Fig. 1: Analysis of vertical facial thirds and lower third Maxilla to Cranial Base Initial Values SNA (degrees) 88.5 Mandible to Cranial Base SNB (degrees) 81.0 SN-MP (degrees) 34.3 FMA (degrees) 25.3 Maxillo-Mandible ANB (degrees) 7.5 Maxillary Dentition A 26-year-old patient presented with the chief complaint that she shows too much gum and not enough teeth when she smiles. Soft tissue and facial analysis revealed a dolichofacial facial profile with a slight increase in anterior facial height, and an analysis of her vertical facial thirds and lower third revealed an increase in lower anterior facial height and mild vertical maxillary excess (Fig. 1). Her upper and lower lips were ahead of the E-line by about 5.5mm and 7.2mm, respectively. Intraoral examination revealed mild to moderate crowding in the maxillary 3.9 U1-SN (degrees) 107.0 Mandibular Dentition Fig. 2: Initial extraoral and intraoral photographs Clinical diagnosis U1-NA (mm) and mandibular arches, Class I molar relationship and canine relationship, a deep impinging overbite and overjet of 4.5mm. Incisal display at smiling was ~100 percent, with uneven and excessive gingival display of up to 5mm. The patient did not exhibit any lip strain at rest and closure (Fig. 2). Cephalometric diagnosis revealed a skeletal Class II with an ANB angle of 7.5, primarily due to an increase in SNA angle (Table 1). Her panoramic radiograph showed a complete dentition, except for the third molars and root-canal treatment on the upper left central incisor (Fig. 3, p. 30). L1-NB (mm) 9.7 L1-MP (degrees) 98.7 Soft Tissue Lower Lip to E-Plane (mm) 7.2 Upper Lip to E-Plane (mm) 5.5 Table 1: Initial cephalometric values and cephalometric radiograph orthotown.com \\ OCTOBER 2016 29http://www.orthotown.com