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Aesthetic acceptance equals to nature's compensation plus surgical correction
Vaishali Vadgaonkar1, Parag Gangurde, Anita Karandikar
1Department of Orthodontia, Bharati Vidyapith Kharghar, Kharghar, Navi Mumbai, Maharashtra, India. orthovaishali@gmail.com
BMJ Case Reports
|July 27, 2013
Summary
This study presents a combined orthodontic and surgical approach for severe adult Class III maxillofacial deformities. The treatment utilized camouflage and bilateral sagittal split osteotomy for optimal aesthetic results.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
- Orthodontics
Background:
- Severe Class III maxillofacial deformities in adults necessitate complex interdisciplinary treatment.
- Orthognathic surgery is an established option for correcting these deformities.
- This case report focuses on a combined orthodontic and surgical strategy.
Observation:
- A severe adult Class III patient presented with significant maxillofacial asymmetry.
- Visual treatment objective (VTO) and soft tissue analysis guided treatment planning.
- The approach involved maxillary arch camouflage and mandibular setback via bilateral sagittal split osteotomy (BSSO).
Findings:
- Maxillary arch camouflage was strategically employed to optimize aesthetics.
- Bilateral sagittal split osteotomy (BSSO) corrected the mandibular excess.
- The combined approach achieved a favorable aesthetic outcome by balancing skeletal and soft tissue changes.
Implications:
- This combined approach offers a viable solution for complex adult Class III deformities.
- Careful analysis of VTO and soft tissue compensation is crucial for surgical planning.
- Achieving optimal aesthetics in orthognathic surgery requires integrating orthodontic and surgical expertise.
