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Surgical-orthodontic approach for correcting Vertical Maxillary Excess: Case report.
Mona Benkhalifa1, Samir Tobji1, Ramzi Moatemri2
1Department of Orthodontics, Faculty of Dental Medicine of Monastir, University of Monastir, Monastir, Tunisia.
SAGE Open Medical Case Reports
|June 5, 2024
Summary
Surgical orthodontic treatment for Vertical Maxillary Excess improved facial esthetics and function. Bimaxillary surgery successfully reduced lower facial height, correcting malocclusion and alleviating temporomandibular joint symptoms.
Area of Science:
- Dentistry
- Orthodontics
- Oral and Maxillofacial Surgery
Background:
- Vertical Maxillary Excess (VME) can cause significant functional and esthetic issues.
- Treatment often involves complex surgical orthodontic approaches.
Observation:
- A 22-year-old male presented with dental crowding and temporomandibular joint (TMJ) clicking.
- Diagnosis revealed VME with mild skeletal class II malocclusion.
- The patient exhibited lip incompetence and excessive gingival display on smiling.
Findings:
- Bimaxillary surgery, including LeFort I osteotomy and bilateral sagittal split osteotomy, was performed without extractions.
- Superior repositioning of the maxilla by 7-8 mm and mandibular derotation were achieved.
- Post-operative results included a 4° decrease in the mandibular plane angle, achievement of skeletal class I, correction of lip incompetence, and improved gingival display.
Implications:
- Surgical orthodontic treatment effectively addresses VME, enhancing facial esthetics and masticatory function.
- This approach resolved TMJ clicking in the reported case.
- VME management can be successfully achieved through bimaxillary surgery, improving patient satisfaction and quality of life.
