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Introduction: Angle classification is a classification commonly used for malocclusion in the field of orthodontics. Mandibular prognation is one of the skeletal features of Class III dentoskeletal classification or defined as mesiocclusion. The prevalence of class III dentoskeletal occurrence in Asian populations is much higher than Caucasian racial populations. Aim of research is to obtain data of Orthognathic surgery case overview in patients with class III dentoskeletal angle classification Methods: Type of research is using a retrospective descriptive method by taking secondary data from medical record cards of orthognathic surgery cases. The population in this study were all medical record data of patients undergoing orthognathic surgical treatment in the Oral and Maxillofacial Surgery Department of RSUP Dr. Hasan Sadikin 2006-2011 period. The sample in this study is medical record data of patients with Class III dentoskeletal classification performed orthognathic surgery in the period 2006-2011. then classified by year of surgery, sex, age, Angle classification, state of anterior open bite, location of surgery, and technique used in surgery. Result: 2% of orthognathic surgical patients have a Class III Angle relationship and only 8% of orthognathic surgical patients have a Class II Angle relation. Based on the anterior tooth overbite relation in patients with an Angle class III relationship, there are 16 patients who have an open bite relation on the anterior teeth. Only 8 patients from Angle III class relationships were treated with orthognathy without an anterior open bite relation.Conclusion: In the period 2006-2011, the Department of Oral and Maxillofacial Surgery Dr. Hasan Sadikin handled 26 orthognathic surgical patients, The most orthognathic surgical patients were in the age group of 21-25 years and the difference in the number of male and female patients was only small, Cases of orthognathic surgery in patients with class dentoskeletal Angle classification III is the most handled case by the Department of Oral and Maxillofacial Surgery Dr. Hasan Sadikin Bandung in the period 2006-2011 reached 92.31% of all orthognathic surgery cases or 24 cases. (4) Most orthognathic surgical patients with Class III dentoskeletal classification have an anterior open bite relation. The most commonly performed surgical techniques for patients with Class III dentoskeletal classification are bimaxillary surgical techniques with a combination of Le Fort 1 osteotomy techniques on the maxilla and sagittal split osteotomy and genioplasty of the mandible.

Introduction: Labioplasty is a surgical approach to reconstructs and repairs the cleft lip defect. The main purpose of this study is to observe the performance result of labioplasty through out the period of January till December 2007 according to the comprehensive assessment performed by Indonesian Cleft Center Team. Other purpose is to determine the least and the most complicated structure to be reconstructed in labioplasty. Apart from that, types of secondary reconstructive surgery, how many patients require and implement this secondary surgery are determined in this study. Methods: The method used for this study was descriptive retrospective which in the sample are post-labioplasty patients that came for assessment. With astounding years of experience, Indonesian Cleft Center Team is expected able to handle every case judiciously regarding its clinical severity. Results: Result shows that the performance result of labioplasty does not necessarily coincided with the severity of the cases. The most complicated structure to be reconstructed in labioplasty is Cupid’s bow whilst the least complicated are the thickness of vermilion and avoidance to create cicatrix. Conclusion: Type of secondary reconstructive indicated for the patient to repair the remaining deformities are secondary lip repair, rhinoplasty, fistula closure and bone graft. The amount of patient that is indicated for it is in total 25 patients and only 1 patient implemented the surgery.

Pendahuluan: Asimetri wajah akibat canting oklusal rahang atas seringkali menjadi keluhan  estetika wajah pasien. Perawatan canting oklusal parah memerlukan kombinasi perawatan ortodonti cekat dengan bedah ortognati. Tujuan laporan kasus ini adalah untuk menjelaskan perawatan ortodonti cekat kombinasi bedah Le Fort 1 pada kasus canting oklusal rahang atas pada maloklusi dentoskeletal kelas III disertai asimetri wajah. Laporan kasus: Seorang pasien perempuan umur 17 tahun 7 bulan datang ke praktek pribadi dengan keluhan gigi rahang atas miring, gigi belakang kanan tidak dapat mengunyah dengan nyaman. Pasien ingin dirawat gigi dan rahangnya. Pemeriksaan ekstra oral menunjukan wajah asimetri, profil cekung dan dagu sedikit menonjol. Pemeriksaan intra oral,  garis median rahang atas bergeser ke kiri, rahang bawah bergeser ke kanan, crossbite anterior, crossbite posterior unilateral, retrusi gigi anterior rahang atas dan rahang bawah. Analisis sefalometri lateral: maloklusi dentoskeletal kelas III. Diagnosis yang diberikan adalah maloklusi dentoskeletal kelas III disertai canting oklusal rahang atas, wajah asimetri, crossbite anterior, crossbite unilateral posterior. Rencana perawatan adalah perawatan ortodonti cekat kombinasi bedah ortognati Le Fort 1. Perawatan dilakukan dalam 4 tahap yaitu perawatan ortodonti dekompensasi, perawatan bedah ortognati rahang atas, perawatan ortodonti pasca bedah rahang, debonding dan pemasangan retainer. Simpulan: Maloklusi skeletal kelas III disertai canting oklusal rahang atas, asimetri wajah, crossbite anterior, dan crossbite posterior unilateral, yang dirawat menggunakan alat ortodonti cekat dan bedah ortognati Le Fort 1 dapat berhasil dengan baik. Relasi dental dan skeletal tercapai kelas I, interdigitasi gigi rahang atas dan rahang bawah mengunci, fungsi pengunyahan terkoreksi serta pasien merasa sangat puas dengan estetika wajahnya.Kata kunci: Maloklusi skeletal kelas III, asimetri wajah, canting maksila, crossbite anterior, crossbite posterior unilateral, bedah ortognati. ABSTRACTIntroduction: Facial asymmetry due to maxillary occlusal cant often becomes a facial aesthetics complaint. Treatment of severe occlusal cant requires a combination of fixed orthodontic treatment with orthognathic surgery. This case report was aimed to describe the combined fixed orthodontic treatment of Le Fort 1 in maxillary occlusal cant of class III dentoskeletal malocclusion with facial asymmetry. Case report: A female patient aged 17 years seven months came to the private clinic, complained of oblique maxillary teeth, and the right posterior was unable to masticate comfortably. The patient wants to be treated for her teeth and jaw. Extraoral examination revealed facial asymmetry, sunken profile and slightly protruding chin. The intraoral examination resulted in the maxillary median line that shifted to the left, mandible shifted to the right, anterior crossbite, unilateral posterior crossbite, and retrusion of maxillary and mandibular anterior teeth. The lateral cephalometric analysis resulted in class III dentoskeletal malocclusion. The diagnosis was class III dentoskeletal malocclusion with maxillary occlusal cant, facial asymmetry, anterior crossbite, and posterior unilateral crossbite. The treatment plan was fixed orthodontic treatment combined with Le Fort orthognathic surgery. The treatment was carried out in 4 stages: decompensated orthodontic treatment, maxillary orthodontic treatment, post-orthognathic surgery orthodontic treatment, debonding, and retainer placement. Conclusion: Class III skeletal malocclusion with maxillary occlusal cant, facial asymmetry, anterior crossbite, and the unilateral posterior crossbite was successfully treated with a fixed orthodontic appliance and Le Fort 1 orthognathic surgery. The dental and skeletal relations were achieved for class I, the interdigitation of the maxillary and mandibular teeth was locked, the masticatory function was corrected, and the patient was very satisfied with her facial aesthetics.Keywords: Class III skeletal malocclusion, facial asymmetry, maxillary cant, anterior crossbite, unilateral posterior crossbite, orthognathic surgery.

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