Serrano-Andrade JD, Felemovicius-Hermangus J, González-Páder ME, Ramírez-Fernández FJ

Language: Spanish
References: 10
Page: 18-24
PDF size: 493.52 Kb.

ABSTRACT

Anteroposterior discrepancy between the maxilla and mandible, in which the mandible occludes in front of the maxilla, may be due to a maxillary bone defect, an excess of the mandible, or a combination of both. Class III malocclusion, despite having a strong genetic basis, presents multifactorial etiology, with a prevalence of 1-5% in the white population and close to 13% in Asians, considered by the World Health Organization as the third place in oral health problems. We present the case of a 23-year-old male patient with a diagnosis of Angle's class III malocclusion with retrusion of the midface. Combined orthognathic surgery was performed, which included advance LeFort I osteotomy plus sagittal osteotomy for mandibular retroposition, together with pre- and postoperative orthodontic treatment in order to establish occlusal stability prior to orthognathic surgery. A radical change is achieved clinically and cephalometrically in the patient, showing an expected frontonasal, nasolabial and mentolabial angle. We can conclude that combined orthognathic surgery represents a powerful arsenal at our disposal to be able to treat all the alterations that affect dental occlusion, facial skeletal harmony and aesthetics that cannot be treated with orthodontics or a simple orthognathic procedure.

REFERENCES

1. Janis JE. Essentials of plastic surgery. UT Southwestern Medical Center. St. Louis Missouri 2007, pp. 259.

2. Nelligan PC. Plastic surgery. Department of Surgery, Division of Plastic Surgery. University of Washington, Seattle. 2013, pp. 664.

3. Ortiz Monasterio F, Molina F. Cirugía estética del esqueleto facial. México, Ed. Panamericana 2005, pp. 169-238.

4. Patel PK, et al. The Surgical Tools: The LeFort I, Bilateral sagittal split osteotomy of the mandible, and the osseous genioplasty. Clin Plast Surg 2007; 34: 447-475.

5. Da Silva de C.L. Consideraciones generales en el diagnóstico y tratamiento de las maloclusiones clase III. Revista Latinoamericana de Ortodoncia y Odontopediatría. Ortodoncia.ws edición electrónica julio 2005. Disponible en: www.ortodoncia.ws.

6. Talley Milan M, Katagiri Katagiri M, Pérez Tejada H. Casuística de maloclusiones clase I, clase II y clase III según Angle en el Departamento de Ortodoncia de la UNAM. Rev Odontol Mex 2007; 11 (4): 175-180.

7. Naran S, Steinbacher DM, Taylor JA. Current concepts in orthognathic surgery. Plast Reconstr Surg 2018; 141 (6): 925e-936e.

8. Potter JK. Basic oral surgery. Essentials of Plastic Surgery. UT Southwestern Medical Center. St. Louis Missouri 2007, pp. 265.

9. Grubb J, Evans C. Orthodontic management of dentofacial skeletal deformities. Clin Plast Surg 2007; 34 (3): 403-415.

10. Goldstein JA, Baker SB. Cleft and craniofacial orthognathic surgery. Plastic Surgery. Department of Surgery, Division of Plastic Surgery. University of Washington, Seattle 2013, pp. 665.