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A severe skeletal Class III malocclusion treated with Le Fort I combined with sagittal split ramus osteotomy, mandibular body ostectomy and tongue reduction surgery. A case report
http://hdl.handle.net/10069/00041777
http://hdl.handle.net/10069/000417772bcf95bb-d413-4853-9c41-12cc891b61e5
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APOSTO12_221.pdf (7.0 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2022-10-07 | |||||
タイトル | ||||||
タイトル | A severe skeletal Class III malocclusion treated with Le Fort I combined with sagittal split ramus osteotomy, mandibular body ostectomy and tongue reduction surgery. A case report | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Severe skeletal | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Class III | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Orthodontic/orthognatic | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Management | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Hotokezaka, Hitoshi
× Hotokezaka, Hitoshi× Karadeniz, Carmen× Hotokezaka, Yuka× Matsuo, Takemitsu× Yoshida, Noriaki |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | This case report describes the orthodontic-orthognathic management of a 17-year-old male patient with extremely severe skeletal Class III malocclusion due to a marked mandibular protrusion with a small and narrowed upper jaw which increased the remarkable concave facial profile. Dental articulation was entirely lacking, resulting in great difficulty in masticating food. A two-jaw surgery combined with mandibular body ostectomy was performed to correct mandibular asymmetry and the severe sagittal skeletal discrepancy (Wits appraisal –36.5 mm and ANB angle –14.3°). Bi-maxillary surgery was performed in two-stages; the first surgery consisted of maxillary advancement with Le Fort I osteotomy followed by a second surgery where a combination of sagittal split ramus osteotomy (SSRO) and mandibular body ostectomy was performed to correct the severe mandibular prognathism. A partial glossectomy was also carried out to address macroglossia. After a total treatment time of 32 months, a Class I occlusion with a favorable facial profile and lip competence were obtained. The occlusion was made approximately ideal, and mastication improved remarkably. Three years after retention, the occlusion was stable and no relapse was observed. The patient’s complaints and orthodontic problems were completely resolved. Therefore, a combination of two-jaw surgeries with Le Fort I maxillary osteotomy, mandibular SSRO, mandibular ostectomy, and glossectomy may be a viable option in the correction of extremely severe anteroposterior skeletal discrepancy. | |||||
書誌情報 |
APOS Trends in Orthodontics 巻 12, p. 221-229, 発行日 2022-09-16 |
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出版者 | ||||||
出版者 | Asian Pacific Orthodontic Society | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 2321-4600 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.25259/APOS_139_2021 | |||||
権利 | ||||||
権利情報 | © 2022 Published by Scientific Scholar on behalf of APOS Trends in Orthodontics This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | APOS Trends in Orthodontics, 12 (3), pp. 221-229; 2022 |