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Three-part bi-maxillary osteotomy: a case report involving resorbable plates
David Waring1, Jayne Harrison, Mark Boyle
1Department of Orthodontics, Liverpool University Dental Hospital, Pembroke Place, Liverpool L3 5PS. dtwaring@hotmail.com
Journal of Orthodontics
|July 5, 2005
Summary
Severe skeletal discrepancies and Class II malocclusion with open bite were successfully treated using combined orthodontic and orthognathic surgery. This approach achieved excellent facial and occlusal results in a complex case.
Area of Science:
- Orthodontics and Dentofacial Orthopedics
- Oral and Maxillofacial Surgery
Background:
- Severe skeletal discrepancies, including Class II malocclusion and anterior open bite, present significant treatment challenges.
- Multidisciplinary management involving orthodontic and orthognathic approaches is often necessary for complex cases.
Observation:
- A patient presented with a severe Class II skeletal discrepancy, Class II malocclusion, and a large anterior open bite.
- Treatment involved orthodontic decompensation using sectional mechanics followed by bimaxillary osteotomy and genioplasty.
Findings:
- The combined orthodontic and orthognathic surgical treatment successfully corrected the severe skeletal discrepancy.
- The patient achieved favorable outcomes, addressing both occlusal function and facial aesthetics.
Implications:
- This case highlights the efficacy of combined orthodontic and orthognathic surgery for managing severe dentofacial deformities.
- The described treatment protocol, including sectional mechanics for segmental surgery, offers a viable solution for complex malocclusions and skeletal discrepancies.
