Comprehensive treatment of severe skeletal class III, open bite and facial asymmetry

Authors

  • Michele García Menéndez Universidad de Ciencias Médicas de La Habana, Hospital Clínico Quirúrgico “Hermanos Ameijeiras”, Departamento de Cirugía Maxilofacial. La Habana, Cuba. https://orcid.org/0000-0001-9238-9225
  • Olga Ileana Ruiz Galvez Universidad de Ciencias Médicas de La Habana, Hospital Clínico Quirúrgico “Hermanos Ameijeiras”, Departamento de Cirugía Maxilofacial. La Habana, Cuba. https://orcid.org/0000-0002-7633-8126
  • Jeydel Abull Juaregui Universidad de Ciencias Médicas de La Habana, Hospital Clínico Quirúrgico “Hermanos Ameijeiras”, Departamento de Cirugía Maxilofacial. La Habana, Cuba. https://orcid.org/0000-0002-0197-0493
  • Yusleni Hernández Gálvez Universidad de Ciencias Médicas de La Habana, Hospital Clínico Quirúrgico “Hermanos Ameijeiras”, Departamento de Cirugía Maxilofacial. La Habana, Cuba. https://orcid.org/0000-0002-2187-3252
  • Pedro Antonio Ducasse Olivera Universidad de Ciencias Médicas de La Habana, Hospital Clínico Quirúrgico “Hermanos Ameijeiras”, Departamento de Cirugía Maxilofacial. La Habana, Cuba. https://orcid.org/0000-0003-0109-0469

Keywords:

orthognathic surgery, orthodontics, orthognathic surgical procedures, maxillomandibular surgery.

Abstract

Introduction: Orthognathic surgery is especially indicated in complex cases, where conservative procedures fail or are insufficient. Diagnosis, planning and treatment should be carried out by a multidisciplinary team that works closely together.

Objective: Report the multidisciplinary work in the surgical orthodontic treatment of a complex dentomaxillofacial disharmony.

Case presentation: Male patient, 19 years old, mestizo, severe skeletal class III, hyperdivergent with open bite and asymmetry of the lower third, who received presurgical treatment decompensating orthodontics. Bimaxillary orthognathic surgery was performed with ascent genioplasty.

Conclusions: The treatment of dentomaxillofacial disharmonies is complex and requires the concurrence of several specialties. For the resolution of this case, the coordinated and simultaneous work of specialists in orthodontics, dental prostheses, maxillofacial surgery, periodontics, psychology and otolaryngology was necessary. Aesthetic and functional results were achieved according to the proposed treatment objectives and there was stability one year after surgery.

 

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References

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Published

2022-10-05

How to Cite

1.
García Menéndez M, Ruiz Galvez OI, Abull Juaregui J, Hernández Gálvez Y, Ducasse Olivera PA. Comprehensive treatment of severe skeletal class III, open bite and facial asymmetry. Rev Cubana Estomatol [Internet]. 2022 Oct. 5 [cited 2025 Mar. 14];59(4):e3526. Available from: https://revestomatologia.sld.cu/index.php/est/article/view/3526

Issue

Vol. 59 No. 4 (2022): OCT- DEC

Section

Case Report

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