The patient presented with a large mandibular body and acceptable occlusion in the molar region with no lateral crossbite.
After presurgical orthodontic treatment, mandibular body ostectomy was performed in the missing second premolar region. To avoid nerve injury, we considered removal of the lateral cortical plate around the mental foramen and temporary wire fixation of the detached bone segments during contralateral body ostectomy.
Neurosensory supply of the mental region recovered within 3 months after surgery. Three years after surgery, the occlusion and periodontal health were good.