Orthosurgical Management of a Severe Class III Malocclusion

A 31-year-old male patient reported with a chief complaint of a forwardly placed lower jaw. Oral examination revealed Angle's Class III relationship bilaterally and cephalometrically; the patient presented with a small-sized retrognathic maxilla and normal mandible. Orthosurgical treatment was carried out with 4 mm of maxillary advancement and 4 mm of mandibular setback to achieve ideal overjet, overbite, and intercuspation of teeth. The ANB angle showed a drastic change from −9.5° to 1° and a successful conversion of the skeletal profile from Class III to Class I. Orthosurgical treatment can thus be an effective means of treating a patient with cleft lip and palate but requires a detailed understanding of the case and a sound diagnosis to attain a successful outcome.

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“…Therefore, accurate diagnosis and treatment planning becomes crucial to the treatment of such malocclusions. [ 9 ]…”

Section: Discussionmentioning

confidence: 99%

Orthosurgical management of a patient with cleft lip and palate

2020

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“…Bailey et al [26] evaluated long term soft tissue changes after orthodontic and surgical corrections of skeletal class III malocclusions and concluded that class III patients are less stable during first year after surgery but show fewer changes in hard and soft tissue measurements beyond that point [26]. In their retrospective cephalometric study extended over a period of 5 years, L'Tanya J et al [27] show those skeletal Class III adult patients treated by ortho-surgery show minimal change in soft tissues in post-surgery [27].…”

Section: Discussionmentioning

confidence: 99%

Ortho-Surgical Management of Open Bite Skeletal Class III Malocclusions with Periodontics Deficiency in Adult Patient: Case Report

Aouam

2018

ADOH

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It is known that one of the most challenging problems that confront the practicing orthodontist is the treatment of skeletal Class III malocclusion in adult patients. The clinician is faced with the option of either orthodontic camouflage or orthognathic surgery. In severe cases, ortho-surgical treatment is the only guarantor of successful result both functionally and aesthetically. This case report presents the treatment of a Moroccan female patient with open bite skeletal Class III malocclusion and periodontic desease. After combined orthodontic-surgical treatment the result was complete with positive overbite and acceptable occlusion, using a combination of fixed orthodontic appliance treatment as well as the orthognathic surgical management. The patient was satisfied with her new appearance and function.

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“…[378] The final facial profile after surgery is of great significance as it results in a dramatic change in the appearance of the patient that can psychologically boost up or deteriorate his self-esteem. For this reason, diagnosis and proper treatment planning must be given added weightage.…”

Section: Discussionmentioning

confidence: 99%

“…Class III malocclusions are considered to be one of the most difficult problems to treat orthodontically. [3] The presentation of Class III malocclusions are generally classified into two categories: Skeletal and dental. Various features of skeletal Class III malocclusion include either maxillary retrusion or mandibular prognathism or combination of both consummated with vertical and transverse problems apart from sagittal malformations.…”

Section: Introductionmentioning

confidence: 99%

“…[456] In general, a dental Class III can be treated with orthodontics alone while a true skeletal Class III with compromised facial esthetics and varying dentofacial deformity and impaired function requires a combination of orthodontics and surgery. [378] The contribution of jaw bases to malocclusion in all the three-dimensions along with varying degree of dentoalveolar and soft tissue compensations must be thoroughly evaluated. [459] Establishment of the treatment plan is based on the efficacy and thoughtful application by the clinician and easy acceptance by the patient.…”

Section: Introductionmentioning

confidence: 99%

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Ortho-surgical management of skeletal Class III malocclusion

Gupta

Tikku

Khanna

et al. 2015

Natl J Maxillofac Surg

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Class III malocclusions are considered to be one of the most difficult problems to treat. Establishment of the treatment plan is based on the efficacy and thoughtful application by the clinician and easy acceptance by the patient. We are presenting a case report of an adult male patient with skeletal Class III malocclusion who was treated by orthosurgical approach in Department of Orthodontics in collaboration with Department of Oral and Maxillofacial Surgery. The treatment was complete with a positive overbite and acceptable occlusion and satisfactory facial esthetics using a combination approach.

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Orthosurgical Management of a Severe Class III Malocclusion

Cited by 7 publications

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Orthosurgical management of a patient with cleft lip and palate

Orthosurgical management of a patient with cleft lip and palate

Ortho-Surgical Management of Open Bite Skeletal Class III Malocclusions with Periodontics Deficiency in Adult Patient: Case Report

Ortho-surgical management of skeletal Class III malocclusion

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