Complex orthodontic and surgical management of an adult patient with transverse maxillary deficiency and skeletal class III malocclusion: A case report

Nowak, Rafał; Rzepecka-Skupień, Małgorzata; Zawiślak, Ewa

doi:10.17219/dmp/112574

Cited by 3 publications

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“…Boeck et al 9 and Eslamipour et al[ 19 in their published articles they estimated that dentofacial deformity affect about 20% of the population and the highest present for occlusal disharmony related to class I (50%–55%) and class II accounts (15%–20%), whereas class III shows the least percentage (1%) of malocclusion roughly. In this study, class III and bimaxillary protrusion show the highest percentage with slight difference (35% and 31% sequentially), and this result confirmed with the result of Nowak (64.5%) on the contrary class II (32.2%) 20 …”

Section: Discussionsupporting

confidence: 89%

“…Dominance of bimaxillary surgeries is discussed in different articles 20,24 . In this study, only 16% are indicated for bimaxillary osteotomies usually decided in the severe cases where the disharmony and malocclusion are complicated, whereas the articles support the use of bimaxillary osteotomies can be attributed to the technical advances in diagnostic instruments which make the surgery easer for both the surgeon and the patients with shortening the surgery time also beside understanding and knowledge awareness about orthognathic cases management and impact on face normalization functionally and esthetically 6,22,25,26 .…”

Section: Discussionmentioning

confidence: 84%

“…In this article, demographic allocation (age, gender, and cause of visit) distributed according to skeletal discrepancies in the study sample also emphasized (Supplemental Digital Content Table 3, http://links.lww.com/SCS/F980). One hundred seventy patients (81%) show bimaxillary protrusion in age group (18)(19)(20)(21)(22)(23)(24)(25)(26)(27), as well as Angle class III is present in (167 patients [70%]).…”

Section: Resultsmentioning

confidence: 99%

“…In this study, class III and bimaxillary protrusion show the highest percentage with slight difference (35% and 31% sequentially), and this result confirmed with the result of Nowak (64.5%) on the contrary class II (32.2%). 20 Ruslin et al 21 "observe significant racial differences in the incidence of specific types of skeletal malocclusion. Class III deformities are more widespread in South-East Asian populations, affecting 15% to 23% of the people."…”

Section: Discussionmentioning

confidence: 99%

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Orthognathic Surgery Trending: Retrospective Ten Years Cases Analysis in Nineveh Province, Iraq

Al-Rawee,

Tawfeeq,

Tawfek

2024

Journal of Craniofacial Surgery

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Aims: The study aimed at analyzing patient’s case sheets in regard to the incidence of skeletal discrepancy present in cases and its relation with the demographic profile of the sample. All these are chronicled for more than 10 years periods. Methodology: This is a retrospective study analysis of the orthognathic case sheets for more than 10 years period. The total numbers of patients are 678. Patient’s case sheet was already prepared by the Multi-Disciplinary Team Orthognathic Surgery Clinic in Al-Salam Teaching Hospital, which is the only authorized committee in Nineveh Health Directorate. Results: The highest age percentage is between (18 and 27 y/76%). Angle class III cases are the uppermost cases (36%) from the total. A significant P value is clear at the level ≤0.05 and ≤0.01 between surgery type and discrepancy in anterior segmental osteotomies (upper and lower) which is performed in bi-maxillary protrusion cases and Angle class II cases (0.01**). Similarly, anterior segmental osteotomies (upper jaw only) which are indicated in both open bite and Angle Class II cases documented as a statistically significant P value (0.02*). The positive correlation is shown in all variables with the disharmony or facial discrepancies. Esthetic and beauty as causes for treatment recorded more than function in relation to time series. Conclusion: This study documents that patients with skeletal class III accounted for the largest percentage (64%) in the study group. A high increase in patients number seeking treatment for their discrepancy is obvious with time from 2009 till 2022.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 84%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Orthognathic Surgery Trending: Retrospective Ten Years Cases Analysis in Nineveh Province, Iraq

Al-Rawee,

Tawfeeq,

Tawfek

2024

Journal of Craniofacial Surgery

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“… 2 Orthognathic surgery aims to achieve functional balance of the stomatognathic system, improve dental aesthetics, promote psychological well-being, and produce long-term dental stability. 3 …”

mentioning

confidence: 99%

Severe Bilateral Mandibular Hyperplasia and Angle’s Class III Malocclusion in Indonesia: A Case Report

Bogari

Hapsari²,

Hermawan³

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Summary: Malocclusion is an abnormal relationship between the teeth of the upper and lower jaws, with irregular tooth position, including crossbite and underbite. Malocclusion can occur in the form of crooked, protruding, or crowded teeth, affecting appearance, pronunciation, and mastication. Many factors lead to malocclusions, such as heredity, growth disturbance, and bad habits. Many Indonesians undergo orthodontic treatment to improve both function and appearance. The large demand for orthodontic treatment is due to increasing public knowledge about the impact of untreated malocclusion and the rising standard of living. We present a severe and rare case of malocclusion in Indonesia. A 20-year-old man presented with bilateral mandibular condylar hyperplasia and Angle’s class III malocclusion. A multidisciplinary team, including plastic and oral surgeons, orthodontists, and psychologists, was created to address this problem. The first surgical procedure was chosen to achieve correction in the shortest possible time. Le Fort I osteotomy and mandibular bilateral sagittal split and anterior subapical osteotomies using Kole’s procedure were performed. The patient underwent preoperative and postoperative examinations. After surgery, the occlusion was corrected and facial symmetry significantly improved.

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Current Trends in Orthognathic Surgery in Poland—A Retrospective Analysis of 124 Cases

et al. 2021

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The analysis aims at assessing the current trends in orthognathic surgery. The retrospective study covered a group of 124 patients with skeletal malocclusion treated by one team of maxillofacial surgeons at the University Hospital in Zielona Góra, Poland. Various variables were analysed, including demographic characteristics of the group, type of deformity, type of osteotomy used, order in which osteotomy was performed and duration of types of surgery. The mean age of the patients was 28 (ranging from 17 to 48, SD = 7). The group included a slightly bigger number of females (59.7%), with the dominant skeletal Class III (64.5%), and asymmetries were found in 21.8% of cases. Types of osteotomy performed during surgeries were divided as follows: LeFort I, segmental LeFort I, BSSO, BSSO with genioplasty, LeFort I with BSSO, LeFort I with BSSO and genioplasty, segmental LeFort I with BSSO, isolated genioplasty. Bimaxillary surgeries with and without genioplasty constituted the largest group of orthognathic surgeries (49.1%), and a slightly smaller percentage were one jaw surgeries (46.7%). A statistically significant correlation was found between the type of surgery and the skeletal class. In patients with skeletal Class III, bimaxillary surgeries were performed significantly more often than in patients with skeletal Class II (57.5% vs. 20.0%; p = 0.0002). The most common type of osteotomy in all surgeries was bilateral osteotomy of the mandible modo Obwegeser–Epker in combination with Le Fort I maxillary osteotomy (42.7%). The order of osteotomies in bimaxillary surgeries was mandible first in 61.3% of cases. The longest surgery was bimaxillary osteotomy with genioplasty (mean = 265 min), and the shortest surgery was isolated genioplasty (mean = 96 min). The results of the analysis show a significant differentiation between the needs of orthognathic surgery and the types of corrective osteotomy applied to the facial skeleton.

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Complex orthodontic and surgical management of an adult patient with transverse maxillary deficiency and skeletal class III malocclusion: A case report

Cited by 3 publications

References 0 publications

Orthognathic Surgery Trending: Retrospective Ten Years Cases Analysis in Nineveh Province, Iraq

Orthognathic Surgery Trending: Retrospective Ten Years Cases Analysis in Nineveh Province, Iraq

Severe Bilateral Mandibular Hyperplasia and Angle’s Class III Malocclusion in Indonesia: A Case Report

Current Trends in Orthognathic Surgery in Poland—A Retrospective Analysis of 124 Cases

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