title: Surgical-orthodontic treatment of Class I malocclusion with maxillary vertical excess--a case report.
abstract: This article describes the treatment of an adult male with vertical maxillary excess, excessive gingival display on smiling, a convex profile, proclined upper and lower incisors, and crowded lower anteriors with severe lip incompetence. The therapy included stages: (1) Pre surgical orthodontics- leveling and aligning of the maxillary and mandibular arch with closure of all extraction spaces. (2) Surgical phase-Lefort I osteotomy for superior maxillary impaction, 5 mm of anterior and 3 mm of posterior impaction ofmaxilla was done. (3) Post surgical orthodontics for finishing and detailing. The treatment lasted 16 months; improved facial esthetics significantly; and resulted in a normal occlusion, overjet, and overbite.
authors.affiliation: Department of Orthodontics and Dentofacial Orthopaedics, J.S.S. Dental College and Hospital, Mysore, Karnataka, India.
authors.forename: Jyothi
authors.initials: J
authors.lastname: Kiran
authors.forename: Anish
authors.initials: A
authors.lastname: Isaac
authors.forename: Ravis
authors.initials: R
authors.lastname: Shanthraj
authors.forename: Shivalinga
authors.initials: S
authors.lastname: Madannagowda
mesh_terms: D002508:Cephalometry; D005881:Gingiva / Q000473:pathology; D006801:Humans; D008046:Lip / Q000503:physiopathology; D008297:Male; D008311:Malocclusion, Angle Class I / Q000150:complications / Q000601:surgery* / Q000628:therapy; D009971:Orthodontics, Corrective / Q000295:instrumentation / Q000379:methods; D019340:Osteotomy, Le Fort; D057887:Overbite / Q000150:complications / Q000601:surgery* / Q000628:therapy*; D055815:Young Adult