Combination approach for treatment of mandibular prognathism: Bilateral saggital split osteotomy with pre & post surgical orthodontics

Authors : Gaurav Gupta, Gaurav Gupta, Dinesh Kumar Gupta, Dinesh Kumar Gupta, Priyanka Gupta, Priyanka Gupta, Neelja Gupta, Neelja Gupta

DOI : 10.18231/j.ijodr.2021.042

Volume : 7

Issue : 3

Year : 2021

Page No : 261-266

Various features of a human face collated in different ratios produce a distinct smile and esthetics. Any deflection from the accepted facial development and symmetry brings about vexatious facial appearance, depression and diffidence of patient. So a compendious smile designing is imperfect without scrutinizing the dentofacial features. Tremendous progress in the surgical discipline has made it possible to treat the major dentofacial deformities successfully, for whom orthodontic camouflage and growth modification would have resulted in unstable and displeasing results. Orthognathic surgery is the art and science of diagnosis, treatment planning and implementation of treatment to correct musculoskeletal, dentoosseous and soft tissue deformities of the jaws and orofacial appratus. With bona fide diagnosis and treatment planning, pleasing smile and functionally stable results can be obtained in skeletal class 3 malocclusion. Orthognathic surgery should be flawlessly integrated with orthodontics and other dental treatments to achieve satisfactory outcome. In orthognathic correction of skeletal discrepancies, various treatment modalities should be considered to come up with adequate outcome and least trauma to patient. Due to the meticulous advancement in recent decades, combined approach of orthognathic surgery and orthodontic treatment has been rewarded for severe dentofacial deformities. We are presenting here a case of skeletal class 3 malocclusion with symmetrical mandibular prognathism treated with combination approach.
 

Keywords: Combination approach, Mandibular prognathism, Orthognathic surgery, Skeletal Class 3 malocclusion.


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