Background: Although orthognathic surgery generally offers a significant improvement in dentofacial stability, individual factors can influence long-term results. Aim: To illustrate, through a clinical case, the management and the progression of the treatment of the class III skeletal anomaly with maxillary origin associated with a skeletal overbite and maxillary endo alveolus. Observation: The authors report the case of a 21-year-old female patient with a severe class III malocclusion associated with a maxillary endo alveolus causing severe aesthetic and functional damage. The patient’s management initially consisted of a pre-surgical orthodontic decompensation phase, followed by bimaxillary orthognathic surgery to correct the vertical and anteroposterior disharmony. Conclusion: Orthognathic surgery appears to be advantageous, both functionally and aesthetically, enabling the results obtained to be long-lasting. The agreement between the orthodontist and the surgeon before, during, and after surgery remains crucial in the management of ortho-surgical cases.
Cite this paper
Bouchghel, L. , Aouame, A. E. , Tougui, I. and Ousehal, L. (2024). Ortho Surgical Approach for Skeletal Class III with Maxillary Origin: A Case Report. Open Access Library Journal, 11, e2417. doi: http://dx.doi.org/10.4236/oalib.1112417.
Bourzgui, F., Sebbar, M., Hamza, M., Lazrak, L., Abidine, Z. and El Quars, F. (2012) Prevalence of Malocclusions and Orthodontic Treatment Need in 8- to 12-Year-Old Schoolchildren in Casa-blanca, Morocco. Progress in Orthodontics, 13, 164-172. https://doi.org/10.1016/j.pio.2011.09.005
Lathrop-Marshall, H., Keyser, M.M.B., Jhingree, S., Giduz, N., Bocklage, C., Couldwell, S., et al. (2021) Orthognathic Speech Pathology: Impacts of Class III Malocclusion on Speech. European Journal of Orthodontics, 44, 340-351. https://doi.org/10.1093/ejo/cjab067
Janson, G., Prado de Souza, J.E., de Andrade Alves, F., Andrade, P., Nakamura, A., Roberto de Freitas, M., et al. (2005) Extreme Dentoalveolar Compensation in the Treatment of Class III Malocclusion. American Journal of Orthodontics and Dentofacial Orthopedics, 128, 787-794. https://doi.org/10.1016/j.ajodo.2004.08.018
Lin, J. and Gu, Y. (2003) Preliminary Investigation of Nonsurgical Treatment of Severe Skeletal Class III Malocclusion in the Permanent Dentition. The Angle Orthodontist, 73, 401-410.
Araujo, M.T.d.S. and Squeff, L.R. (2021) Orthodontic Camou-flage as a Treatment Alternative for Skeletal Class III. Dental Press Journal of Orthodontics, 26, e21bbo4. https://doi.org/10.1590/2177-6709.26.4.e21bbo4
Schouman, T., Bar-alle, M. and Ferri, J. (2010) Facial Morphology Changes after Total Maxillary Setback Osteotomy. Journal of Oral and Maxillofacial Surgery, 68, 1504-1511. https://doi.org/10.1016/j.joms.2009.09.095
Benyahia, H., Azaroual, M.F., Garcia, C., Hamou, E., Abouqal, R. and Zaoui, F. (2011) Treatment of Skel-etal Class III Malocclusions: Orthognathic Surgery or Orthodontic Camouflage? How to Decide. International Orthodontics, 9, 196-209. https://doi.org/10.1016/j.ortho.2011.03.006
Georgalis, K. and Woods, M.G. (2015) A Study of Class III Treatment: Orthodontic Camouflage vs Or-thognathic Surgery. Australasian Orthodontic Journal, 31, 138-148. https://doi.org/10.21307/aoj-2020-148
Marchetti, C., Pironi, M., Bian-chi, A. and Musci, A. (2009) Surgically Assisted Rapid Palatal Expansion vs. Segmental Le Fort I Osteotomy: Transverse Stability over a 2-Year Period. Jour-nal of Cranio-Maxillofacial Surgery, 37, 74-78. https://doi.org/10.1016/j.jcms.2008.08.006
Katiyar, R., Singh, G., Mehrotra, D. and Singh, A. (2010) Surgical-Orthodontic Treatment of a Skeletal Class III Malocclusion. Na-tional Journal of Maxillofacial Surgery, 1, 143-149. https://doi.org/10.4103/0975-5950.79217
Chang, H., Tseng, Y. and Chang, H. (2006) Treatment of Mandibular Prognathism. Journal of the Formosan Medical Association, 105, 781-790. https://doi.org/10.1016/s0929-6646(09)60264-3
Bousaba, S., et al. (2002) Indications for Orthognathic Surgery, the Limitations of Orthodontics and of Surgery. Revue Belge de Medecine Dentaire, 57, 9-23.
Maia, F.A., Janson, G., Barros, S.E., Maia, N.G., Chiqueto, K. and Nakamura, A.Y. (2010) Long-term Stability of Surgical-Orthodontic Open-Bite Correction. American Journal of Orthodontics and Dentofacial Orthopedics, 138, 254.e1-254.e10. https://doi.org/10.1016/j.ajodo.2010.03.021
Proffit, W.R., Turvey, T.A. and Phillips, C. (1996) Orthognathic Surgery: A Hierarchy of Stability. The In-ternational Journal of Adult Orthodontics and Orthognathic Surgery, 11, 191-204.
Arpornmaeklong, P., Heggie, A.A. and Shand, J.M. (2003) A Comparison of the Stability of Single-Piece and Segmental Le Fort I Maxillary Advancements. Journal of Craniofacial Surgery, 14, 3-9. https://doi.org/10.1097/00001665-200301000-00002
Xiong, X., Yu, Y. and Chen, F. (2013) Orthodontic Camouflage versus Orthognathic Surgery: A Comparative Analysis of Long-Term Stability and Satisfaction in Moderate Skel-etal Class III. Open Journal of Stomatology, 3, 89-93. https://doi.org/10.4236/ojst.2013.31016
Ferri, J. (2014) Relapse and Alteration of Results in Orthognathic Surgery. Revue de Stomatologie, de Chi-rurgie Maxillo-Faciale et de Chirurgie Orale, 115, 250-260. https://doi.org/10.1016/j.revsto.2014.07.003
