scholarly journals Orthognathic Surgery Combined with Glossectomy and Mandibular Constriction: A Case Report

2019 ◽  
Vol 13 (1) ◽  
pp. 116-123
Author(s):  
Nilton Pires de Araujo Filho ◽  
Thiago Leonardo Rios ◽  
Everton Jose da Silva ◽  
Thiago Iafelice dos Santos ◽  
Andre Luis Fernandes da Silva ◽  
...  
Keyword(s):  
Case Report ◽  
Orthognathic Surgery ◽  
Class Iii ◽  
Grade 5 ◽  
Bimaxillary Orthognathic Surgery ◽  
Skeletal Pattern ◽  
Tongue Reduction ◽  
Mandibular Protrusion ◽  
Partially Dentate

Background: Conventional orthognathic surgery can become challenging when multiple goals such as correction of transverse and anteroposterior discrepancies of the dental arches are aimed. Thus, additional procedures such as midline mandible osteotomy for mandibular constriction and tongue reduction due to true macroglossia may be alternatives to a more functional and aesthetical outcome. Case Report: A treatment of a 35-year-old female patient with Class III sagittal skeletal pattern marked by an increased angle facial profile, maxillary retrusion, vertical maxillary deficiency, and mandibular protrusion, a Class III malocclusion associated to an edentulous maxilla, partially dentate mandible, transverse mandibular excess and true macroglossia. With an Index of Orthognathic Functional Treatment Need (IOFTN) grade 5, the patient underwent bimaxillary orthognathic surgery, mandible constriction and partial glossectomy. After about a year of follow-up, the patient demonstrated skeletal stability for the orthognathic procedures as well preservation of tongue function. Conclusion: The combination of the techniques performed was effective in the treatment of the multifaceted deformities, providing satisfactory function, harmonious facial aspect and enabling effective prosthetic rehabilitation to the patient.

scholarly journals Six-year Follow-up in Skeletal Class III Patient Aged over 40 Receiving Orthognathic Surgery and Autotransplantation: A Case Report

2009 ◽  
Vol 50 (3) ◽  
pp. 141-147
Author(s):  
Etsuko Motegi ◽  
Yumi Takane ◽  
Eri Tokunaga ◽  
Kenji Sueishi ◽  
Nobuo Takano ◽  
...  
Keyword(s):  
Case Report ◽  
Orthognathic Surgery ◽  
Class Iii ◽  
Skeletal Class

scholarly journals Orthodontic camouflage of skeletal Class III malocclusion with miniplate: a case report

2016 ◽  
Vol 21 (4) ◽  
pp. 89-98 ◽  
Author(s):  
Marcel Marchiori Farret ◽  
Milton M. Benitez Farret ◽  
Alessandro Marchiori Farret
Keyword(s):  
Orthognathic Surgery ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Lower Lip ◽  
Facial Profile ◽  
Skeletal Class ◽  
Mandibular Teeth ◽  
One Year ◽  
Angle Class Iii Malocclusion

ABSTRACT Introduction: Skeletal Class III malocclusion is often referred for orthodontic treatment combined with orthognathic surgery. However, with the aid of miniplates, some moderate discrepancies become feasible to be treated without surgery. Objective: To report the case of a 24-year-old man with severe skeletal Angle Class III malocclusion with anterior crossbite and a consequent concave facial profile. Methods: The patient refused to undergo orthognathic surgery; therefore, orthodontic camouflage treatment with the aid of miniplates placed on the mandibular arch was proposed. Results: After 18 months of treatment, a Class I molar and canine relationship was achieved, while anterior crossbite was corrected by retraction of mandibular teeth. The consequent decrease in lower lip fullness and increased exposure of maxillary incisors at smiling resulted in a remarkable improvement of patient's facial profile, in addition to an esthetically pleasing smile, respectively. One year later, follow-up revealed good stability of results.

Bimaxillary orthognathic surgery, 3D planning and 1 year follow-up

2019 ◽  
Vol 48 ◽  
pp. 247
Author(s):  
M. Blois ◽  
G. Marques ◽  
A. Kuhn ◽  
L. Pasqualotto ◽  
T. Valcanaia ◽  
...  
Keyword(s):  
Orthognathic Surgery ◽  
Bimaxillary Orthognathic Surgery

scholarly journals Class III malocclusion and bilateral cross-bite in an adult patient treated with miniscrew-assisted rapid palatal expander and aligners

2018 ◽  
Vol 88 (5) ◽  
pp. 649-664 ◽  
Author(s):  
Luca Lombardo ◽  
Antonella Carlucci ◽  
Bortolo Giuliano Maino ◽  
Anna Colonna ◽  
Emanuele Paoletto ◽  
...  
Keyword(s):  
Case Report ◽  
Conservative Treatment ◽  
Adult Patient ◽  
Successful Treatment ◽  
Cone Beam ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Surgical Guide ◽  
Before And After ◽  
Skeletal Pattern

ABSTRACT This case report describes the use of a miniscrew-assisted rapid palatal expander and aligners to correct bilateral cross-bite and crowding in an adult patient with a Class III skeletal pattern. A digitally designed surgical guide was three-dimensionally printed and used to accurately insert four miniscrews into the palate; these were employed to anchor a novel miniscrew-assisted rapid palatal expander appliance without any dental anchorage. Cone-beam computed tomograms before and after miniscrew-assisted rapid palatal expander treatment demonstrated the orthopedic expansion of the maxilla without dental tipping. The patient was then fitted with aligners to correct crowding and malocclusion. This case report demonstrates the successful treatment of an adult patient with a narrow maxilla and bilateral cross-bite using a nonsurgical, conservative treatment.

scholarly journals The Accuracy of Jaws Repositioning in Bimaxillary Orthognathic Surgery with Traditional Surgical Planning Compared to Digital Surgical Planning in Skeletal Class III Patients: A Retrospective Observational Study

2020 ◽  
Vol 9 (6) ◽  
pp. 1840
Author(s):  
Martina Barone ◽  
Alberto De Stefani ◽  
Ugo Baciliero ◽  
Giovanni Bruno ◽  
Antonio Gracco
Keyword(s):  
Orthognathic Surgery ◽  
Surgical Planning ◽  
Class Iii ◽  
Skeletal Class ◽  
Bimaxillary Orthognathic Surgery ◽  
Cad Cam ◽  
Treatment Objective ◽  
Digital Methods ◽  
Cephalometric Measurements ◽  
Group D

Background: Technological progress has led to the transition to digital methods to perform surgical planning and to obtain surgical splints with CAD/CAM technologies. The present study aimed to compare the accuracy of jaw repositioning in bimaxillary orthognathic surgery using traditional and digital surgical planning in skeletal class III patients. Methods: This study included 60 skeletal class III patients divided into two groups based on the method used to perform surgical planning: traditional (T, n = 30) and digital (D, n = 30). For each patient, a 2D presurgical Visual Treatment Objective (VTO) was prepared and the outcome of the surgery was compared with that planned by using determined cephalometric measurements (ANB, SNA, SNB, Ar-Go-Me, S-Ar-Go). Statistical analysis showed that the measurements planned and those obtained after surgery were equivalent in Group D. For Group T, the analysis showed equivalence only for one of the considered measurements (ANB). By comparing the results of the two groups, Group D presented a lower level of error than Group T. Conclusions: Digital surgical planning performed significantly better in terms of accuracy of jaw repositioning than the traditional protocol.

scholarly journals Myofunctional Treatment of Anterior Crossbite in a Growing Patient

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Marianna Pellegrino ◽  
Maria Laura Cuzzocrea ◽  
Walter Rao ◽  
Gioacchino Pellegrino ◽  
Sergio Paduano
Keyword(s):  
Growth Pattern ◽  
Early Treatment ◽  
Mixed Dentition ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Night Time ◽  
Therapy Strategy ◽  
Aesthetic Results ◽  
Mandibular Protrusion

The purpose of this case report is to add another means of treatment for the anterior crossbite malocclusion in early mixed dentition. The selected functional device is an eruption guidance appliance (EGA). The analysed patient had a functional anterior crossbite, a mandibular protrusion tendency, and a normodivergent growth pattern. The early treatment was suggested to correct the malocclusion and avoid unfavourable occlusal conditions that could end in a class III malocclusion growth pattern. After 18 months of treatment, with night-time use, the malocclusion was completely resolved. This therapy strategy allowed the correction of the sagittal jaws’ relationship and maximum control of the vertical dimension. After 2 years of follow-up, the results were preserved. The peculiarity of this kind of intraoral orthodontic tools is the use of the erupting forces rather than the active forces. This early treatment of anterior crossbites with EGA may be considered an effective treatment approach for achieving good functional and aesthetic results.

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