Open AccessCombined orthodontic and surgical correction of adult skeletal class II with hyperdivergent jaws
Author(s) -
Jiku Abraham,
Paulami Bagchi,
Swati Gupta,
Hemant Gupta,
Ram Autar
Publication year - 2012
Publication title -
national journal of maxillofacial surgery
Language(s) - English
Resource type - Journals
eISSN - 2229-3418
pISSN - 0975-5950
DOI - 10.4103/0975-5950.102167
Subject(s) - medicine , impaction , genioplasty , maxilla , malocclusion , orthodontics , dentistry , cephalometry , soft tissue , orthognathic surgery , surgery
A case of severe Class II skeletal malocclusion with anterior open bite having vertical growth pattern and matching soft tissue profile is presented. Considering age of the patient and the severity of the malocclusion, it was decided to combine orthodontic treatment with surgery. A 0.022 Roth Pre-adjusted Edgewise Appliance was chosen for the orthodontic correction and Le-Fort 1 differential vertical impaction of maxilla with mandibular autorotation and augmentation genioplasty was considered as the treatment plan. The main aim was to reduce the gummy smile and correct the class II profile.