title: Class II surgical-orthodontic treatment of a patient with severe coronary disease: 5 years of follow-up.
abstract: This case study describes the retreatment and long-term follow-up care of a patient with a medical history of 2 heart surgeries and a Class II malocclusion that included a severe anteroposterior skeletal discrepancy characterized by mandibular deficiency. The patient's initial orthodontic camouflage treatment was poorly performed and failed to correct the maxillofacial disorders. In this article, we report the successful retreatment with a surgical-orthodontic protocol and include the 5-year follow-up records showing stable results. Guidelines for the stratification of cardiac risk are included.
authors.affiliation: Department of Orthodontics, School of Dentistry, State University of Rio de Janeiro, Rio de Janeiro, Brazil. aafranco@oi.com.br
authors.forename: Alexandre A
authors.initials: AA
authors.lastname: Franco
authors.forename: José Augusto M
authors.initials: JA
authors.lastname: Miguel
mesh_terms: D000328:Adult; D002508:Cephalometry / Q000379:methods; D003327:Coronary Disease / Q000150:complications*; D017742:Dental Care for Chronically Ill; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008137:Longitudinal Studies; D008312:Malocclusion, Angle Class II / Q000601:surgery* / Q000628:therapy; D019186:Mandibular Advancement / Q000379:methods; D009971:Orthodontics, Corrective / Q000379:methods*; D056948:Orthognathic Surgical Procedures / Q000379:methods*; D059229:Osteotomy, Sagittal Split Ramus / Q000379:methods; D057887:Overbite / Q000601:surgery / Q000628:therapy; D010155:Palatal Expansion Technique / Q000295:instrumentation; D010347:Patient Care Planning; D019233:Retreatment; D063173:Retrognathia / Q000601:surgery / Q000628:therapy; D014087:Tooth Movement Techniques / Q000379:methods; D016896:Treatment Outcome