Abstract:Orthognathic surgery involves correction of functional and often esthetic disharmonies. The purpose of this case report is to present the case of a 22 years-old female with class III dentofacial deformity that required orthognathic surgery to treat her malocclusion and buccal fat pad excision for optimizing soft-tissue facial contour. Treatment planning involved a counterclockwise rotation of the maxilomandibular complex with genioplasty based on digital 3D surgical planning using the Dolphin Imaging ® 11.7 3DPremium software. Prototyping splints allowed surgical procedures (bilateral sagital mandibular osteotomy associated to a Le fort I osteotomy) that corrected position of the gnathic bones. In the same surgical procedure, the buccal fat pad was partially removed for a sharp cheek contour giving a slimmer appearance to her face. After 5 months, the patient was reassessed and reported no complaints regarding esthetics or function. This case illustrates that a combination of orthognathic surgery and an esthetic procedure can result in a stable and harmonious facial as well as occlusal outcomes.
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