{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:35:20Z","timestamp":1786649720717,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:p>This case report describes the successful nonsurgical correction of a gummy smile in a 23-year-old female patient with vertical maxillary excess and hypermobile lips using miniscrew-assisted orthodontic mechanotherapy. Excessive gingival display was reduced by applying controlled forces to the upper front teeth and miniscrew-assisted intrusion. The treatment also improved the patient\u2019s facial profile by promoting counterclockwise jaw rotation, normalizing her skeletal imbalance. In addition, the hyperactive lip movements during smiling were minimized, likely due to neuromuscular adaptation and altered tooth position. This approach highlights how miniscrews can effectively correct gummy smiles without surgery, offering a sustainable and less invasive alternative.<\/jats:p>","DOI":"10.4103\/ccd.ccd_237_25","type":"journal-article","created":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T09:00:39Z","timestamp":1766739639000},"page":"293-296","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Miniscrew-assisted Orthodontic Correction of Gummy Smile in a Patient with Vertical Maxillary Excess and Lip Hypermobility"],"prefix":"10.4103","volume":"16","author":[{"given":"Sivakumar","family":"Arunachalam","sequence":"first","affiliation":[{"name":"Clinical Oral Health Sciences, School of Dentistry, IMU University, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Indumathi","family":"Sivakumar","sequence":"additional","affiliation":[{"name":"SEGi Oral Health Center, Faculty of Dentistry, SEGi University, Petaling Jaya, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belinda Law","family":"Yeung","sequence":"additional","affiliation":[{"name":"In Private Practice, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Poh Kiun","family":"Then","sequence":"additional","affiliation":[{"name":"In Private Practice, Sarawak, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,26]]},"reference":[{"key":"R1-20251226","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1111\/j.1708-8240.1999.tb00414.x","article-title":"Comparing the perception of dentists and lay people to altered dental esthetics","volume":"11","author":"Kokich","year":"1999","journal-title":"J Esthet Dent"},{"key":"R2-20251226","first-page":"102","article-title":"Gummy smile and short tooth syndrome \u2013 Part 1: Etiopathogenesis, classification, and diagnostic guidelines","volume":"37","author":"Pavone","year":"2016","journal-title":"Compend Contin Educ Dent"},{"key":"R3-20251226","doi-asserted-by":"crossref","first-page":"1474","DOI":"10.1097\/SCS.0b013e3181edc627","article-title":"Classification and craniofacial features of gummy smile in adolescents","volume":"21","author":"Wu","year":"2010","journal-title":"J Craniofac Surg"},{"key":"R4-20251226","first-page":"91","article-title":"The gingival smile line","volume":"62","author":"Peck","year":"1992","journal-title":"Angle Orthod"},{"key":"R5-20251226","doi-asserted-by":"crossref","first-page":"e717","DOI":"10.4317\/jced.58242","article-title":"Non-surgical correction of gummy smile using temporary skeletal mini-screw anchorage devices: A systematic review","volume":"13","author":"Alshammery","year":"2021","journal-title":"J Clin Exp Dent"},{"key":"R6-20251226","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1016\/S1042-3699(20)30465-9","article-title":"Neuromuscular adaptation after orthognathic surgery","volume":"2","author":"Ellis","year":"1990","journal-title":"Oral Maxfac Surg Clin Nor Am"},{"key":"R7-20251226","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1016\/0002-9416(73)90290-X","article-title":"Neuromuscular and skeletal adaptations to altered function in the orofacial region","volume":"64","author":"McNamara","year":"1973","journal-title":"Am J Orthod"}],"container-title":["Contemporary Clinical Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ccd.ccd_237_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:57:35Z","timestamp":1786647455000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ccd.ccd_237_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ccd.ccd_237_25","relation":{},"ISSN":["0976-237X","0976-2361"],"issn-type":[{"value":"0976-237X","type":"print"},{"value":"0976-2361","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"2025-05-27","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-02","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}