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  1. University of Dental Medicine, Yangon
  2. Department of Orthodontics

Dentoskeletal Changes of Skeletal Class III Malocclusion with Severe Facial Asymmetry after Orthognathic Surgery: Case Report

http://hdl.handle.net/20.500.12678/0000007306
http://hdl.handle.net/20.500.12678/0000007306
531884fb-1ebd-4e71-9413-e7b662dc8ad6
fdfbd22a-4025-4d01-98b2-d93e6d96cf68
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10-Dentoskeletal_Changes_of_Sekletal_Class_III_Malocclusion_with_Severe_Facial_Asymmetry_after_Orthognathic_Surgery_Case_Report_(Dr_TPA,Dr_AMS,_Dr_ZWM,_Dr_ZZW,_Dr_WN,_Dr_HHY)1.pdf 10-Dentoskeletal_Changes_of_Sekletal_Class_III_Malocclusion_with_Severe_Facial_Asymmetry_after_Orthognathic_Surgery_Case_Report_(Dr_TPA,Dr_AMS,_Dr_ZWM,_Dr_ZZW,_Dr_WN,_Dr_HHY)1.pdf (680 KB)
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Journal article
Upload type
Publication
Title
Title Dentoskeletal Changes of Skeletal Class III Malocclusion with Severe Facial Asymmetry after Orthognathic Surgery: Case Report
Language en
Publication date 2020-01-01
Authors
Toe Pyae Aung
Aung Myat Shein
Zin Wai Myint
Zin Zin Win
Win Naing
Hla Hla Yee
Description
Craniofacial asymmetry is expressed as the difference in size between two parts of the face. It is originated by a discrepancy in size and position between the cranial base and the maxilla, between the cranial base and the mandible, or between the maxilla and the mandible. When the craniofacial asymmetry is severe and the patient has completed growth, the indicated treatment is performed in conjunction with orthodontics and orthognathic surgery, traditional approach or surgery first approach. A 24 year-old woman had chief complaints of mandibular protrusion and facial asymmetry. Extraoral examination indicated mandibular deviation to the right side, severe facial asymmetry, and a concave profile. Orthognathic surgical treatment plan was Lefort I osteotomy and two-piece maxillary osteotomy to correct the posterior crossbite. Concomitant surgical procedure for the mandible was bilateral sagittal split osteotomy to correct facial asymmetry and mandibular protrusion. After orthognathic surgery followed by postsurgical orthodontic treatment reveals skeletal Class I and acceptable facial aesthetics with Class I occlusion. According to this case report, double jaw surgical procedure including maxillary and mandibular movements is indicated for the treatment of severe facial asymmetry and skeletal Class III malocclusion.
Keywords
Facial Asymmetry, Mandibular Protrusion, Presurgical Orthodontic Treatment, Orthognathic Surgery, Postsurgical Orthodontic Treatment
Identifier http://udmyangon-edu.com
Journal articles
No.1
Journal of Dental Science-UDMY
72-78
Vol.1
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