Surgical Orthodontic Treatment of Severe Skeletal Class II with Vertical Maxillary Excess.
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Date
2015-04
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Abstract
This paper describes an adult male patient who presented with a severe skeletal class II deformity with
severe gummy smile. 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 upper
fives and lower 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 (BSSO) for 6mm mandibular advancement combined with Le Fort I maxillary
osteotomy with 8mm impaction of the maxilla. 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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Orthognathic surgery
Citation
Ganugapanta Vivek Reddy, Bavikati Venkata Naidu, khan Imran, Singaraju Gowri sankar. Surgical Orthodontic Treatment of Severe Skeletal Class II with Vertical Maxillary Excess. Annals and Essences of Dentistry. 2015 Apr-June; 7(2): 37e-40e.