| JaLCDOI |
10.18926/AMO/64369
|
| FullText URL |
77_1_97.pdf
|
| Author |
Hoshijima, Mitsuhiro|
Oka, Naoki|
Matsumura, Tatsushi|
Iida, Seiji|
Kamioka, Hiroshi|
|
| Abstract |
Appropriate operations in severe anterior open bite (AOB) cases are extremely complicated to perform because of the multiple surgical procedures involved, the difficulty of predicting posttreatment aesthetics, and the high relapse rate. We herein report a 16-year-old girl with skeletal Class II, severe AOB malocclusion, and crowding with short roots, and aesthetic and functional problems. Four-piece segmental Le Fort I osteotomy with horseshoe osteotomy was performed for maxillary intrusion, and bilateral sagittal split ramus osteotomy (SSRO) and genioplasty were performed for mandibular advancement. The malocclusion and skeletal deformity were significantly improved by the surgical orthodontic treatment. Functional and aesthetic occlusion with an improved facial profile was established, and no further root shortening was observed. Acceptable occlusion and dentition were maintained after a two-year retention period. This strategy of surgical orthodontic treatment with a complicated operative procedure might be effective for correcting certain severe AOB malocclusion cases.
|
| Keywords |
anterior open bite
short roots
severe crowding
four-piece segmental horseshoe Le Fort I osteotomy
|
| Amo Type |
Case Report
|
| Publication Title |
Acta Medica Okayama
|
| Published Date |
2023-02
|
| Volume |
volume77
|
| Issue |
issue1
|
| Publisher |
Okayama University Medical School
|
| Start Page |
97
|
| End Page |
104
|
| ISSN |
0386-300X
|
| NCID |
AA00508441
|
| Content Type |
Journal Article
|
| language |
English
|
| Copyright Holders |
Copyright Ⓒ 2023 by Okayama University Medical School
|
| File Version |
publisher
|
| Refereed |
True
|
| PubMed ID |
36849153
|
| Web of Science KeyUT |
000952978000003
|
