Surgical management of Class III malocclusion: A 1 year follow-up

Abstract

For patients whose orthodontic problems are so severe that neither growth modification nor camouflage offers a solution, surgery to realign the jaws or reposition dentoalveolar segments is the only possible treatment option left. One indication for surgery is a malocclusion too severe for orthodontics alone. It is possible now to be at least semiquantitative about the limits of orthodontic treatment in the context of producing normal occlusion as the diagrams of the “envelope of discrepancy” indicate. In this case report, we have presented orthognathic treatment plan of an adult male patient with skeletal Class III malocclusion and anterior crossbite. Patient's malocclusion was decompensated by orthodontic treatment just before the surgery and then normal jaw relationship achieved by bilateral sagittal split ramus osteotomy. Patient's dental and facial profile was improved in a total of 18 months treatment duration. One-year follow-up showed stable results.