A 21 years male patient reported to the department of Oral & Maxillo facial surgery (BIDS) with the complaints of…
1. Forwardly placed lower jaw.
2. Inability to chew comfortably with anterior teeth
He cited aesthetic and function (of chewing) as his main reasons for seeking treatment.
O/E: Class III Malocclusion with anterior cross bite
Radiographs ( OPG and Lateral Cephalogram ) were taken which confirmed the clinical findings.
Diagnosis:Mandibular prognathism
Blood Investigations were carried out including Routine Haemogram, HIV & HbsAg to rule out any abnormalities in the blood.
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Treatment:
Surgical correction of maxilla was done under G.A by down-fracturing the maxilla with the help of Leforte I osteotomy and bringing the maxilla forward with due consideration given to the correction of the profile,stabilized with 2 mm, 4 hole with gap L shaped and straight Stain less Steel plates and screws.
Surgical correction of mandibule was done with bilateral sagittal split osteotomy there by mandible was pushed back wards and stabilized with straight 2.5mm 4 hole with gap Stain less Steel plates and screws.
Intermediate and final splints were used during the procedure for guiding the occlusion. Haemostatis was achieved and wound closure was done with absorbable sutures.
Post operative photographs were taken after 20 days.
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