title: Management of severe skeletal Class III malocclusion with bimaxillary orthognathic surgery.
abstract: Orthognathic surgery in conjunction with fixed orthodontics is a common indication for interdisciplinary management of severe skeletal Class III malocclusion. A thorough analysis of pretreatment investigations and development of a surgical visual treatment objective is essential to plan the type of surgical technique required. Bimaxillary orthognathic surgery is the most common type of surgical procedure for severe skeletal discrepancies. The present case report is a combined ortho-surgical team management of a skeletally Class III patient. The severity of the case required bilateral upper first premolar extraction for dentoalveolar decompensation and simultaneous "Two-jaw surgery" with maxillary advancement of 4 mm and mandibular setback of 7 mm. Postsurgery, a pleasing good facial profile was achieved with Class II molar relation and positive overjet.
authors.affiliation: Department of Orthodontics and Dentofacial Orthopaedics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Jitesh
authors.initials: J
authors.lastname: Haryani
authors.affiliation: Department of Orthodontics and Dentofacial Orthopaedics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Amit
authors.initials: A
authors.lastname: Nagar
authors.affiliation: Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Divya
authors.initials: D
authors.lastname: Mehrotra
authors.affiliation: Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Rani
authors.initials: R
authors.lastname: Ranabhatt
keywords: Bimaxillary; decompensation; interdisciplinary; orthognathic