Ortho-Surgical Management of Skeletal Class Iii Malocclusion With Severe Tooth Size Arch Length Discrepancy

SS Agarwal; Karan Nehrab; B Jayanc; NK Sahoo; ID Roy; Mohit Sharma

Ortho-Surgical Management of Skeletal Class Iii Malocclusion With Severe Tooth Size Arch Length Discrepancy

Case Report

Author Details : SS Agarwal*, Karan Nehra, B Jayan, NK Sahoo, ID Roy, Mohit Sharma

Volume : 1, Issue : 3, Year : 2017

Article Page : 45-51

https://doi.org/10.18231/j.jco.2017.018

Suggest article by email

Abstract

Skeletal Class III malocclusion may occur due to maxillary retrognathism, mandibular prognathism or a combination of both and is often associated with skeletal and dental dysplasia in all planes of space. Orthognathic surgery involving maxillary advancement, mandibular setback or a bijaw surgery is usually indicated in adult patients with no residual skeletal growth depending on the severity of skeletal dysplasia. A careful diagnosis, treatment planning and multidisciplinary approach are the cornerstones in successful management of such cases. The effects of ortho-surgical treatment on pharyngeal airway and possibility of subsequent breathing disorders like Obstructive Sleep Apnea should be assessed pre-surgically and due consideration should be given in treatment planning. This case report describes successful interdisciplinary management of a case of skeletal Class III malocclusion with Bijaw orthognathic surgery involving maxillary advancement and mandibular setback. The effect of treatment on pharyngeal
airway was assessed using Acoustic Pharyngometry.

Keywords: Ortho-surgical management of skeletal Class III, Bijaw orthognathic surgery, Acoustic
Pharyngometry

How to cite : Agarwal S, Nehra K, Jayan B , Sahoo N, Roy I, Sharma M, Ortho-Surgical Management of Skeletal Class Iii Malocclusion With Severe Tooth Size Arch Length Discrepancy. J Contemp Orthod 2017;1(3):45-51

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International, which allows others to remix, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.