Acta Scientific Dental Sciences (ASDS)(ISSN: 2581-4893)

Case Report Volume 6 Issue 2

Skeletal Class III Treated with Double Jaw Surgery: A Case Report

Chaima Attia1*, Ines Dallel2, Ramzi Moatemri3, Samir Tobji2 and Adel Ben Amor2

1Doctors (DDS), University of Monastir, Faculty of Dental Medicine, Tunisia
2Professors, PHD - University of Monastir, Faculty of Dental Medicine, Dento-Facial Orthopedics Department of Monastir Dental Clinic, Laboratory of Oral Health and Orofacial Rehabilitation, Tunisia
3Professors, PHD - University of Sousse, Faculty of Medicine of IBN EL JAZZAR of Sousse, Maxillofacial surgery Department of the university hospital of Sahloul, Tunisia

*Corresponding Author: Chaima Attia, Doctors (DDS), University of Monastir, Faculty of Dental Medicine, Tunisia.

Received: December 09, 2021; Published: January 06, 2022

Abstract

A female patient with severe class III skeletal malocclusion and hypodivergent face was treated with a conventional orthognatic treatment. Our patient had a dental class III canine and molar relationship, an anterior cross bite and a gummy smile. Her severe anomaly was responsible of some functional issues such as TMJ disorder and difficulties at mastication. We observed a straight profile with a shy and narrow smile. The treatment began with orthodontic surgery preparation(decompensation) that lasted 24 months. Then a bimaxillary surgery was conducted with Lefort 1 osteotomy of advancement and impaction, associated to mandibular osteotomy in order to rotate the lower jaw. Finally, the finishing orthodontic phase had an objective: to close posterior open bite with intermaxillary elastics. Important amelioration of esthetics, oral functions and especially better self-esteem of the patient were obtained. Cephalometric superposition demonstrated that pharyngeal airways width was improved and skeletal discrepancy was corrected.

Keywords: Skeletal Class III; Orthognatic Treatment; Pharyngeal Airway; Bimaxillary Surgery

References

  1. Salagnac JM. “Traitements des classes III”. L’Orthodontie Française2 (2006): 187-206.
  2. Burns N R., et al. “Class III camouflage treatment: What are the limits?” American Journal of Orthodontics and Dentofacial Orthopedics 1 (2010): 9.e1-9.e13.
  3. Francisco MARTINO., et al. “Surgical-orthodontic retreatment of a severe skeletal Class III malocclusion following an orthodontic camouflage”. Dental Press Journal of Orthodontics 4 (2021).
  4. Mariko Fuyamadaa., et al. “Reproducibility of maxillofacial landmark identification on three-dimensional cone-beam computed tomography images of patients with mandibular prognathism: Comparative study of a tentative method and traditional cephalometric analysis”. The Angle Orthodontist 6 (2014): 966-973.
  5. I Harakati., et al. “Frequency of malocclusions in 1383 cases of children supported by the National Health Insurance Fund”. Revue Méditerranéenne d’Odonto-Stomatologie (R.M.O.S).2016.
  6. Westwood P V., et al. “Long-term effects of Class III treatment with rapid maxillary expansion and facemask therapy followed by fixed appliances”. American Journal of Orthodontics and Dentofacial Orthopedics3 (2003): 306-320.
  7. Toffol L D., et al. “Orthopedic Treatment Outcomes in Class III Malocclusion”. The Angle Orthodontist3 (2008): 561-573.
  8. Ngan P. “Early treatment of Class III malocclusion: Is it worth the burden?” American Journal of Orthodontics and Dentofacial Orthopedics4 (2006): S82-S85.
  9. Tejashri Pradhan., et al. “Treatment Effect of Combined Surgical Maxillary Expansion and Mandibular Setback in Skeletal Class III”. Contemporary Clinical Dentistry 2 (2021): 169-173.
  10. Barrabé A., et al. “Surgically assisted rapid palatal expansion in class III malocclusion: Our experience”. Journal of Stomatology, Oral and Maxillofacial Surgery 186 (2018): 5.
  11. Jinlong He., et al. “Impact on the upper airway space of different types of orthognathic surgery for the correction of skeletal class III malocclusion: A systematic review and meta-analysis”. International Journal of Surgery 38 (2016): 31-40.
  12. Yavuz Fındık., et al. “Comparison of psychosocial and aesthetic features of class III malocclusion after orthognathic surgery: Conventional approach versus surgery-first approach”. Journal of Stomatology, Oral and Maxillofacial Surgery (2021).
  13. Giap HV., et al. “Pharyngeal Airway Morphology in Skeletal Class III With Mandibular Asymmetry is Improved After Bimaxillary Orthognathic Surgery”. Journal of Oral and Maxillofacial Surgery5 (2021): 1107-1121.
  14. Rafael Denadai., et al. “Type of maxillary segment mobilization affects three-dimensional nasal morphology”. Journal of Plastic Reconstructive and Aesthetic Surgery3 (2020): 592-604.

Citation

Citation: Chaima Attia., et al. “Skeletal Class III Treated with Double Jaw Surgery: A Case Report". Acta Scientific Dental Sciences 6.2 (2022): 25-30.

Copyright

Copyright: © 2022 Chaima Attia., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.278

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