Martínez HEA, Vásquez EHA, Hernández CJR

Language: Spanish
References: 12
Page: 162-167
PDF size: 396.49 Kb.

ABSTRACT

Introduction: Class III skeletal malocclusion is the lack of harmony of position between the maxilla and mandible in relation to its skull base, affecting both facial aesthetics and masticatory function. The facial asymmetry is a common manifestation in class III patients degrading the patient’s quality of life. The majority of these patients are candidates for orthognathic surgery which will provide them with better results. Material and methods: A 15-year-old male patient with skeletal class III malocclusion, dolichofacial biotype, rectum profile, bilateral molar and canine class III, edge to edge occlusion in anterior sector and cusp to cusp occlusion in the posterior sector. Objective: The objectives of this treatment were to correct through orthodontics and othognatic surgery the maxilo-mandibular relationship three-dimensionally, correcting the laterognasia, to obtain occlusal stability, facial aesthetics, temporo-mandibular joint and periodontal health. Results: We managed to obtain an adequate maxillo-mandibular relationship, molar class I, canine class I, correction of the laterognasia, coincidence of the middle lines, facial aesthetics as well as occlusal stability. Conclusion: To obtain a successful result, an adequate diagnosis is necessary as well as a correct interdisciplinary planning since the dentofacial asymmetries are a complex problem, often impossible to correct through orthodontics alone.

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