COMPREHENSIVE ORTHODONTIC-SURGICAL CORRECTION OF A SEVERE CLASS III WITH BIMAXILLARY INVOLVEMENT

Kalyani Trivedi,
Binal Naik,
Hetvi Sharad Suthar*

Abstract

Class III malocclusion expresses itself as a compound problem especially in adult patients. It is particularly challenging when the problem involves both the jaws. Here a case report is presented of a 19-year-old patient with skeletal class III discrepancy with mild asymmetry in lower third of face. The treatment constituted maxillary expansion with MARPE, followed with surgery involving Le Fort I osteotomy and maxillary advancement along with asymmetric bilateral sagittal split osteotomy and mandibular setback. After 36 months, all the appliances were removed and patient was satisfied with the result.