scholarly journals ORTHOGNATHIC TREATMENT OF A PATIENT WITH CLASS III MALOCCLUSION AND SEVERE FACIAL ASYMMETRY: REPORT OF A CASE

2017 ◽  
pp. 191-197
Author(s):  
Hande COŞKUNER ◽  
İlken KOCADERELİ ◽  
Ersoy KONAŞ
2019 ◽  
Vol 9 ◽  
pp. 59-64
Author(s):  
Ramesh Agrawal ◽  
Dolly P. Patel ◽  
Bhagyashree B. Desai

The current paper depicts the challenges faced during the treatment of a complicated case of mandibular condylar head fracture, facial asymmetry, and centric relation-centric occlusion (CR-CO) discrepancy along with Class III malocclusion. A 20-year-old female reported with the chief complaint of difficulty in chewing and concern with her appearance due to deviated jaw and had a history of trauma over chin region. The clinical and radiographic examination revealed significant facial asymmetry with long face, right-sided deviation of the mandible, fractured condyle, CR-CO discrepancy, cross- bite with Class III malocclusion, and a missing mandibular single incisor along with non-vital 21 and 22. She was treated with 0.022 MBT appliance along with guiding plane for CR-CO correction followed by asymmetric bilateral sagittal split osteotomy and differential set back on the right and left sides and finally rigid fixation. A good facial profile and functional occlusion were achieved and non-vital 21 and 22 were esthetically rehabilitated with PFM crowns. The stability of surgical as well as orthodontic corrections was excellent and appreciable in the records obtained 2-year post-treatment. When faced with mutilated malocclusion, with multiple problems, sequential correction of functional malocclusion with dental decompensation followed by skeletal correction with surgical approach has yielded a appreciable facial correction with good stability showing 2-year post-treatment follow-up.


2019 ◽  
Vol 48 (12) ◽  
pp. 1533-1541 ◽  
Author(s):  
Y.-J. Chen ◽  
C.-C. Yao ◽  
Z.-C. Chang ◽  
H.-H. Lai ◽  
K.-J. Yeh ◽  
...  

2021 ◽  
Vol 48 (2) ◽  
pp. 199-207
Author(s):  
Jong-Woo Choi ◽  
Jang-Yeol Lee

Traditional orthognathic surgery has long been performed after presurgical orthodontic treatment. Despite some concerns, the surgery-first orthognathic approach (SFOA) or surgery-first approach (SFA) without presurgical orthodontic treatment has gradually gained popularity. In recent years, several articles dealing with the concepts of the SFA have been published worldwide. However, the SFA has not yet been standardized, and many surgeons use slightly different protocols and concepts. This review article discusses the beginning and evolution of the SFA and its current concepts, including some opinions based on the authors’ clinical experiences over the last 15 years. According to recent investigations, the SFA could be applied effectively in several situations including class III malocclusion, class II malocclusion, and facial asymmetry. However, debate on the SFA continues and many issues remain to be resolved. This review article addresses the current issues regarding the SFOA, including its advantages and disadvantages, as well as its indications and contraindications. The authors summarize various aspects of the SFA and expect that this review article will help surgeons and orthodontists better understand the current status of the SFA.


2013 ◽  
Vol 2 (1) ◽  
pp. 53-59
Author(s):  
Jian-hong YU ◽  
Chi-Hsin Tseng

ABSTRACT Skeletal class III with anterior crossbite is a very common orthodontic problem in Taiwan. Early diagnosis and treatment are very important to achieve effective correction. This article reports the treatment outcomes using improved superelastic TiNi alloy wire (ISW; developed by Tokyo Medical and Dental University) for a case of skeletal class III malocclusion with anterior crossbite and lower anterior crowding combined minor facial asymmetry. ISW allowed relief of crowding to facilitate correction for this case. In comparison with the traditional treatment with SSW multiple L loops of class III patient, ISW multiloop edgewise archwire (MEAW) can provide a more efficient and easier way for the patient. After 16 months of treatment, a desirable outcome was achieved and patient was satisfied with the treatment procedure and result. How to cite this article Tseng CH, Jian-Hong YU. ISW Treatment for the Skeletal Class III with Anterior Crossbite and Minor Facial Asymmetry. Int J Experiment Dent Sci 2013;2(1):53-59.


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