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Órgano Oficial de Difusión de la Facultad de Odontología de la UNAM

2015, Number 3

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Rev Mex Ortodon 2015; 3 (3)

Orthodontic-surgical correction with a bilateral mandibular ramus sagittal osteotomy of a skeletal Class III maloclussion

Sánchez RMF, Gurrola MB, Casasa AA

Language: Spanish
References: 29
Page: 162-169
PDF size: 748.69 Kb.


ABSTRACT

A case of a male patient of 19 years 3 months of age is reported. The chief complaint was having discomfort in the jaw. The diagnosis was a hyperdivergent skeletal class III, bilateral molar and canine class III with proclined upper incisors, bilateral anterior and posterior cross-bite, upper and lower crowding with a lower dental midline deviation. The patient also had a maxillary collapse. The patient did not refer any habit. Treatment was conducted in three phases: a pre-surgical phase: alignment, leveling, dental decompensation, tripodism (occlusal stability), transverse expansion. Surgical Phase: Mandibular LeFort I Surgery: 5mm advancement. Post-surgical phase: Detailing, retention. Active treatment time was 4 years 4 months. Removable upper and lower Hawley retainers and fixed canine to canine both in the upper and lower arch were used. Treatment outcome was successful, obtaining bilateral canine and molar Class I, normal overjet and overbite, coincident midlines, adequate intercuspation and a harmonic facial profile.


REFERENCES

  1. Proffit RW, Fields HW. Contemporary orthodontics. 3rd ed. St Louis: Mosby, 2000.

  2. Bailey LJ, Haltiwanger LH, Blakey GH, Proffit WR. Who seeks surgical orthodontic treatment: a current review. Int J Adult Orthod Orthognath Surg. 2001; 16: 280-292.

  3. Proffit WR, Phillips C, Dann C 4th. Who seeks surgical orthodontic treatment? Int J Adult Orthodon Orthognath Surg. 1990; 5: 153-160.

  4. Mackay F, Jones JA, Thompson R, Simpson W. Craniofacial form in class III cases. Br J Orthod. 1992; 19: 15-20.

  5. Kerr WJ, Miller S, Dawber JE. Class III malocclusion: surgery or orthodontics? Br J Orthod. 1992; 19: 21-24.

  6. Stellzig-Eisenhauer A, Lux CJ, Schuster G. Treatment decision in adult patients with class III malocclusion: orthodontic therapy or orthognathic surgery? Am J Orthod Dentofacial Orthop. 2002; 122: 27-37.

  7. Tanner JM, Davies PS. Clinical longitudinal standards for height and height velocity for North American children. J Pediatr. 1985; 107: 317-329.

  8. Weaver N, Glover K, Major P, Varnhagen C, Grace M. Age limitation on provision of orthopedic therapy and orthognathic surgery. Am J Orthod Dentofacial Orthop. 1998; 113: 156-164.

  9. Arnett GW, Bergman RT. Facial keys to orthodontic diagnosis and treatment planning -- Part II. Am J Orthod Dentofacial Orthop. 1993; 103: 395-411.

  10. Arnett GW, Bergman RT. Facial keys to orthodontic diagnosis and treatment planning -- Part I. Am J Orthod Dentofacial Orthop. 1993; 103: 299-312.

  11. Arnett GW, Worley CM Jr. The treatment motivation survey: defining patient motivation for treatment. Am J Orthod Dentofacial Orthop. 1999; 115: 233-238.

  12. Tsai IM, Lin CH, Wang YC. Correction of skeletal Class III malocclusion with clockwise rotation of the maxillomandibular Complex. Am J Orthod Dentofacial Orthop. 2012; 141: 219-227.

  13. Tompach PC, Wheeler JJ, Fridrich KL. Orthodontic considerations in orthognathic surgery. Int J Adult Orthod Orthognath Surg. 1995; 10: 97-107.

  14. Johnston C, Burden D, Kennedy D, Harradine N, Stevensond M. Class III surgical-orthodontic treatment: a cephalometric study. Am J Orthod Dentofacial Orthop. 2006; 130: 300-309.

  15. Wolford LM, Chemello PD, Hilliard F. Occlusal plane alteration in orthognathic surgery-part I: effects on function and esthetics. Am J Orthod Dentofacial Orthop. 1994; 106: 304-316.

  16. Reyneke JP, Bryant RS, Suuronen R, Becker PJ. Postoperative skeletal stability following clockwise and counter-clockwise rotation of the maxillomandibular complex compared to conventional orthognathic treatment. Br J Oral Maxillofac Surg. 2007; 45: 56-64.

  17. Espeland L, Hogevold HE, Stenvik A. A 3-year patient centered follow-up of 516 consecutive orthognathic surgery patients. Eur J Orthod. 2008; 30: 24-30.

  18. Bailey LJ, Proffit WR, White RP Jr. Trends in surgical treatment of Class III skeletal relationships. Int J Adult Orthod Orthog Surg. 1995; 10: 108-118.

  19. Kwon TG, Mori Y, Minami K, Lee SH, Sakuda M. Stability of simultaneous maxillary and mandibular osteotomy for treatment of class III malocclusion: an analysis of three-dimensional cephalograms. J Craniomaxillofac Surg. 2000; 28: 272-277.

  20. Bothur S, Blomqvist JE, Isaksson S. Stability of Le Fort I osteotomy with advancement: a comparison of single maxillary surgery and a two-jaw procedure. J Oral Maxillofac Surg. 1998; 56: 1029-1033.

  21. Proffit WR, Turvey TA, Phillips C. The hierarchy of stability and predictability in orthognathic surgery with rigid fixation: an update and extension. Head Face Med. 2007; 3: 21.

  22. Jakobsone G, Stenvik A, Sandvik L, Espeland L. Three-year follow-up of bimaxillary surgery to correct skeletal class III malocclusion: stability and risk factors for relapse. Am J Orthod Dentofacial Orthop. 2011; 139: 80-89.

  23. Moldez MA, Sugawara J, Umemori M, Mitani H, Kawamura H. Long-term dentofacial stability after bimaxillary surgery in skeletal class III open bite patients. Int J Adult Orthod Orthog Surg. 2000; 15: 309-319.

  24. Costa F, Robiony M, Sembronio S, Polini F, Politi M. Stability of skeletal Class III malocclusion after combined maxillary and mandibular procedures. Int J Adult Orthod Orthog Surg. 2001; 16: 179-192.

  25. Proffit WR, Phillips C, Turvey TA. Stability after surgical orthodontic correction of skeletal Class III malocclusion. III. Combined maxillary and mandibular procedures. Int J Adult Orthod Orthog Surg. 1991; 6: 211-225.

  26. Phillips C. Patient-centered outcomes in surgical and orthodontic treatment. Semin Orthod. 1999; 5: 223-230.

  27. Proffit WR, Turvey TA, Phillips C. Orthognathic surgery: a hierarchy of stability. Int J Adult Orthod Orthognath Surg. 1996; 11: 191-204.

  28. Chemello PD, Wolford LM, Buschang PH. Occlusal plane alteration in orthognathic surgery-part II: long-term stability of results. Am J Orthod Dentofacial Orthop. 1994; 106: 434-440.

  29. Proffit WR, Phillips C, Turvey TA. Stability following superior repositioning of the maxilla. Am J Orthod Dentofacial Orthop. 1987; 92: 151-163.




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