%0 Journal Article
%T Combined Orthodontic and Surgical Approach in the Correction of a Class III Skeletal Malocclusion with Mandibular Prognathism and Vertical Maxillary Excess Using Bimaxillary Osteotomy
%A George Jose Cherackal
%A Eapen Thomas
%A Akhilesh Prathap
%J Case Reports in Dentistry
%D 2013
%I Hindawi Publishing Corporation
%R 10.1155/2013/797846
%X For patients whose orthodontic problems are so severe that neither growth modification nor camouflage offers a solution, surgery to realign the jaws or reposition dentoalveolar segments is the only possible treatment. Surgery is not a substitute for orthodontics in these patients. Instead, it must be properly coordinated with orthodontics and other dental treatments to achieve good overall results. Dramatic progress in recent years has made it possible for combined surgical orthodontic treatment to be carried out successfully for patients with a severe dentofacial problem of any type. This case report provides an overview of the current treatment methodology in managing a combination of asymmetrical mandibular prognathism and vertical maxillary excess. 1. Introduction The correction of dentoskeletal malocclusions has always had a threefold goal of achieving functional efficiency, structural balance, and aesthetics [1, 2]. The physical health of patients with severe malocclusion may be altered or compromised in various ways such as inducing masticatory dysfunction, speech disorders, upper airway resistance, compromised oral hygiene, and temporomandibular joint dysfunction. Nevertheless, above all in a modern society, the aesthetic aspect of severe malocclusion with its related psychosocial impact is more important than the associated physical problems [3]. The positive effects of having an attractive face on an individualĄ¯s mindset are clear, in terms of self-confidence and self-respect. In cases of severe malocclusion with dentoskeletal discrepancy there are generally only three possible therapeutic options: early modification of growth, orthodontic camouflage through dental compensation, or combined orthodontic and surgical (orthognathic) repositioning of the jaw bases [1]. In recent years, an increasing number of patients elect to undergo orthognathic treatment to correct severe malocclusion that is not susceptible to a comprehensive orthodontic solution. This case report presents the treatment of an adult girl with skeletal discrepancies in all three planes of space: sagittal (Class III malocclusion), vertical (vertical maxillary excess) and transverse (facial asymmetry). 2. Case Report An adult female patient with a chronological age of 19 years and 4 months and an ectomorphic body type reported to the Department of Orthodontics, Pushpagiri College of Dental Sciences, with the chief concern of unattractive facial appearance due to forwardly placed lower jaw and teeth. (Figures 1¨C4). Her parents pointed out that she was greatly dissatisfied by her
%U http://www.hindawi.com/journals/crid/2013/797846/