Download PDF
CC BY 4.0 · Eur J Dent 2023; 17(03): 935-942
DOI: 10.1055/s-0043-1761453
Case Report

Orthognathic Surgery as Class III Skeletal Treatment in a 31-Year-Old Female with Mandible Prognathism: A Case Report

Seto Adiantoro Sadputranto 
1   Doctoral Candidate Study Program Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia
,
Arlette Suzy Setiawan 
2   Department of Pediatric Dentistry, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia
,
Ani Melani Maskoen
3   Department of Oral Biology Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia
,
Avi Laviana 
4   Department of Orthodontic Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia
,
Endang Sjamsudin
5   Department of Oral Maxillofacial Surgeon Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Abstract

Mandible prognathism or malocclusion skeletal class III is facial deformities. These deformities can affect orofacial function, such as mastication, speech, and function of the temporomandibular joint. Besides the physical effects of these deformities, the psychosocial impact on the individual is often essential, and such deformities can affect the quality of life and self-confidence. Orthognathic surgery is designed to correct these deformities because these deformities could not have been corrected by only orthodontic treatment. Therefore, at Hasan Sadikin General Hospital, orthognathic surgery is the treatment choice for mandibular prognathism or malocclusion skeletal class III. In this case report, we present a 31-year-old female with mandibular prognathism, difficulty in closing her mouth and anterior open bite. Surgery was performed by Le Fort 1 osteotomy for advancing maxilla and bilateral sagittal split osteotomy for setback mandible. Two weeks after surgery, patient came back to the orthodontic department for occlusion treatment.

Keywords

mandible prognathism - orthognathic surgery - malocclusion skeletal class III


Publication History

Article published online:
28 March 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • Reference

  • 1 Naran S, Steinbacher DM, Taylor JA. Current concepts in orthognathic surgery. Plast Reconstr Surg 2018; 141 (06) 925e-936e
    CrossrefPubMedGoogle Scholar
  • 2 Murphy C, Kearns G, Sleeman D, Cronin M, Allen PF. The clinical relevance of orthognathic surgery on quality of life. Int J Oral Maxillofac Surg 2011; 40 (09) 926-930
    CrossrefPubMedGoogle Scholar
  • 3 Jung J, Lee CH, Lee JW, Choi BJ. Three dimensional evaluation of soft tissue after orthognathic surgery. Head Face Med 2018; 14 (01) 21
    CrossrefPubMedGoogle Scholar
  • 4 Sousa CS, Ruth NTT. Complications in orthognathic surgery: a comprehensive review. J Oral Maxillofac Surg Med Pathol 2012; 24 (02) 67-74
    CrossrefGoogle Scholar
  • 5 Doraczynska-Kowalik A, Nelke KH, Pawlak W, Sasiadek MM, Gerber H. Genetic factors involved in mandibular prognathism. J Craniofac Surg 2017; 28 (05) e422-e431
    CrossrefPubMedGoogle Scholar
  • 6 Jaradat M. An overview of class III malocclusion (prevalence, etiology and management). J Adv Med Med Res 2018; 25 (07) 1-13
    CrossrefGoogle Scholar
  • 7 Larsen MK. Indications for orthognathic surgery-a review. OHDM 2017; 16 (02) 1-13
    Google Scholar
  • 8 Bergamo AZN, Andrucioli MC, Romano FL, Ferreira JT, Matsumoto MA. Orthodontic-surgical treatment of class III malocclusion with mandibular asymmetry. Braz Dent J 2011; 22 (02) 151-156
    CrossrefPubMedGoogle Scholar
  • 9 Chen Y-J, Yao CC, Chang ZC, Lai HH, Lu SC, Kok SH. A new classification of mandibular asymmetry and evaluation of surgical-orthodontic treatment outcomes in class III malocclusion. J Craniomaxillofac Surg 2016; 44 (06) 676-683
    CrossrefPubMedGoogle Scholar
  • 10 Sun R, Wang Y, Jin M, Chen L, Cao Y, Chen F. Identification and functional studies of MYO1H for mandibular prognathism. J Dent Res 2018; 97 (13) 1501-1509
    CrossrefPubMedGoogle Scholar
  • 11 Kantaputra PN, Pruksametanan A, Phondee N. et al. ADAMTSL1 and mandibular prognathism. Clin Genet 2019; 95 (04) 507-515
    CrossrefPubMedGoogle Scholar
  • 12 Littlewood SJ, Mitchell L. An Introduction to Orthodontics. Oxford, London: Oxford University Press; 2019
    Google Scholar
  • 13 He P, Iwanaga J, Matsushita Y. et al. A comparative review of mandibular Orthognathic surgeries with a focus on intraoral vertico-sagittal ramus osteotomy. Cureus 2017; 9 (12) e1924
    PubMedGoogle Scholar
  • 14 Cousley RR, Turner MJ. Digital model planning and computerized fabrication of orthognathic surgery wafers. J Orthod 2014; 41 (01) 38-45
    CrossrefPubMedGoogle Scholar
  • 15 Buchanan EP, Hyman CH. Eds. LeFort I Osteotomy. Seminars in Plastic Surgery. Stuttgart, Germany: Thieme Medical Publishers; 2013
    Google Scholar