Orthognathic bimaxillary surgery including orthodontic alignment to correct dento-facial features
A 28-year-old female patient who's chief complaint was the fact that her upper right central incisor was migrating out of place. She also presented difficulties breathing, including snoring at night. Other than taking contraceptive medication and being a smoker 8 cig/day, her overall health was good.
The patient presented a class II division 1 malocclusion. The maxilla was prognathic with proinclination of the maxillary incisors; the mandible was retrognathic. In centric occlusion, there was an openbite and an overjet of 8mm in combination with a right lateral crossbite.
A treatment plan was formulated to correct the unfavourable dentofacial features as well as the obstructive sleep apnea syndrome. It included orthodontic alignment of the arches followed by orthognathic bimaxillary surgery to correct the antero-posterior and transverse osseous discrepancy. Finally, post-surgical orthodontic treatment was conducted to perfect the occlusal relationships and improve facial aesthetics.