title: Orthodontic-orthognathic surgical treatment in a patient with Class II subdivision malocclusion: occlusal plane alteration.
abstract: Despite the different orthodontic treatment options for patients with Class II subdivision malocclusions, the involvement of the skeletal structures is significant. It is desirable to combine orthodontic and surgical treatment to achieve a stable and better esthetic result, as illustrated in this case report. The occlusal plane was canted to the right as a part of the patient's facial asymmetry. Consequently, a 3-mm differential impaction of the maxilla on the left side allowed occlusal plane leveling. Mandibular rotation with advancement on the right side corrected the right Class II malocclusion. The successful attainment of the treatment goals was accomplished through teamwork and integration between the orthodontist and the maxillofacial surgeon.
authors: Department of Orthodontics, Centro de Investigação Ciências da Saúde, Instituto Superior de Ciências da Saúde-Norte/CESPU, Gandra, Portugal. terpinho@netcabo.pt
authors: Teresa
authors: T
authors: Pinho
authors: Adriano
authors: A
authors: Figueiredo
mesh_terms: D000328:Adult; D002508:Cephalometry; D003766:Dental Occlusion; D005146:Facial Asymmetry / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008312:Malocclusion, Angle Class II / Q000601:surgery / Q000628:therapy*; D019186:Mandibular Advancement / Q000379:methods; D008437:Maxilla / Q000601:surgery; D008964:Molar, Third / Q000601:surgery; D009971:Orthodontics, Corrective / Q000379:methods*; D056948:Orthognathic Surgical Procedures / Q000379:methods*; D019340:Osteotomy, Le Fort / Q000379:methods; D059229:Osteotomy, Sagittal Split Ramus / Q000379:methods; D010347:Patient Care Planning; D010348:Patient Care Team; D063173:Retrognathia / Q000601:surgery / Q000628:therapy; D014087:Tooth Movement Techniques / Q000295:instrumentation / Q000379:methods; D016896:Treatment Outcome