IP Indian Journal of Orthodontics and Dentofacial Research
Official Publication of Khyati Education And Research Foundation
Official Publication of Khyati Education And Research Foundation
Print ISSN: 2581-9356
Online ISSN: 2581-9364
CODEN : IIJOCV
IP Indian Journal of Orthodontics and Dentofacial Research (IJODR) open access, peer-reviewed quarterly journal publishing since 2015 and is published under the Khyati Education and Research Foundation (KERF), is registered as a non-profit society (under the society registration act, 1860), Government of India with the vision of various accredited vocational courses in healthcare, education, paramedical, yoga, publication, teaching and research activity, with the aim of faster and better dissemination of knowledge, we will be publishing the more...Case Report
Author Details :
Volume : 9, Issue : 3, Year : 2023
Article Page : 206-211
https://doi.org/10.18231/j.ijodr.2023.037
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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