Surgical Orthodontic Treatment of Severe Skeletal Class II

This paper describes an adult Saudi male patient who presented with a severe skeletal class II deformity. The case was managed with a combination of presurgical orthodontic treatment followed by a double jaw orthognathic surgery and then another phase of orthodontic treatment for final occlusal deta...

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Main Authors: Fahad F. Alsulaimani, Maisa O. Al-Sebaei, Ahmed R. Afify
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2013/397809
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author Fahad F. Alsulaimani
Maisa O. Al-Sebaei
Ahmed R. Afify
author_facet Fahad F. Alsulaimani
Maisa O. Al-Sebaei
Ahmed R. Afify
author_sort Fahad F. Alsulaimani
collection DOAJ
description This paper describes an adult Saudi male patient who presented with a severe skeletal class II deformity. The case was managed with a combination of presurgical orthodontic treatment followed by a double jaw orthognathic surgery and then another phase of orthodontic treatment for final occlusal detailing. Extraction of the four first premolars was done during the presurgical orthodontic phase of treatment to decompensate upper and lower incisors and to give room for surgical setback of the maxillary anterior segment. Double jaw surgery was performed: bilateral sagittal split ramus osteotomy for 8 mm mandibular advancement combined with three-piece Le Fort I maxillary osteotomy, 6 mm setback of the anterior segment, 8 mm impaction of the maxilla, and 5 mm advancement genioplasty. Although the anteroposterior discrepancy and the facial convexity were so severe, highly acceptable results were obtained, both esthetically as well as occlusally.
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series Case Reports in Dentistry
spelling doaj-art-c21591e5f8ce4735998f6d4088aa5c052025-02-03T01:28:09ZengWileyCase Reports in Dentistry2090-64472090-64552013-01-01201310.1155/2013/397809397809Surgical Orthodontic Treatment of Severe Skeletal Class IIFahad F. Alsulaimani0Maisa O. Al-Sebaei1Ahmed R. Afify2Orthodontic Division, Department of Preventive Dental Sciences, Faculty of Dentistry, King Abdul-Aziz University, Jeddah, Saudi ArabiaOral and Maxillofacial Surgery Department, Faculty of Dentistry, King Abdul-Aziz University, Jeddah, Saudi ArabiaOrthodontic Division, Department of Preventive Dental Sciences, Faculty of Dentistry, King Abdul-Aziz University, Jeddah, Saudi ArabiaThis paper describes an adult Saudi male patient who presented with a severe skeletal class II deformity. The case was managed with a combination of presurgical orthodontic treatment followed by a double jaw orthognathic surgery and then another phase of orthodontic treatment for final occlusal detailing. Extraction of the four first premolars was done during the presurgical orthodontic phase of treatment to decompensate upper and lower incisors and to give room for surgical setback of the maxillary anterior segment. Double jaw surgery was performed: bilateral sagittal split ramus osteotomy for 8 mm mandibular advancement combined with three-piece Le Fort I maxillary osteotomy, 6 mm setback of the anterior segment, 8 mm impaction of the maxilla, and 5 mm advancement genioplasty. Although the anteroposterior discrepancy and the facial convexity were so severe, highly acceptable results were obtained, both esthetically as well as occlusally.http://dx.doi.org/10.1155/2013/397809
spellingShingle Fahad F. Alsulaimani
Maisa O. Al-Sebaei
Ahmed R. Afify
Surgical Orthodontic Treatment of Severe Skeletal Class II
Case Reports in Dentistry
title Surgical Orthodontic Treatment of Severe Skeletal Class II
title_full Surgical Orthodontic Treatment of Severe Skeletal Class II
title_fullStr Surgical Orthodontic Treatment of Severe Skeletal Class II
title_full_unstemmed Surgical Orthodontic Treatment of Severe Skeletal Class II
title_short Surgical Orthodontic Treatment of Severe Skeletal Class II
title_sort surgical orthodontic treatment of severe skeletal class ii
url http://dx.doi.org/10.1155/2013/397809
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