ABSTRACT
The incorporation of the total subapical osteotomy as an alternative surgical technique to augment standard bilateral sagittal split osteotomy in facilitating establishment of the profile objectives in the surgical-orthodontic treatment of a patient with skeletal sagittal discrepancy, is presented in this case report. Esthetic considerations, as well as risks involved in this type of a combined surgical approach, are also discussed.
Subject(s)
Malocclusion, Angle Class II/surgery , Mandible/surgery , Mandibular Advancement/methods , Adult , Cephalometry , Dental Care for Chronically Ill , Female , Humans , Malocclusion, Angle Class II/therapy , Mitral Valve Prolapse , Orthodontics, Corrective , Patient Care Planning , Vertical DimensionABSTRACT
This paper describes a modification of the combined bilateral sagittal split osteotomy and total subapical osteotomy procedure; a representative case treated with this approach is presented. In addition, diagnostic and treatment planning considerations for the comprehensive surgical-orthodontic therapy of individuals presenting with differential sagittal discrepancy between the mandibular corpus and symphysis are discussed, along with limitations of diagnostic criteria commonly used in cephalometric appraisal of the facial soft tissue outline.
