Management of severe skeletal Class III malocclusion with bimaxillary orthognathic surgery

摘要

Orthognathic surgery in conjunction with fixed orthodontics is a common indication for interdisciplinary management of severe skeletal Class III malocclusion. Athorough analysis of pretreatment investigations and development of a surgical visual treatment objective is essential to plan the type of surgical technique required.Bimaxillary orthognathic surgery is the most common type of surgical procedure for severe skeletal discrepancies. The present case report is a combined ortho-surgicalteam management of a skeletally Class III patient. The severity of the case required bilateral upper first premolar extraction for dentoalveolar decompensation andsimultaneous “Two-jaw surgery” with maxillary advancement of 4 mm and mandibular setback of 7 mm. Postsurgery, a pleasing good facial profile was achieved withClass II molar relation and positive overjet.