Mandible first orthognathic surgery

ABSTRACT This paper discusses, presenting a case report, the criteria that should be consid ered in the clinical decision regarding the surgical approach, initiating the proce dure in the mandible or maxilla. Case report: 27-year-old female diagnosed as hav ing vertical maxillary excess, anteroposte...

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Detalles Bibliográficos
Autores: Aécio Abner Campos Pinto Júnior, Vitor José da Fonseca, Joanna Farias da Cunha, Luiz Felipe Cardoso Lehman, Felipe Eduardo Baires Campos, Wagner Henriques de Castro
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:Brasil
Institución:Universidade Federal de Minas Gerais (UFMG)
Repositorio:Repositório Institucional da UFMG
Idioma:inglés
OAI Identifier:oai:repositorio.ufmg.br:1843/82500
Acceso en línea:http://dx.doi.org/10.14436/2358-2782.3.1.030-035.oar
http://hdl.handle.net/1843/82500
https://orcid.org/0000-0002-2314-0140
https://orcid.org/0000-0001-6404-1766
https://orcid.org/0000-0003-2745-2878
Access Level:acceso abierto
Palabra clave:Orthognathic surgery.
Planning.
Mandible
Orthognathic surgery
Planning
Clinical decision rules
Maxillary diseases
Maxilla
Descripción
Sumario:ABSTRACT This paper discusses, presenting a case report, the criteria that should be consid ered in the clinical decision regarding the surgical approach, initiating the proce dure in the mandible or maxilla. Case report: 27-year-old female diagnosed as hav ing vertical maxillary excess, anteroposterior mandible deficiency, and Angle Class II dental malocclusion. The patient was offered a bimaxillary orthognathic surgery. Due to the uncertainty in determining the centric relation of the patient, we chose to perform the procedure starting from the mandible. The surgical procedure was performed successfully, without trans and/or postoperative complications and all aesthetic-functional complaints of the patient were healed. Orthognathic surgery starting in the mandible has been presenting more common among surgeons. De spite having some specific indications, these are not strict and should be available within the surgical strategies of the maxillofacial surgeon.