Vertical Maxillary Excess Treatment Modalities: A Review Article

Vertical Maxillary Excess (VME) is a common dentofacial deformity characterized by excessive vertical growth of the maxilla, often resulting in a gummy smile and facial disproportion. This review explores the various treatment modalities available for VME, ranging from conservative orthodontic approaches and minimally invasive procedures to orthognathic surgery, the gold standard for severe cases. Each modality’s indications, procedures, advantages, and limitations are discussed to provide a comprehensive understanding for clinicians aiming to achieve optimal functional and esthetic outcomes. Recent advances in surgical planning and patient-centered treatment strategies are also reviewed.