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    Case Report 1

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    atika
    This case report describes the treatment of a 26-year-old man with an anterior open bite using 2-jaw orthognathic surgery. He had a class III molar relationship, open bite, crossbite, and retroclined lower incisors. Treatment involved Lefort I maxillary advancement with expansion and down fracture to correct the open bite and midface deficiency. Bilateral sagittal split osteotomies corrected the open bite and mandibular asymmetry. The treatment resulted in correction of the facial and dental aesthetics with a class I occlusion and improved overbite and overjet.

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    Case Report 1

    Uploaded by

    atika
    44 views16 pages
    This case report describes the treatment of a 26-year-old man with an anterior open bite using 2-jaw orthognathic surgery. He had a class III molar relationship, open bite, crossbite, and retroclined lower incisors. Treatment involved Lefort I maxillary advancement with expansion and down fracture to correct the open bite and midface deficiency. Bilateral sagittal split osteotomies corrected the open bite and mandibular asymmetry. The treatment resulted in correction of the facial and dental aesthetics with a class I occlusion and improved overbite and overjet.

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    CASE REPORT 1

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    This case report describes the treatment of a 26-year-old man with an anterior open bite using 2-jaw orthognathic surgery. He had a class III molar relationship, open bite, crossbite, and retroclined lower incisors. Treatment involved Lefort I maxillary advancement with expansion and down fracture to correct the open bite and midface deficiency. Bilateral sagittal split osteotomies corrected the open bite and mandibular asymmetry. The treatment resulted in correction of the facial and dental aesthetics with a class I occlusion and improved overbite and overjet.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    44 views16 pages

    Case Report 1

    Uploaded by

    atika
    This case report describes the treatment of a 26-year-old man with an anterior open bite using 2-jaw orthognathic surgery. He had a class III molar relationship, open bite, crossbite, and retroclined lower incisors. Treatment involved Lefort I maxillary advancement with expansion and down fracture to correct the open bite and midface deficiency. Bilateral sagittal split osteotomies corrected the open bite and mandibular asymmetry. The treatment resulted in correction of the facial and dental aesthetics with a class I occlusion and improved overbite and overjet.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 16

    CASE REPORT 1

    Anterior Open Bite Correction with 2 Jaw


    Orthognathic Surgery

    PRESENTED BY : SHAHNOOR ZIA


    DEPARTMENT OF ORTHODONTICS SPH QUETTA
    CASE PRESENTATION

    “A 26 years old White man visits the


    orthodontic consultation with a chief
    complaint of open bite .
    He has previously been an orthodontic
    patient when he was 13 years old . Now
    diagnosed by a speech pathologist who
    observed that he had severe articulation
    impairment and a tongue thrust habit ‘’
    CLINICAL FEATURES
    EXTRA ORAL FEATURES

    • FACE FORM : Mesoproscopic


    • PROFILE : Straight
    • NASOLABIAL ANGLE : obtuse
    • Nose deviated to the right
    • Chin deviated to the Left
    • Maxillary hypoplasia and mild
    mandibular prognathism
    INTRA ORAL FEATURES
    • MOLAR RELATIONSHIP: class III
    relationship bilaterally
    • CANINE RELATIONSHIP : class lll on
    right and class 1 relationship on left
    • MAXILLARY MIDLINE : 1mm right to
    the facial midline
    • MANDIBULAR MIDLINE :2mm left to
    the facial midline
    • OVERJET : -1.0 mm
    • OPEN BITE : 7.0 mm on the maxillary
    right central incisor with lateral open
    bites
    • CURVE OF SPEE : flat ( contact only
    on second molar )
    • MINIMAL GINGIVAL ATTACHMENT
    IN THE MANDIBULAR ANTERIOR
    • ANTERIOR AND POSTERIOR TEETH
    CROSSBITE • GINGIVAL RECESSION ON THE
    MAXILLARY FIRST MOLAR
    PANORAMIC RADIOGRAPH shows that all third molars
    have been extracted
    BOLTON DISCREPENCY observed due to small maxillary lateral
    incisor
    CEPHALOMETRIC ANALYSIS
    Lateral cephalometric
    analysis indicates
    • Class III pattern
    • Hyperdivergent growth
    pattern
    • Maxillary incisor has normal
    inclination
    • Mandibular incisors are
    retroclined
    TREATMENT OBJECTIVES
    Correction of jaw deformities
    Correction of anterior Open bite
    Correction of Bilateral crossbite
    Correction of midline
    Establishing class I molar and canine relationship
    Obtaining normal overbite and overjet
    Improvement of facial and dental esthetics
    TREATMENT ALTERNATIVES
    1. Combination of orthodontic and
    orthognathic surgery
    • Lefort 1 maxillary advancement
    osteotomy with expansion of the
    posterior segment (differential
    impaction )
    • Down fracture of the anterior
    segment to correct open bite,
    transverse discrepancy, midface
    deficiency ,occlusal cant ,maxillary
    midline and maxillary incisor display
    • Bilateral sagittal split osteotomy will
    correct the open bite , mandibular
    asymmetry and midline.
    TREAMENT ALTERNATIVES

    2. Camouflage orthodontic treatment (temporary skeletal


    anchorage device )
    • slowly expand posterior teeth
    • Intrude the maxillary molars
    3. Orthodontic treatment with extraction of maxillary second
    premolars and mandibular first premolars along with extrusion of
    maxillary and mandibular incisors ( this would compromise facial
    esthetics)
    TREATMENT RESULT
    POST TREATMENT RECORD SHOWS IMPROVEMENT IN
    • Facial esthetics
    • Correction of mandibular asymmetry
    • Correction of open bite and cross bite
    • Establishment of class 1 dental relationship
    • Corrected midline
    • Improved smile line
    • Incisor display

    POST TREATMENT PANORAMIC SHOWS


    • Overall root alignment
    • No evidence of root resorption
    POST TREATMENT FACIAL AND INTRA ORAL
    PHOTOGRAPHS
    POST TREATMENT DENTAL CASTS
    POST TREATMENT RADIOGRAPHS

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