A Pair for the Impaired - Orthodontic and Surgical Combination Treatment of Skeletal Class III Malocclusion: A Two Year Follow up Report

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Case Report

Author Details : Anjuman Preet Kaur Dua*, Ajit Jaiswal, Laxman Kumar, Sumir Gandhi, Ekta Singh Suneja, Sunaina Jodhka

Volume : 1, Issue : 4, Year : 2017

Article Page : 24-32

https://doi.org/10.18231/j.jco.2017.022

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Abstract

This case report represents a 19-year-old male who complained of reverse occlusion with problems in mastication and unpleasant facial aesthetics. The lateral view showed a concave profile with a prominent chin and malar deficiency. The patient was diagnosed as having a skeletal and dental Class III malocclusion with a negative overjet of – 6 mm. The cephalometric readings showed a prognathic mandible and a small maxilla with an ANB angle of -13 degrees. The treatment plan included a phase of presurgical orthodontics with extraction of one lower incisor, alignment of both the arches individually and decompensation of incisors followed by a double jaw surgery. The sagittal split ramus osteotomy and Leforte I osteotomy were performed after sixteen months of presurgical orthodontics. Postoperative orthodontic treatment period was eight months. Total active treatment period was two years and at the end of which good interdigitation leading to better masticatory ability. The esthetics improved remarkably leading to a greater self confidence.
Keywords: Orthognathic surgery, Class III malocclusion, lower incisor extraction, bi jaw surgery

How to cite : Dua A P K, Jaiswal A, Kumar L, Gandhi S, Suneja E S, Jodhka S, A Pair for the Impaired - Orthodontic and Surgical Combination Treatment of Skeletal Class III Malocclusion: A Two Year Follow up Report. J Contemp Orthod 2017;1(4):24-32

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