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Orthosurgical synergism in the management of severe skeletal Class-III malocclusion- A case report

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Case Report

Author Details : Ashish Kamboj*, Sukhbir Singh Chopra, Paras Angrish, Munish Verma, Deepak Chauhan, Sunil Kumar Singh

Volume : 9, Issue : 3, Year : 2023

Article Page : 206-211

https://doi.org/10.18231/j.ijodr.2023.037

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Abstract

Background: What is now known as a Class-III malocclusion was initially recognized by Pierre Fauchard. True Class-III malocclusion is a genetically based condition that manifests in childhood. As the youngster reaches the teenage growth spurt, it becomes more obvious. Typically, we will discover a parent or grandparent who is dealing with the same issue. Class-III malocclusion, however, is not a disease. The abnormality itself is a compensatory mechanism to make up for variation that has happened at some point during the course of the individual's development.
Case Report: The case presented here demonstrates the importance of presurgical decompensation, surgical planning, including cephalometric predictions, and mock surgery in the management of severe skeletal Class-III malocclusion. The treatment included comprehensive orthodontic and surgical workup that included bilateral sagittal split osteotomy for mandibular setback of 3mm and LeFort-I osteotomy for maxillary advancement of 3mm.
Results: Class-I jaw relationships with a pleasing profile and correctly aligned arches were attained after 2 years of detailed treatment. This led to an aesthetic improvement and a significant increase in the patient's confidence.
Conclusion: Class-III skeletal malocclusions can be corrected surgically or through camouflage. However, an ortho-surgical approach may be necessary if the issue cannot be resolved with orthodontics alone. When done correctly, bi-jaw surgery has repeatedly been shown to be quite successful.
 

Keywords: Skeletal Class-III, Le Fort-I Osteotomy, Maxillary Advancement, Bilateral Sagittal Split Osteotomy/BSSO, Mandibular Setback

How to cite : Kamboj A, Chopra S S, Angrish P, Verma M, Chauhan D, Singh S K, Orthosurgical synergism in the management of severe skeletal Class-III malocclusion- A case report. IP Indian J Orthod Dentofacial Res 2023;9(3):206-211

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