The long face is a disproportion of facial
features by which an elongated face impression is created, even if its
dimensions are normal. The said impression may be caused by one of the
following factors in isolation or in combination:
l Vertical maxillary excess (gingival smile)
l Vertical excess of jaw (large chin)
l Open bite (lack of contact between the anterior teeth)
l Narrow face (face length is normal, but amplitude is lacking)
l Lack of definition between neck and chin (neck is perceived as a
continuation of the face)
How to correct long face syndrome?
Orthognathic surgery is the treatment
indicated in most cases to correct this malformation. The intervention may
include the following isolated or combined strategies: maxillary impaction,
chin reduction, or anti-clockwise rotation of the occlusal plane. It should be
said that with this surgery, the aim is not to "shorten" the face,
but to make the necessary bone movements to achieve a harmonization of the
patient's features.
When the proportions of maxilla and mandible
are correct, and the vertical excess is due to a very long chin, then a
mentoplasty is recommended. After surgery, patient's features are much more
balanced and harmonious, and the gummy smile disappears.
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