Patient Case Studies Group 4


SD-PROBLEM LIST

  • Underbite caused by a forward positioned large lower jaw.
  • Underbite caused by a backward positioned small upper jaw.
  • Lower jaw asymmetry with the lower dental and facial midline shifted to the right.
  • Paranasal deficiency associated with a backward positioned small upper jaw
  • Unsupported upper lip caused by a backward positioned small upper jaw.
  • Dental compensation.
Pre-Op

Post-Op

PRE AND POST-SURGICAL ORTHODONTICS BY DR. BILL ACKERMAN

SURGICAL TREATMENT PLAN
  • Upper jaw advancement to treat the backward positioned small upper jaw in order to correct the associated paranasal deficiency as well as give support to the upper lip support.
  • Lower jaw setback to correct the underbite associated with the forward positioned large lower jaw.
  • Lower jaw rotation to correct lower jaw asymmetry and restore normalcy to the lower jaw's dental and facial midline.


AF-PROBLEM LIST

Pre-Op

Post-Op

PRE AND POST-ORTHODONTICS BY DR. RICHARD NAMEY.

SURGICAL TREATMENT PLAN
  • Advancement of the upper jaw to eliminate underbite and paranasal deficiency associated with a backward positioned small upper jaw.
  • Surgically widen the upper jaw to eliminate the crossbite associated with the inadequate width of the upper jaw.


BF-PROBLEM LIST

  • Open bite caused by the excessive downward vertical growth of the back portion of the upper jaw.
  • A lower jaw which is backward positioned.
  • Crossbite caused by the inadequate width of the upper jaw.
  • Mild long face tendency caused by the downward vertical growth of the back portion of the upper jaw.
Pre-Op

Post-Op

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

SURGICAL TREATMENT PLAN

  • Superiorly reposition the upper jaw to correct the open bite and long face tendency.
  • Surgically widen the upper jaw to eliminate the crossbite.
  • Autorotation of the lower jaw to correct a backward positioned lower jaw to bring the chin point forward.


IF-PROBLEM LIST

  • Lower jaw asymmetry with deviation of the lower jaw's dental and facial midlines to the left.
  • Crossbite caused by the inadequate width of the upper jaw.
  • Underbite caused by a forward positioned lower jaw.
Pre-Op

Post-Op

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

SURGICAL TREATMENT PLAN

Phase 1 involves the correction of the inadequate width of the upper jaw by the surgical-orthodontic expansion of the upper jaw to eliminate the crossbite

Phase 2 involves the correction of both the underbite and the lower jaw asymmetry by performing a lower jaw setback and rotation.



DG-PROBLEM LIST

  • Overbite caused by backward positioned small lower jaw.
  • Lower jaw asymmetry with deviation of the lower jaw's dental and facial midline to the left.
Pre-Op

Post-Op

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

SURGICAL TREATMENT PLAN
  • Lower jaw advancement employing rigid fixation to eliminate the overbite.
  • Lower jaw rotation to the right to restore the dental and facial midline.


SG-PROBLEM LIST

  • Premature loss of right posterior lower molars allowing the upper back teeth to overerupt until they hit the lower jaw's ridge.
  • Inability to fabricate mandibular prosthetic teeth because of over-eruption of the upper jaw's teeth.
  • A small chin which results in lip incompetence and lip strain.

Pre-Op


Post-Op

SURGICAL TREATMENT PLAN
  • Superiorly reposition the back portion of the upper jaw on the right side to create space to allow construction of replacement teeth in the lower jaw.
  • Genioplasty advancement to create esthetic chin shape by restoring a normal mental-labial fold as well as reducing lip strain and lip incompetence.