TML-classification for effective surgical management of facial asymmetries with mandibular prognathism

Abstract

im: Orthodontist and surgeon should ork in close contact during orthodonticurgical treatments. Unfortunately, someimes this does not happen and orthodonics goes in a direction opposite to the ideal ne. An easy and quick solution to these sitations is presented. Materials and methods: A patient ith class III skeletal pattern was sent y her orthodontist for surgical correcion, nevertheless she had a perfect class dental occlusion. This happened because he patient was planned to be operated in nother center; no real orthodontic plan had een made, so the orthodontist set up by erself a treatment simply to correct the alocclusion. No surgery was possible at this point, ecause it would have created a maloccluion. The patient presented a very concave rofile and she was psychologically sufferng from it. The case was treated with anterior andibular osteotomy for dento-alveolar istraction to create a negative incisal overet and to open a one-tooth space between uspids and 1st premolars. A class III anine malocclusion was created in accorance with the existing skeletal situation. Results: Now, a bimaxillary osteotomy as performed with occlusal clockwise otation. Two dental implants were inserted n the distraction spaces, so she had three remolars in each side of the mandibular rch. Finally the patient had class I canine and lass II molar relationship. Occlusal and keletal-aesthetic result was satisfactory. Conclusions: Following this method, he frontal dento-alveolar distraction steogenesis technique was carried out n the pre-surgical orthodontic treatment very time that a severe dento-basal iscrepancy was present. Conflict of interest: None declared.