Combined orthodontic and surgical treatment supported by virtual planning in a severe mandibular asymmetry: A case report
| Autor: | Giovanni Bruno, Ugo Baciliero, Laura Siviero, Francesca Zalunardo, Antonio Gracco, Giorgia Crivellin, Alberto De Stefani |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Orthodontics
Molar business.industry medicine.medical_treatment Orthognathic surgery Mandibular asymmetry Virtual surgical planning 030206 dentistry Osteotomy Genioplasty Surgical planning Sagittal plane stomatognathic diseases 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure stomatognathic system Curve of Spee medicine 030212 general & internal medicine business |
| Popis: | Summary This article describes the complex dental treatment of a 17-year-old girl with skeletal Class I, severe mandibular asymmetry, maxillary retrusion, normodivergent pattern, left canine and molar Class II, canting of the occlusal plane, lateral left cross-bite, deep bite, upper and lower incisors retrusion and an increased curve of Spee. To achieve optimal results, a multidisciplinary approach to treatment was adopted involving orthodontics and maxillofacial surgery. The surgical phase was supported by virtual surgical planning with dedicated software. Thanks to the development of the three-dimensional radiological findings, a visualization and an accurate simulation of all the surgery-steps help to determine reproducibly and with high precision the best adjustments to do. Firstly, the excessive curve of Spee, the incisors retrusion and the deep bite were corrected with orthodontic treatment. The surgical treatment plan consisted of a palatal expansion, maxillary advancement, zygomatic grafts, bilateral sagittal osteotomy for mandibular correction and genioplasty. Orthodontic treatment was continued to finish with all the objectives achieved. After two years, the patient was satisfied with her facial and dental treatment results and with her oral function as well. |
| Databáze: | OpenAIRE |
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