Resolution of A ‘Gummy Smile’ and Anterior Open Bite: Using the DNA® Appliance

Traditionally, orthodontists have used fixed appliances to apply forces to move teeth. The disadvantage of this approach is that inflammatory pathways are activated¹, which induce discomfort throughout the treatment. Furthermore, the tacit assumption is that when the teeth are leveled, aligned and rotated, the patient will be in a better state of oral health. However, there are other co-morbid conditions associated with malocclusions, such as temporo-mandibular joint (TMJ) dysfunction/headaches, snoring/obstructive sleep apnea (OSA) etc. that are often inadvertently overlooked or ignored. Therefore, it might be better to take a more holistic approach and provide a more thorough craniofacial correction rather than attempt to treat the teeth in isolation. Indeed, while many cases are initially treated successfully, orthodontists know that relapse can occur after treatment. The reasons for relapse are complex and remain incompletely understood.