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Overcorrection in mandibular advancement.

P Egyedi

    Journal of Maxillofacial Surgery
    |November 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Overcorrecting Class II facial deformities to Class III may prevent relapse due to unpredictable tendencies and lower incisor positioning. Post-operative treatment varies based on relapse severity, including orthodontics, surgery, or occlusal grinding.

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    Area of Science:

    • Orthognathic surgery
    • Craniofacial deformities
    • Orthodontics

    Background:

    • Class II skeletal deformities present challenges in surgical correction.
    • Relapse tendency after orthognathic surgery is a significant clinical concern.
    • Anterior inclination of lower incisors can impede mandibular advancement.

    Purpose of the Study:

    • To describe a surgical concept involving overcorrection of Class II deformities into a Class III relationship.
    • To explore the rationale behind this approach, considering relapse and incisor positioning.
    • To outline management strategies for varying degrees of relapse.

    Main Methods:

    • Case series describing seven patients with Class II skeletal deformities.
    • Surgical intervention involving overcorrection to a Class III occlusion.

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  • Evaluation of postoperative outcomes and management strategies.

    • Main Results:

    • Overcorrection to a Class III relationship was performed in seven cases.
    • The strategy addresses unpredictable relapse and potential limitations from lower incisor inclination.
    • Postoperative management included orthodontic treatment, secondary surgery, or occlusal grinding based on relapse degree.

    Conclusions:

    • Overcorrection to a Class III relationship is a viable concept for managing Class II deformities with high relapse potential.
    • This approach may mitigate risks associated with unpredictable relapse and dental factors.
    • Tailored postoperative management is crucial for optimizing outcomes.