scholarly journals Perawatan bedah ortognati pada maloklusi dentoskeletal kelas III dengan asimetri wajah dan canting oklusal rahang atasOrthognathic surgical treatment of class III dentoskeletal malocclusion with facial asymmetry and maxillary occlusal cant

2021 ◽  
Vol 32 (3) ◽  
pp. 164
Author(s):  
Endah Mardiati ◽  
Ida Ayu Astuti
Keyword(s):  
Case Report ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Facial Asymmetry ◽  
Class Iii ◽  
Le Fort ◽  
Posterior Crossbite ◽  
Skeletal Malocclusion ◽  
Anterior Teeth ◽  
The Right

Pendahuluan: Asimetri wajah akibat canting oklusal rahang atas seringkali menjadi keluhan  estetika wajah pasien. Perawatan canting oklusal parah memerlukan kombinasi perawatan ortodonti cekat dengan bedah ortognati. Tujuan laporan kasus ini adalah untuk menjelaskan perawatan ortodonti cekat kombinasi bedah Le Fort 1 pada kasus canting oklusal rahang atas pada maloklusi dentoskeletal kelas III disertai asimetri wajah. Laporan kasus: Seorang pasien perempuan umur 17 tahun 7 bulan datang ke praktek pribadi dengan keluhan gigi rahang atas miring, gigi belakang kanan tidak dapat mengunyah dengan nyaman. Pasien ingin dirawat gigi dan rahangnya. Pemeriksaan ekstra oral menunjukan wajah asimetri, profil cekung dan dagu sedikit menonjol. Pemeriksaan intra oral,  garis median rahang atas bergeser ke kiri, rahang bawah bergeser ke kanan, crossbite anterior, crossbite posterior unilateral, retrusi gigi anterior rahang atas dan rahang bawah. Analisis sefalometri lateral: maloklusi dentoskeletal kelas III. Diagnosis yang diberikan adalah maloklusi dentoskeletal kelas III disertai canting oklusal rahang atas, wajah asimetri, crossbite anterior, crossbite unilateral posterior. Rencana perawatan adalah perawatan ortodonti cekat kombinasi bedah ortognati Le Fort 1. Perawatan dilakukan dalam 4 tahap yaitu perawatan ortodonti dekompensasi, perawatan bedah ortognati rahang atas, perawatan ortodonti pasca bedah rahang, debonding dan pemasangan retainer. Simpulan: Maloklusi skeletal kelas III disertai canting oklusal rahang atas, asimetri wajah, crossbite anterior, dan crossbite posterior unilateral, yang dirawat menggunakan alat ortodonti cekat dan bedah ortognati Le Fort 1 dapat berhasil dengan baik. Relasi dental dan skeletal tercapai kelas I, interdigitasi gigi rahang atas dan rahang bawah mengunci, fungsi pengunyahan terkoreksi serta pasien merasa sangat puas dengan estetika wajahnya.Kata kunci: Maloklusi skeletal kelas III, asimetri wajah, canting maksila, crossbite anterior, crossbite posterior unilateral, bedah ortognati. ABSTRACTIntroduction: Facial asymmetry due to maxillary occlusal cant often becomes a facial aesthetics complaint. Treatment of severe occlusal cant requires a combination of fixed orthodontic treatment with orthognathic surgery. This case report was aimed to describe the combined fixed orthodontic treatment of Le Fort 1 in maxillary occlusal cant of class III dentoskeletal malocclusion with facial asymmetry. Case report: A female patient aged 17 years seven months came to the private clinic, complained of oblique maxillary teeth, and the right posterior was unable to masticate comfortably. The patient wants to be treated for her teeth and jaw. Extraoral examination revealed facial asymmetry, sunken profile and slightly protruding chin. The intraoral examination resulted in the maxillary median line that shifted to the left, mandible shifted to the right, anterior crossbite, unilateral posterior crossbite, and retrusion of maxillary and mandibular anterior teeth. The lateral cephalometric analysis resulted in class III dentoskeletal malocclusion. The diagnosis was class III dentoskeletal malocclusion with maxillary occlusal cant, facial asymmetry, anterior crossbite, and posterior unilateral crossbite. The treatment plan was fixed orthodontic treatment combined with Le Fort orthognathic surgery. The treatment was carried out in 4 stages: decompensated orthodontic treatment, maxillary orthodontic treatment, post-orthognathic surgery orthodontic treatment, debonding, and retainer placement. Conclusion: Class III skeletal malocclusion with maxillary occlusal cant, facial asymmetry, anterior crossbite, and the unilateral posterior crossbite was successfully treated with a fixed orthodontic appliance and Le Fort 1 orthognathic surgery. The dental and skeletal relations were achieved for class I, the interdigitation of the maxillary and mandibular teeth was locked, the masticatory function was corrected, and the patient was very satisfied with her facial aesthetics.Keywords: Class III skeletal malocclusion, facial asymmetry, maxillary cant, anterior crossbite, unilateral posterior crossbite, orthognathic surgery.

scholarly journals Orthodontic-surgical treatment of class III malocclusion with mandibular asymmetry

2011 ◽  
Vol 22 (2) ◽  
pp. 151-156 ◽  
Author(s):  
Ana Zilda Nazar Bergamo ◽  
Marcela Cristina Damião Andrucioli ◽  
Fábio Lourenço Romano ◽  
José Tarcísio Lima Ferreira ◽  
Mírian Aiko Nakane Matsumoto
Keyword(s):  
Orthognathic Surgery ◽  
Facial Asymmetry ◽  
Open Bite ◽  
Class Iii ◽  
Posterior Crossbite ◽  
Mandibular Asymmetry ◽  
Skeletal Malocclusion ◽  
Facial Esthetics ◽  
The Face ◽  
Maxillary Deficiency

Class III skeletal malocclusion may present several etiologies, among which maxillary deficiency is the most frequent. Bone discrepancy may have an unfavorable impact on esthetics, which is frequently aggravated by the presence of accentuated facial asymmetries. This type of malocclusion is usually treated with association of Orthodontics and orthognathic surgery for correction of occlusion and facial esthetics. This report presents the treatment of a patient aged 15 years and 1 month with Class III skeletal malocclusion, having narrow maxilla, posterior open bite on the left side, anterior crossbite and unilateral posterior crossbite, accentuated negative dentoalveolar discrepancy in the maxillary arch, and maxillary and mandibular midline shift. Clinical examination also revealed maxillary hypoplasia, increased lower one third of the face, concave bone and facial profiles and facial asymmetry with mandibular deviation to the left side. The treatment was performed in three phases: presurgical orthodontic preparation, orthognathic surgery and orthodontic finishing. In reviewing the patient's final records, the major goals set at the beginning of treatment were successfully achieved, providing the patient with adequate masticatory function and pleasant facial esthetics.

scholarly journals Surgical Treatment of Posttraumatic Laterognathia: A Case Report and a Literature Review, Focused on the Effects of a Condylar Fracture on the Face

2018 ◽  
Vol 11 (3) ◽  
pp. 211-218
Author(s):  
Felipe Ladeira Pereira ◽  
Luísa de Marilac de Alencar Pinheiro ◽  
Phelype Maia Araújo ◽  
LetíciaLiana Chihara ◽  
Renato Luiz Maia Nogueira ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Facial Asymmetry ◽  
Condylar Fracture ◽  
Professional Help ◽  
Common Complaint ◽  
The Face ◽  
Second Procedure

Facial asymmetry, following early childhood condylar trauma, is a common complaint among patients who seek surgical treatment. G.D.M., a 27-year-old male patient, sought professional help to correct his cosmetic flaw, caused by a condylar fracture when he was 8-years-old. After the proper orthodontic treatment, he underwent a double jaw orthognathic surgery and, 9 months later, a second one to correct the remaining asymmetry. Two years after this second procedure, the patient is still under surveillance and has no complaints.

scholarly journals Combined Orthodontic and Surgical Approach in the Correction of a Class III Skeletal Malocclusion with Mandibular Prognathism and Vertical Maxillary Excess Using Bimaxillary Osteotomy

2013 ◽  
Vol 2013 ◽  
pp. 1-12
Author(s):  
George Jose Cherackal ◽  
Eapen Thomas ◽  
Akhilesh Prathap
Keyword(s):  
Case Report ◽  
Surgical Approach ◽  
Orthodontic Treatment ◽  
Current Treatment ◽  
Class Iii ◽  
Mandibular Prognathism ◽  
Skeletal Malocclusion ◽  
Growth Modification ◽  
Treatment Surgery

For patients whose orthodontic problems are so severe that neither growth modification nor camouflage offers a solution, surgery to realign the jaws or reposition dentoalveolar segments is the only possible treatment. Surgery is not a substitute for orthodontics in these patients. Instead, it must be properly coordinated with orthodontics and other dental treatments to achieve good overall results. Dramatic progress in recent years has made it possible for combined surgical orthodontic treatment to be carried out successfully for patients with a severe dentofacial problem of any type. This case report provides an overview of the current treatment methodology in managing a combination of asymmetrical mandibular prognathism and vertical maxillary excess.

scholarly journals Compensatory orthodontic treatment of skeletal Class III malocclusion with anterior crossbite

2014 ◽  
Vol 19 (1) ◽  
pp. 113-122 ◽  
Author(s):  
José Valladares Neto
Keyword(s):  
Case Report ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Cranial Base ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
Orthodontic Movement ◽  
Main Complaint ◽  
Clinical Stability

INTRODUCTION: This case report describes the orthodontic treatment of an adult patient with skeletal Class III malocclusion and anterior crossbite. A short cranial base led to difficulties in establishing a cephalometric diagnosis. The patient's main complaint comprised esthetics of his smile and difficulties in mastication. METHODS: The patient did not have the maxillary first premolars and refused orthognathic surgery. Therefore, the treatment chosen was orthodontic camouflage and extraction of mandibular first premolars. For maxillary retraction, the vertical dimension was temporarily increased to avoid obstacles to orthodontic movement. RESULTS: At the end of the treatment, ideal overjet and overbite were achieved. CONCLUSION: Examination eight years after orthodontic treatment revealed adequate clinical stability. This case report was submitted to the Brazilian Board of Orthodontics and Facial Orthopedics (BBO) as part of the requirements to become a BBO diplomate.

Mesioangulation of mandibular second molars: A case report

2021 ◽  
pp. 146531252110171
Author(s):  
Silvio Augusto Bellini-Pereira ◽  
Maria Pia Seminario ◽  
Rodrigo Naveda ◽  
José Fernando Castanha Henriques ◽  
Daniela Garib ◽  
...  
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Upright Position ◽  
Second Molar ◽  
Posterior Crossbite ◽  
Simple Alternative ◽  
Aesthetic Results ◽  
Mandibular Second Molar ◽  
One Year ◽  
The Right

This case report describes a simple alternative for treatment of mesioangulation of mandibular second molars. An 11-year-old girl was diagnosed with unilateral posterior crossbite, moderate incisor crowding and mesioangulation of the right mandibular second molar. The ectopic second molar was uprighted using a modified lingual arch with a distal hook and elastic chains. Orthodontic traction began after appliance installation and was activated once per month using 120 g of force. After six months, the right mandibular second molar was in an upright position. Orthodontic treatment continued with teeth levelling and alignment until acceptable occlusal and aesthetic results were achieved. Adequate stability was observed one year after debonding. The modified mandibular lingual arch with a distal hook is a simple and effective alternative to manage mesioangulation of mandibular second molars with minimum adverse effects and stable outcomes.

scholarly journals The Restoration of Function and Esthetics of a Patient with Amelogenesis Imperfecta Using a Combination of Orthodontic and Prosthodontic Treatment: A Case Report

2009 ◽  
Vol 10 (6) ◽  
pp. 79-85
Author(s):  
Seema Gupta ◽  
Sandeep Kumar
Keyword(s):  
Case Report ◽  
Facial Asymmetry ◽  
Young Female ◽  
Careful Consideration ◽  
Amelogenesis Imperfecta ◽  
Successful Outcome ◽  
Functional Rehabilitation ◽  
Posterior Teeth ◽  
Posterior Crossbite ◽  
Anterior Teeth

Abstract Aim The purpose of this case report is to present the esthetic and functional rehabilitation of the teeth in a 20-year-old patient with amelogenesis imperfecta (AI), facial asymmetry due to functional mandibular shift, and unilateral posterior crossbite. Background AI is a group of hereditary defects of enamel unassociated with any other generalized defects. AI results in poor development or the complete absence of the enamel of the teeth caused by improper differentiation of ameloblasts. Case Description This report describes the diagnosis and treatment of a young female patient with AI and facial asymmetry using a combined orthodontic-prosthodontic approach. Initially, the posterior crossbite, mandibular shift, and facial asymmetry were treated orthodontically. Later, metal-ceramic crowns for posterior teeth and allceramic crowns for anterior teeth were fabricated for final restorations. Summary Coordinated orthodontic and prosthodontic treatment, with careful consideration of patient expectations and requests, were critical for a successful outcome and patient satisfaction. Clinical Significance The complexity of the management of patients with AI supports the suggestion that the dental profession should have appropriate methods for the rehabilitation of rare dental disorders. Citation Kumar S, Gupta S. The Restoration of Function and Esthetics of a Patient with Amelogenesis Imperfecta Using a Combination of Orthodontic and Prosthodontic Treatment: A Case Report. J Contemp Dent Pract [Internet]. 2009 Nov; 10(6):079-085. Available from: http://www. thejcdp.com/journal/view/volume10-issue6-kumar.

scholarly journals Minimizing the compensatory effects of the Class III malocclusion orthodontic treatment with Biofunctional preadjusted prescription – Case report

2021 ◽  
Vol 10 (9) ◽  
pp. e57110917934
Author(s):  
Wilton Souza Rêgo Netto ◽  
Raquel Amarante ◽  
Roberto Grec ◽  
Ricardo Cesar Gobbi de Oliveira ◽  
Renata Cristina Gobbi de Oliveira ◽  
...  
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Facial Appearance ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Incisors ◽  
Mandibular Incisors

Introduction: Class III malocclusion has skeletal and dental components that can often impair the patient's facial appearance. Its treatment may involve orthognathic surgery or compensatory orthodontics. Case report: This case report presents a Class III malocclusion compensatory orthodontic treatment performed with the Biofunctional prescription brackets. Biofunctional prescription presents a torque value of 0° for the maxillary incisors and +10° for the mandibular incisors, which counteracts to the side effects of the use of Class III intermaxillary elastics, minimizing it, providing a more stable, aesthetic and with a healthier periodontal occlusion. Conclusion: The Class III malocclusion compensatory orthodontic treatment performed with Biofunctional prescription obtains satisfactory results, even depending on the patient collaboration with the use of intermaxillary elastics.

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