Dental and Medical Problems
2020, vol. 57, nr 1, January-March, p. 103–109
Publication type: clinical case
Complex orthodontic and surgical management of an adult patient with transverse maxillary deficiency and skeletal class III malocclusion: A case report
Kompleksowe leczenie ortodontyczno-chirurgiczne pacjentki dorosłej z niedorozwojem poprzecznym szczęki i III klasą szkieletową – opis przypadku
1 Department of Maxillofacial Surgery, Wroclaw Medical University, Poland
2 Department of Maxillofacial Orthopedics and Orthodontics, Wroclaw Medical University, Poland
Skeletal deformities constitute a relatively common structural and functional craniofacial abnormality. The chief complaints reported by patients include a lack of satisfaction with facial appearance, difficulty with breathing or eating, and altered speech. The management of skeletal malocclusion requires a complex orthodontic and surgical approach. The paper presents the case of a 28-year-old woman with maxillary constriction and skeletal class III malocclusion. Transpalatal distraction (TPD), based on the distraction osteogenesis phenomenon, was used for correcting transverse maxillary deficiency by increasing the maxillary bone base, and therefore the transverse maxillary dimension. The next stage was orthodontic treatment, involving dentoalveolar decompensation, as part of preparation for bimaxillary osteotomy (BIMAX). The last stage of the complex treatment was BIMAX, which ultimately eliminated skeletal defects in both the sagittal and frontal planes. This complex multidisciplinary management significantly improved facial harmony, increased nasal volume, caused a shift from mouth breathing to nasal breathing, and restored normal occlusal relationships.
orthognathic surgery, orthodontics, skeletal maxillary constriction, skeletal deformities
chirurgia ortognatyczna, ortodoncja, zwężenie szczęki, wady gnatyczne
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