Dental Journal (Majalah Kedokteran Gigi)
ISSN 1978-3728
Vol. 46 / No. 4 / Published : 2013-12
Order : 11, and page :243 - 245
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Original Article :
Orthodontic-surgical treatment of a severe class iii malocclusion
Author :
- Pakpahan Evie Lamtiur *1
- Department of Orthodontic Faculty of Dentistry, Universitas Prof Dr. Moestopo (B) Jakarta - Indonesia
Abstract :
Background: Adult patient with dentoskeletal deformities usually need surgical orthodontic treatment. These complex cases required careful treatment planning. Although class II dentofacial deformities are more common, the need for treatment and improvement in term of facial profile is generally greater in class III patients. When a skeletal Class III malocclusion is diagnosed, orthognathic surgey is always a consideration if the orthodontist and patient desire complete correction of the skeletal discrepancy. Purpose: The purpose of this article is to illustrate a case of severe class III malocclusion and to show the positive effect of orthodontic surgical treatment on the patient’s profile. Case: This case report describes the surgical-orthodontic treatment of a 20 year old male patient with class III dentofacial deformity. To allow adequate surgical movement, both maxillary first premolars were extracted, and the maxillary incisors were retracted. No extraction were performed in the mandibular arch. Surgery included a Le Fort I ostetomy with 8 mm advancement, a bilateral sagittal split osteotomy with mandibula is set back 13 mm at right and 11 mm at left for the correction of dental midline and chin deviation, also genioplasty. Conclusion: Surgical-orthodontic treatment is sometime the only option for achieving an acceptable occlusion and a good esthetic result in a patient with a Class III dentofacial deformity. It should be performed by an multidisciplinary team to ensure a satisfactory outcome.
Keyword :
Class III dentofacial deformity, orthognatic surgery,
References :
Mucedero M ,(2008) Stability factors after double-jaw surgery in class III malocclusion - : Angle Orthodontist
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Volume : 46 / No. : 4 / Pub. : 2013-12 |
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