Abstract

AMIT,, Kumar; PREMKUMAR,, Sridhar  and  PALONE, Marcos Roberto Tovani. Severe skeletal class III malocclusion by surgery-first orthognathic approach: a case report. Salud(i)Ciencia [online]. 2021, vol.24, n.6, pp.315-323. ISSN 1667-8682.  http://dx.doi.org/10.21840/siic/166992.

Class III malocclusion is a relevant public health problem. The management of severe skeletal class III malocclusion in non-growing patients requires properly planned and well-executed orthognathic surgery by a team of at least an orthodontist and a maxillofacial surgeon. For these cases, there are two approaches to the surgery. One of them is the conventional three-stage method, which includes preoperative orthodontic treatment, orthognathic surgery, and postoperative orthodontic treatment. The other is the surgery-first orthognathic approach, which is performed without pre-surgical orthodontic treatment and should present some advantages compared to the conventional technique. However, at present, evidence on the management of class III malocclusion still needs to be expanded. In this paper, we present the management of a case of severe skeletal class III malocclusion by surgery-first orthodontic approach, based on the experience of the Tamil Nadu Government Dental College and Hospital, Chennai, India.

Keywords : malocclusion, Angle class III; corrective orthodontics, oral surgical procedures.

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