Open AccessManagement of an orthognathic surgery treatment in a skeletal class III patient: case report.
Author(s) -
Daniela Orozco Jiménez,
Alejandro Andrade Torres,
Alejandra Castro García,
Raúl Roca Pereda,
Miguel Ángel Casillas Santana
Publication year - 2021
Publication title -
revista estomatologia/revista estomatologâia/revista estomatología y salud
Language(s) - English
Resource type - Journals
eISSN - 2248-7220
pISSN - 0121-3873
DOI - 10.25100/re.v29i2.11311
Subject(s) - orthognathic surgery , medicine , orthodontics , radiation treatment planning , dentistry , temporomandibular joint , muscles of mastication , mandibular prognathism , osteotomy , surgery , radiation therapy
The treatment established as the gold standard for skeletal deformities of the craniofacial complex is orthodontic treatment combined with orthognathic surgery, to achieve occlusal stability, facial harmony, improved mastication, phonation and breathing. The conventional orthognathic surgery protocol consists of 3 phases: pre-surgical orthodontic treatment, orthognathic surgery and post-surgical orthodontics.Case Report: 18 year old female patient with skeletal class III. She presents occasional pain, crepitation and luxation of the temporomandibular joint, laterognathia.Treatment: Conventional orthognathic surgery of both jaws with unilateral sagittal osteotomy.Results: The objectives of the treatment plan were achieved 1 year and 9 months after starting orthodontic treatment.Conclusion: With a good diagnosis and treatment planning orthodontic - maxillofacial surgery ensures excellent results, as well as bone stability and occlusal harmony post-surgery.