Il trattamento chirurgico delle III Classi

Abstract

Objectives Aim of the study is to identify the basic criteria to choose a surgical treatment for Class III malocclusions together with the fundamental principles of surgical-orthodontic treatment. Materials and methods In planning the treatment, the clinician must consider the type and severity of the malocclusion, the age of the patient, aesthetic demands and/or functional needs. The choice of osteotomy must be based on aesthetical and morphological considerations, rather than cephalometric measurements. The orthodontic treatment before surgery has to be functional and fit the scheduled ostetomy. Results The authors report some cases treated with different surgical options, with a follow-up of 2, 5, and 15 years. Conclusions Surgical treatment is indicated in a very high number of patients affected by Class III malocclusions. A comprehensive surgical-orthodontic approach allows to obtain very satisfactory long-term results from both an aesthetical and functional point of view.