title: Management of a severe Class III malocclusion with extreme dentoalveolar compensations.
abstract: This case report describes the treatment of a 21-year-old woman with a severe Class III malocclusion, 9-mm anterior crossbite, extremely proclined maxillary anterior incisors associated with decreased buccolingual alveolar width, and a malformed supernumerary tooth. The treatment plan included fixed appliances to align and level the teeth, en masse retraction of maxillary anterior incisors after a labial and palatal corticotomy using temporary anchorage devices, high Le Fort I maxillary osteotomy for maxillary advancement, and bilateral sagittal split osteotomy for mandibular setback. Ideal overjet and overbite relationships were established, and the final esthetic result was pleasing. Occlusal stability was excellent in the 1-year follow-up.
authors.affiliation: Division of Orthodontics and Dentofacial Orthopedics, Military Dental Centre, Kirkee West, Pune, India. krnnehra@yahoo.co.in
authors.forename: Karan
authors.initials: K
authors.lastname: Nehra
authors.forename: Vineet
authors.initials: V
authors.lastname: Sharma
authors.forename: Rajat
authors.initials: R
authors.lastname: Mitra
mesh_terms: D002508:Cephalometry; D006801:Humans; D008310:Malocclusion; D008313:Malocclusion, Angle Class III / Q000628:therapy; D008334:Mandible / Q000601:surgery; D008437:Maxilla / Q000601:surgery