title: Interdisciplinary treatment for an adult patient with anterior open bite, severe periodontitis, and intellectual disability.
abstract: This case report describes the beneficial effects of the interdisciplinary treatment of an adult patient with severe skeletal periodontal problems. A 30-year-old female patient presented with anterior open bite, gummy smile, and facial asymmetry. The patient had chronic generalized severe periodontitis with pathologic maxillary anterior teeth migration and mild intellectual disability. Treatment included 6 months of periodontal treatment, followed by presurgical orthodontic treatment, a Le Fort I osteotomy with anterior segmental osteotomy, a bilateral sagittal split ramus osteotomy, and postsurgical orthodontic treatment. After treatment completion, the patient exhibited functional and aesthetic improvements. Her periodontal condition improved and was maintained after the treatment. Here, we demonstrate a successful treatment outcome in a complicated case following a systematic interdisciplinary approach performed with the correct diagnosis and treatment planning.
authors.affiliation: *Department of Dentistry, Yongin Severance Hospital, Yongin †Departments of Orthodontics ‡Oral & Maxillofacial Surgery, Oral Science Research Center §Orthodontics, The Institute of Cranio-Facial Deformity, College of Dentistry, Yonsei University, Seoul, Korea.
authors.forename: Da-Young
authors.initials: DY
authors.lastname: Kang
authors.forename: Sung-Hwan
authors.initials: SH
authors.lastname: Choi
authors.forename: Young-Soo
authors.initials: YS
authors.lastname: Jung
authors.forename: Chung-Ju
authors.initials: CJ
authors.lastname: Hwang
mesh_terms: D000328:Adult; D002508:Cephalometry; D005260:Female; D006801:Humans; D008607:Intellectual Disability / Q000150:complications*; D024343:Open Bite / Q000150:complications / Q000628:therapy*; D009971:Orthodontics, Corrective / Q000379:methods*; D059229:Osteotomy, Sagittal Split Ramus / Q000379:methods*; D010518:Periodontitis / Q000150:complications / Q000628:therapy*