A case report on surgical-orthodontic correction of skeletal class III malocclusion with severe prognathic mandible and retrognathic maxilla

Ali Barakat, Nasser Alasseri, Ahmad Salem Assari, Pradeep Koppolu, Abdulrahman Al-Saffan

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Mandibular prognathism combined with a retrognathic maxilla is a skeletal discrepancy that is difficult to correct. We report a case of a 25-year-old Saudi male patient with skeletal class-III malocclusion due to severe prognathic mandible who was referred to an orthodontist at Prince Sultan Military Medical City. Complete clinical examination, radiographic assessment, and study models revealed class-III malocclusion due to anteroposterior deficiency of the maxilla and severe prognathic mandible. Orthognathic surgery was performed 18 months after the presurgical orthodontic phase. A 10-mm LeFort I advancement of the maxillary arch, with impaction of 3 mm, was performed with a bilateral sagittal split osteotomy (BSSO) of 11 mm. Stable occlusion and superior aesthetics were observed at the 1-year follow-up. Surgical-orthodontic treatment endows an adult patient with a class-III malocclusion or mandibular prognathism with a stable occlusion and superior aesthetics.
Original languageEnglish
Pages (from-to)S1054-S1058
Number of pages5
JournalJournal of Pharmacy and Bioallied Sciences
Volume14
Issue number5
DOIs
Publication statusPublished - Jul 2022
Externally publishedYes

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