Introduction: Dental migrations following periodontal pathology may lead to significant aesthetic and functional complaints. In this case report, the presence of evident gingival recessions and mandibular crowding pushed us to opt for an ortho-periodontal multidisciplinary treatment plan, using extractions and incisive repositioning. Through this, we ensured tissue gain at the level of the superficial and deep periodontitis, thus avoiding the use of periodontal surgery.Clinical Case: A Moroccan 26-years-old female medical secretary who, being very concerned about her appearance and facial aesthetics, presented with pathological dental migrations following severe periodontitis, an unsatisfactory periodontal status, a clear mandibular crowding of the anterior inter-incisive diastemas, gingival recessions, attachment losses and quite large pocket depths with advanced bone resorptions in different areas. This required a specific multidisciplinary approach aiming at creating a healthy and well-structured periodontal environment through extensive periodontal treatment, combined with regular plaque control, and supplemented by an orthodontic treatment using extractions and incisive repositioning in order to avoid any vestibular movement that may worsen the recessions and will require possible overlapping. After 22 months of combined treatment, a stable occlusion was obtained with class I molar and canine relationship, perfect dental alignment, healthy periodontal architecture and significant attachment gain and bone growth. In addition, the patient’s facial aesthetics and self-confidence have been significantly improved. Conclusion: The orthodontic treatment supplementing the meticulously planned periodontal therapy that was administered for this patient has helped to improve functionality, facial aesthetics as well as psychological self-confidence. However, it must be gradual with application of mild forces and constant control of the periodontal status, for optimal tissue response.

Introduction: This case report describes compensatory orthodontic treatment in a young patient aged 13 years. She presented with a class III skeletal malocclusion associated with mandibular laterognathy. The patient's main reason for consultation was the anterior cross bite and the aesthetics of her smile.Materials and Methods: The chosen treatment was therefore an orthodontic camouflage with the extraction of the first mandibular premolars and the second maxillary premolars, in order to catch a correct anterior articular and restore a good occlusal relationship, however, the mandibular laterognathy was camouflaged by means of dental compensations and also by correcting the deviation of the incisors medians through a class III mechanics with good anchorage management.Results: After 24 months of treatment, an ideal overjet and overbite associated with a Class I canine and molar relationship, was obtained, associated with a perfect coincidence of the interincisor medians.Conclusion: Class III skeletal cases can often be treated either by orthodontic camouflage or surgery. In our case study, the treatment adopted was orthodontic camouflage with extractions. The results of the treatment were satisfactory and the occlusal objectives were achieved. The final harmonious smile pleased the patient and improved her self-esteem and quality of life.

Introduction:Orthognathic surgery has become increasingly accepted as a method of correcting moderate to severe Class III skeletal deformities. The recognition of aesthetic factors and the prediction of the final facial profile play a very important role in the planning of surgical therapy because the majority of patients are generally very sensitive to any changes in facial aesthetics after orthognathic surgery. ObjectiveEvaluate soft tissue changes (Nose, lips and chin) in relation to the underlying hard tissue movements, and surgical changes after different surgical approaches, designed to treat Class III skeletal malocclusions, including different types of two-dimensional analysis and also threedimensional analysis. MaterialsWe adopted a research strategy based on a query of five digital bibliographic databases, PubMed, Google Scholar, and Cochrane Library over a 13-year period from 2007 to 2020. We limited our research by using several keywords according to the following search equation: orthognathic surgery/skeletal class III/soft tissue/changes. In addition, no exclusion of articles based on language was made. ResultsOrthognathic surgery in class III skeletal cases causes quite considerable changes in the facial profile and also in the overlying soft tissues, in the anterior-posterior and transverse direction. However, it has been clinically proven that the external nose undergoes more or less undesirable

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