A Case of Extreme Skeletal Class III Malocclusion Beyond the Envelope of Discrepancy, Managed Effectively by a Modified Ortho-Surgical Protocol

ConclusionAn effective and stable correction of the extreme class III skeletal deformity and malocclusion was achieved, with a dramatic enhancement of facial balance, symmetry and proportion in this patient, following a modified orthosurgical management protocol. The staged protocol of ‘maxilla first and mandible after’ orthognathic surgery with conventional pre- and post-surgical orthodontics helped in pushing the envelope of skeletal discrepancy correctable by orthognathic surgery, thereby achieving large quantum of jaw movements, with ideal and stable functional as well as aesthetic results. This is suggestive of its efficacy and superiority over the hitherto-employed single stage bi-jaw procedures in the management of severe skeletal discrepancies.
Source: Journal of Maxillofacial and Oral Surgery - Category: ENT & OMF Source Type: research