Mandibular "tripod" advancement of a Class II Division 2 deepbite malocclusion.
This case report describes the treatment of a 25-year-old woman with a Class II malocclusion, secondary to mandibular skeletal deficiency, and mild overclosure. Inferior surgical repositioning of the maxilla is often the treatment of choice for patients with maxillary vertical deficiency; however, this patient had borderline vertical deficiency that was treated with a mandibular "tripod" advancement (leveling of the mandibular arch after surgery) coupled with a setback and down-grafting genioplasty. The surgical-orthodontic treatment plan, combined with cosmetic dentistry, resulted in dramatically improved facial esthetics and occlusal relationships.
Low
Laura E
LE
Department of Orthodontics, University of Iowa, Iowa City, Iowa, USA.
Moore
Theodore E
TE
Austin
Kevin R
KR
Burton
Richard G
RG
Marshall
Steve D
SD
Southard
Karin A
KA
Southard
Thomas E
TE
D000328:Adult; D005260:Female; D006801:Humans; D008312:Malocclusion, Angle Class II / Q000628:therapy*; D019186:Mandibular Advancement / Q000295:instrumentation / Q000379:methods*; D009971:Orthodontics, Corrective / Q000295:instrumentation / Q000379:methods*; D056948:Orthognathic Surgical Procedures / Q000379:methods*; D010027:Osteotomy / Q000379:methods; D016896:Treatment Outcome; D014716:Vertical Dimension