Open AccessOrthognathic surgical approach for management of skeletal class II vertical malocclusion
Author(s) -
Sanjay Sundararajan,
Ratna Parameswaran,
Devaki Vijayalakshmi
Publication year - 2018
Publication title -
contemporary clinical dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.289
H-Index - 21
eISSN - 0976-237X
pISSN - 0976-2361
DOI - 10.4103/ccd.ccd_79_18
Subject(s) - orthognathic surgery , medicine , malocclusion , craniofacial , orthodontics , occlusion , dentistry , premolar , surgery , psychiatry , molar
The current era of orthodontics has evolved from regular dental corrections to achieve the most needed harmony between functional stability and esthetics enhancement of craniofacial structures. The "desire" for attaining this harmony led to the birth of orthognathic surgeries. The orthognathic approach has undergone a paradigm shift through the years, from correcting the skeletal component to addressing the soft tissues, thus optimizing esthetic outcome. This present case report is of a patient with skeletal Class II malocclusions with vertical maxillary excess (VME), managed by multidisciplinary treatment approach. The treatment progressed through presurgical orthodontics with premolar extraction followed by bi-jaw surgery. The outcome resulted in a phenomenal change in the profile by establishing a Class I skeletal base with a stable occlusion.