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Incisor and canine mandibular regions are a key mechanical vault, which strives with strong muscleand occlusal centripetal forces. In cases of dental and / or periodontal weakness and / or excessivemechanicalstress, situations of imbalance can affect the stability of orthodontic treatments andperiodontaldurability. This article reports two surgical techniques to prevent and treat these situations: The labiomental weakening in growing children and adolescents;  Alveolar corticotomy with vestibular allograft bone in adults;    Both techniques allow functional management of mechanical imbalance, improvement of the periodontal biotype, and promote lower incisors’ relocation.

Management of the dento-periodontomuscular imbalances in the incisor–canine mandibular region by labiomental weakening surgery and corticotomy