Patient Case Studies Group 5


SH-PROBLEM LIST

  • Underbite caused by a backward positioned small upper jaw.
  • Underbite caused by a forward positioned large lower jaw.
  • Open bite and long facial appearance caused by the vertically excessive downward growth of the upper jaw.
  • Crossbite caused by the inadequate width of the upper jaw.
  • Upper jaw asymmetry due to the rotation of the upper jaw dental midline to the right.
  • Lower jaw asymmetry due to the rotation of the lower jaw dental and facial midline to the left.
  • Chin is vertically excessive as well as lacking a normal esthetic mental-labial fold.
  • Paranasal deficiency caused by a backward positioned small upper jaw.
  • Lip incompetence and lip strain caused by the vertically excessive downward growth of the upper jaw.
  • Inflammation of the gum tissue of the upper front teeth which is caused by the chronic air exposure due to the vertically excessive downward growth of the upper jaw.
  • Severe crowding of teeth and dental compensation.
Pre-Op

Post-Op

PRE AND POST-SURGICAL ORTHODONTICS BY DR. JAY REICHELD.

SURGICAL TREATMENT PLAN
  • Upper jaw advancement with graft to correct the backward positioned small upper jaw and paranasal deficiency.
  • Superiorly reposition the upper jaw to treat the vertically excessive downward growth of the upper jaw to minimize the long facial appearance.
  • Upper jaw rotation to correct the upper jaw's dental midline asymmetry.
  • Surgically widen the upper jaw to correct the crossbite.
  • Lower jaw autorotation to close open bite as well as treat lip incompetence and lip strain.
  • Lower jaw setback to correct the underbite associated with a forward positioned large lower jaw.
  • Lower jaw rotation to correct the lower jaw's dental and facial midline.
  • Genioplasty to reposition chin forward as well as to vertically reduce the length of the chin and create an esthetic chin shape by restoring a normal mental-labial fold.


JJ-PROBLEM LIST

  • Underbite caused by a large forward positioned lower jaw.
  • The lower lip and chin are positioned forward relative to the base of the nose.
  • Esthetic nasal-labial angle.
Pre-Op

Post-Op

PRE AND POST-SURGICAL ORTHODONTICS BY DR. JEFF AHLIN.

SURGICAL TREATMENT PLAN
  • Lower jaw setback to correct the underbite associated with a large forward positioned lower jaw.


RK-PROBLEM LIST

  • Open bite caused by the excessive vertical downward growth of the back portion of the upper jaw.
  • Crossbite caused by the inadequate width of the upper jaw.
  • Mild lower jaw asymmetry with deviation of the lower jaw to the right.
Pre-Op

Post-Op

PRE AND POST-SURGICAL ORTHODONTICS BY DR. CHARLES CAPPETTA.

SURGICAL TREATMENT PLAN
  • Superiorly reposition the upper jaw to correct the excessive vertical downward growth of the back portion of the upper jaw.
  • Surgically widen the upper jaw to correct the crossbite.
  • Lower jaw autorotation forward to close the open bite.
  • Lower jaw setback and rotation to correct dental and facial midline.


CM-PROBLEM LIST

  • Open bite caused by the excessive downward vertical growth of the back portion of the upper jaw.
  • Underbite caused by a backward positioned small upper jaw.
  • Lower jaw asymmetry with deviation of the dental and facial midline.
  • Small chin.
  • Lip incompetence.
  • Outwardly turned lower lip and short unsupported upper lip.
  • Severe paranasal deficiency caused by a backward positioned small upper jaw.
  • Insufficient show of upper front teeth.
  • Long facial appearance caused by the excessive downward vertical growth of the back portion of the upper jaw.
Pre-Op

Post-Op

PRE AND POST-SURGICAL ORTHODONTICS BY DR. MAURICE THEBERGE.

SURGICAL TREATMENT PLAN
  • High step upper jaw advancement with bone grafting to treat the underbite and paranasal deficiency associated with a backward positioned small upper jaw.
  • Superiorly reposition the upper jaw in order to close the open bite.
  • Lower jaw autorotation to close the open bite and treat the lip incompetence.
  • Lower jaw setback and rotation to correct midline.
  • Genioplasty to advance the chin point and create better esthetics.


RM-PROBLEM LIST

Pre-Op

Post-Op

PRE AND POST-SURGICAL ORTHODONTICS BY DR. JOHN BURKE.

SURGICAL TREATMENT PLAN
  • High step upper jaw advancement with bone grafting to treat the backward positioned small upper jaw and severe paranasal deficiency.
  • Surgically widen the upper jaw to correct the crossbite.
  • Superiorly reposition the upper jaw to treat the vertically excessive downward growth and resulting gummy smile.
  • Allowing the base of the nose to widen with the advancement of the upper jaw.
  • Lower jaw autorotation forward.
  • Lower jaw setback to compensate for forward autorotation of the lower jaw.
  • Lower jaw rotation to correct the mandibular dental and facial midline asymmetry.
  • Genioplasty to restore chin point to its original horizontal position and improve chin esthetics by restoring a normal mental-labial fold.


KP-PROBLEM LIST

  • Underbite caused by a forward positioned large lower jaw.
  • Previous orthodontics with extraction of lower first bicuspids in an attempt to correct the underbite. The resulting excessive dental compensation has periodontally compromised the lower front teeth.
  • Crossbite caused by a forward positioned large lower jaw.
  • Edge to edge bite caused by a forward positioned large lower jaw.
  • Esthetic nasal-labial angle.
  • Vertically long chin appearance.
Pre-Op

Post-Op

PRE AND POST-SURGICAL ORTHODONTICS BY DR. JOHN ALBERTI.

SURGICAL TREATMENT PLAN
  • Lower jaw setback to correct the crossbite and underbite associated with a forward positioned large lower jaw.
  • Genioplasty for further reduction of the horizontal chin projection, as well as reducing the vertical length of the chin in order to create better esthetics.