Abstract
The aim of this article is to describe the treatment of a skeletal Class III and asymmetric patient. Two treatment alternatives were explained: -conventional orthodontics to camouflage the skeletal anomaly and -traditional orthodontics/orthognathic surgery approach; the surgical option was selected. Pre-surgical orthodontics was applied for leveling, aligning and relieving dental compensations. A Bilateral Sagital Split Osteotomy was performed for mandibular setback. Post-surgical orthodontics was applied for finishing and detailing occlusion. Total treatment time was 10 months. Facial balance was enhanced and a good dental occlusion was achieved. Careful treatment planning by the ortho-surgical team, proper application of biomechanics and good selection of dental orthodontic materials, allow the orthodontist to delay less time in the pre and post-surgical stages in the traditional surgical orthodontic approach.
Highlights
Skeletal deformity requires surgical orthodontic treatment for correction
The new technology applied to the orthodontic systems and the new biological model allow the orthodontist to delay less time in the pre-surgical and post-surgical stages, condition appreciated by the patients, mostly because after relieving dental compensations there is a worsening of facial aesthetics and masticatory discomfort in the pre-surgical orthodontics stage
The crucial and more difficult time to handle for the patients can be the pre-surgical orthodontic stage because there is a worsening of facial aesthetics and masticatory discomfort as a result of relieving the dental compensations
Summary
Skeletal deformity requires surgical orthodontic treatment for correction. The traditional approach for these patients requires a: 1. Pre-surgical stage: to level and align, relieve dental compensations and coordinate arches, 2. The surgical stage: to perform the orthognatic surgery procedures and 3. The post-surgical stage: to detail the occlusion. The new technology applied to the orthodontic systems and the new biological model allow the orthodontist to delay less time in the pre-surgical and post-surgical stages, condition appreciated by the patients, mostly because after relieving dental compensations there is a worsening of facial aesthetics and masticatory discomfort in the pre-surgical orthodontics stage
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