unstructured":"Kadioglu\n              O,\n            \n            \n              B\u00fcy\u00fckyilmaz\n              T,\n            \n            \n              Zachrisson\n              BU,\n            \n            \n              Maino\n              BG.\n            \n          \n          Contact damage to root surfaces of premolars touching miniscrews during orthodontic treatment.\nAm J Orthod Dentofacial Orthop.\n2008;\n134:353\u2013360."},{"key":"i1945-7103-94-2-247-b01","series-title":"Am J Orthod","first-page":"499","article-title":"The short face syndrome","volume":"73","author":"Opdebeeck","year":"1978","unstructured":"Opdebeeck\n              H,\n            \n            \n              Bell\n              W.\n            \n          \n          The short face syndrome.\nAm J Orthod.\n1978;\n73:499\u2013511."},{"key":"i1945-7103-94-2-247-b02","series-title":"Br Dent J","first-page":"463","article-title":"Diagnosing and treatment planning inadequate tooth display","volume":"221","author":"Spear","year":"2016","unstructured":"Spear\n              F.\n            \n          \n          Diagnosing and treatment planning inadequate tooth display.\nBr Dent J.\n2016;\n221:463\u2013472."},{"key":"i1945-7103-94-2-247-b03","series-title":"Semin Orthod","first-page":"138","article-title":"Orthodontic management of the short face patient","volume":"2","author":"Turley","year":"1996","unstructured":"Turley\n              PK.\n            \n          \n          Orthodontic management of the short face patient.\nSemin Orthod.\n1996;\n2:138\u2013152."},{"key":"i1945-7103-94-2-247-b04","series-title":"J Maxillofac","first-page":"69","article-title":"Inferior positioning of the maxilla by a Le Fort I osteotomy: a review of 25 patients with vertical maxillary deficiency","volume":"24","author":"van Otterloo","year":"1996","unstructured":"van Otterloo\n              JdM,\n            \n            \n              Tuinzing\n              D,\n            \n            \n              Kostense\n              P.\n            \n          \n          Inferior positioning of the maxilla by a Le Fort I osteotomy: a review of 25 patients with vertical maxillary deficiency.\nJ Maxillofac.\n1996;\n24:69\u201377."},{"key":"i1945-7103-94-2-247-b05","series-title":"Facial Plast","first-page":"385","article-title":"The modified upper lip lift: advanced approach with deep-plane release and secure suspension: 823-patient series","volume":"27","author":"Talei","year":"2019","unstructured":"Talei\n              B.\n            \n          \n          The modified upper lip lift: advanced approach with deep-plane release and secure suspension: 823-patient series.\nFacial Plast.\n2019;\n27:385\u2013398."},{"key":"i1945-7103-94-2-247-b06","series-title":"AJO-DO Clinical Companion","first-page":"22","article-title":"New orthopedic and orthodontic treatment modality for adult patients with skeletal Class III malocclusion with insufficient maxillary incisor exposure","volume":"1","author":"Paik","year":"2021","unstructured":"Paik\n              C-H,\n            \n            \n              Park\n              K-H,\n            \n            \n              Park\n              JH.\n            \n          \n          New orthopedic and orthodontic treatment modality for adult patients with skeletal Class III malocclusion with insufficient maxillary incisor exposure.\nAJO-DO Clinical Companion.\n2021;\n1:22\u201330."},{"key":"i1945-7103-94-2-247-b07","series-title":"Am J Orthod Dentofacial Orthop","first-page":"510","article-title":"Redirecting mandibular growth through orthodontic dentoalveolar height development in growing patients with Class III malocclusion undergoing maxillary orthopedic protraction","volume":"162","author":"Loca-Apichai","year":"2022","unstructured":"Loca-Apichai\n              P,\n            \n            \n              Liou\n              EJ-W.\n            \n          \n          Redirecting mandibular growth through orthodontic dentoalveolar height development in growing patients with Class III malocclusion undergoing maxillary orthopedic protraction.\nAm J Orthod Dentofacial Orthop.\n2022;\n162:510\u2013519."},{"key":"i1945-7103-94-2-247-b08","series-title":"Br Dent J","first-page":"251","article-title":"Increasing occlusal vertical dimension\u2014Why, when and how","volume":"200","author":"Bloom","year":"2006","unstructured":"Bloom\n              D,\n            \n            \n              Padayachy\n              J.\n            \n          \n          Increasing occlusal vertical dimension\u2014Why, when and how.\nBr Dent J.\n2006;\n200:251\u2013256."},{"key":"i1945-7103-94-2-247-b09","series-title":"Aust Dent J","first-page":"2","article-title":"Clinical considerations for increasing occlusal vertical dimension: a review","volume":"57","author":"Abduo","year":"2012","unstructured":"Abduo\n              J,\n            \n            \n              Lyons\n              K.\n            \n          \n          Clinical considerations for increasing occlusal vertical dimension: a review.\nAust Dent J.\n2012;\n57:2\u201310."},{"key":"i1945-7103-94-2-247-b10","series-title":"Int Orthod","first-page":"217","article-title":"Orthodontic-periodontal interactions: orthodontic extrusion in interdisciplinary regenerative treatments","volume":"16","author":"Paolone","year":"2018","unstructured":"Paolone\n              MG,\n            \n            \n              Kaitsas\n              R.\n            \n          \n          Orthodontic-periodontal interactions: orthodontic extrusion in interdisciplinary regenerative treatments.\nInt Orthod.\n2018;\n16:217\u2013245."},{"key":"i1945-7103-94-2-247-b11","series-title":"Am J Orthod Dentofacial Orthop","first-page":"63","article-title":"Masticatory muscle activity in children and adults with different facial types","volume":"118","author":"Ueda","year":"2000","unstructured":"Ueda\n              HM,\n            \n            \n              Miyamoto\n              K,\n            \n            \n              Saifuddin\n              M,\n            \n            \n              Ishizuka\n              Y,\n            \n            \n              Tanne\n              K.\n            \n          \n          Masticatory muscle activity in children and adults with different facial types.\nAm J Orthod Dentofacial Orthop.\n2000;\n118:63\u201368."},{"key":"i1945-7103-94-2-247-b12","series-title":"Am J Orthod Dentofacial Orthop","first-page":"599","article-title":"A novel method for the treatment of Class II malocclusion","volume":"158","author":"El-Bokle","year":"2020","unstructured":"El-Bokle\n              D,\n            \n            \n              Abbas\n              NH.\n            \n          \n          A novel method for the treatment of Class II malocclusion.\nAm J Orthod Dentofacial Orthop.\n2020;\n158:599\u2013611."},{"key":"i1945-7103-94-2-247-b13","series-title":"J Maxillofac","first-page":"584","article-title":"Botulinum toxin as a therapeutic agent to prevent relapse in deep bite patients","volume":"44","author":"M\u00fccke","year":"2016","unstructured":"M\u00fccke\n              T,\n            \n            \n              L\u00f6ffel\n              A,\n            \n            \n              Kanatas\n              A,\n            \n            et al.\n          \n          Botulinum toxin as a therapeutic agent to prevent relapse in deep bite patients.\nJ Maxillofac.\n2016;\n44:584\u2013589."},{"key":"i1945-7103-94-2-247-b14","series-title":"Int Orthod","first-page":"179","article-title":"Forced eruption with miniscrews; intra-arch method with vertical elastics versus intra-arch method using the Derton-Perini technique: two case reports","volume":"9","author":"Derton","year":"2011","unstructured":"Derton\n              N,\n            \n            \n              Derton\n              R,\n            \n            \n              Perini\n              A.\n            \n          \n          Forced eruption with miniscrews; intra-arch method with vertical elastics versus intra-arch method using the Derton-Perini technique: two case reports.\nInt Orthod.\n2011;\n9:179\u2013195."},{"key":"i1945-7103-94-2-247-b15","series-title":"Am J Orthod Dentofacial Orthop","first-page":"499","article-title":"Nonsurgical approach to Class I open-bite malocclusion with extrusion mechanics: a 3-year retention case report","volume":"147","author":"Atsawasuwan","year":"2015","unstructured":"Atsawasuwan\n              P,\n            \n            \n              Hohlt\n              W,\n            \n            \n              Evans\n              CA.\n            \n          \n          Nonsurgical approach to Class I open-bite malocclusion with extrusion mechanics: a 3-year retention case report.\nAm J Orthod Dentofacial Orthop.\n2015;\n147:499\u2013508."},{"key":"i1945-7103-94-2-247-b16","series-title":"Am J Orthod Dentofacial Orthop","first-page":"353","article-title":"Contact damage to root surfaces of premolars touching miniscrews during orthodontic treatment","volume":"134","author":"Kadioglu","year":"2008","unstructured":"Kadioglu\n              O,\n            \n            \n              B\u00fcy\u00fckyilmaz\n              T,\n            \n            \n              Zachrisson\n              BU,\n            \n            \n              Maino\n              BG.\n            \n          \n          Contact damage to root surfaces of premolars touching miniscrews during orthodontic treatment.\nAm J Orthod Dentofacial Orthop.\n2008;\n134:353\u2013360."}],"container-title":["The Angle 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