Orthosurgical Approach of a Skeletal Class II Malocclusion: Case Report Tratamento Ortocirúrgico de uma Maloclusão Classe II Esquelética: Relato de Caso
Article Sidebar
Published:
Jun 12, 2020
Keywords:
Malocclusion, Angle Class II., Orthodontics, Corrective., Orthognathic surgery.
Main Article Content
Abstract
This article aims to present the clinical case of a young male patient
who presented severe skeletal Class II malocclusion, who underwent
orthosurgical treatment. This case reported the benefits that arise
from treatment as well as evaluated changes in the upper airways.
Data were collected through review of the medical records, study
models, radiographs, cone beam tomography and intra and extraoral
photos. The proposed treatment provided desirable functional
and aesthetic results, with adequate intercuspidation between dental
arches, mandibular projection, resting. There was no increase in the
volume and total area of the oropharynx as a result of orthognathic
surgery, only an increase in the minimum axial area.
Article Details
How to Cite
Carvalho Freitas Sigilião, L., & dos Santos Moraes, F. (2020). Orthosurgical Approach of a Skeletal Class II Malocclusion: Case Report. Naval Dental Jounal, 47(1), 23-32. https://doi.org/10.29327/25149.47.1-4
Section
Case Reports
References
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9. Foltán R, Hoffmannová J, Pavlíková G, Hnazelka T, Klima K, Horká
E et al. The influence of orthognathic surgery on ventilation
during sleep. Int J Oral Maxillofac Surg. 2011; 40:146-49.
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skeletal patterns. Am J Orthod Dentofacial Orthop. 2011;139:
e511-e21.
11. Yamashita AL, Filho LI, Leite PCC, Navarro RL, Ramos AL,
Previdelli ITS, et al. Three-dimensional analysis of the pharyngeal
airway space and hyoid bone position after orthognathic surgery.
J Craniomaxillofac Surg. 2017; 45: 1408e1414.
12. Storms, AS, Vansant, E, Shaheen E, Coucke W, Pérula CL,
Jacobs R et al. Three-dimensional aesthetic assessment of
Class II patients before and after orthognathic surgery and
its association with quantitative surgical changes. Int. J. Oral
Maxillofac Surg. 2017; 46: 1664-71.
13. Sundararajan, S, Parameswaran, R, Vijayalakshmi, D.
Orthognathic surgical approach for management of skeletal
class II vertical malocclusion. Contemp Clin Dent. 2018 Jun; 9
(suppl 1).
14. Vilella OV. Manual de cefalometria. 4ª ed. Rio de Janeiro:
Thieme Revinter; 2018.
15. Christovam IO, Lisboa CO, Ferreira DMTP, Cury-Saramago
AA, Mattos CT. Upper airway dimensions in patients undergoing
orthognathic surgery: a systematic review and meta-analysis. Int
J. Oral Maxillofac Surg. 2016; 45(4): 460–471. Disponível em:
http://dx.doi.org/10.1016/j.ijom.2015.10.018
16. Kochar GD, Chakranarayan A, Kohli S, Kohli VS, Khanna V,
Jayan B, et al. Effect of surgical mandibular advancement on
pharyngeal airway dimensions: a three- dimensional computed
tomography study. Int. J. Oral Maxillofac. Surg. 2016; 45: 553–59.
Disponível em: http://dx.doi.org/10.1016/j.ijom.2015.10.006
17. Rustemeyer,J, Gregersen, J. Quality of life in orthognathic
surgery patients: post-surgical improvements in aesthetics and
self-confidence. J Craniomaxillofac Surg. 2012; 40: e400-04.
18. Cariati P, Martínez R, Martínez-Lara I. Psycho-social impact of
orthogathic sugery. J Clin Exp Dent. 2016;8(5): e540-5.
19. Menegat F, Monnazzi MS, Silva BN, de Moraes M, Gabrielli
MAC, Pereira-Filho VA. Assessment of nasal obstruction
symptoms using the NOSE scale after surgically assisted
rapid maxillary expansion, Int J Oral Maxillofac Surg. 2015;
44(11): 1346–1350. Disponível em: http://dx.doi.org/10.1016/j.
ijom.2015.06.018
5ª ed. Rio de Janeiro: Elsevier; 2012.
2. Silva RG, Kang DS. Prevalence of malocclusion among
latino adolescents. Am J Orthod Dentofacial Orthop.
2001;119(3):313-15.
3. Bittencourt MAV, Machado AW. Prevalência de maloclusão
em crianças entre 6 e 10 anos: um panorama brasileiro. Dental
Press J Orthod. 2010; 15(6): 113-22.
4. Freitas MB, Freitas DS, Pinheiro FHSL, Freitas KMS. Prevalência
das más oclusões em pacientes inscritos para tratamento
ortodôntico na Faculdade de Odontologia de Bauru – USP. Rev
Fac Odontol Bauru. 2002; 10(3): 164-9.
5. Potts B, Shanker S, Fields HW, Vig KWL, Beck, M. Dental and
skeletal changes associated with Class II surgical-orthodontic
treatment. Am J Orthod Dentofacial Orthop. 2009; 135: 566.
e1-566.e7.
6. Medeiros JP, Medeiros PP. Cirurgia ortognática para o
ortodontista. 3ª ed. São Paulo: Editora Santos, 2012.
7. Cunningham SJ, Johal A. Orthognathic correction of dentofacial
discrepancies. Br Dent J. 2015; 218(3):167-175.
8. Faber J, Faber C, Faber A. Obstructive sleep apnea in adults.
Dental Press Journal of Orthod. 2019 May- June; 24(3): 99-109.
9. Foltán R, Hoffmannová J, Pavlíková G, Hnazelka T, Klima K, Horká
E et al. The influence of orthognathic surgery on ventilation
during sleep. Int J Oral Maxillofac Surg. 2011; 40:146-49.
10. El H, Palomo JM. Airway volume for different dentofacial
skeletal patterns. Am J Orthod Dentofacial Orthop. 2011;139:
e511-e21.
11. Yamashita AL, Filho LI, Leite PCC, Navarro RL, Ramos AL,
Previdelli ITS, et al. Three-dimensional analysis of the pharyngeal
airway space and hyoid bone position after orthognathic surgery.
J Craniomaxillofac Surg. 2017; 45: 1408e1414.
12. Storms, AS, Vansant, E, Shaheen E, Coucke W, Pérula CL,
Jacobs R et al. Three-dimensional aesthetic assessment of
Class II patients before and after orthognathic surgery and
its association with quantitative surgical changes. Int. J. Oral
Maxillofac Surg. 2017; 46: 1664-71.
13. Sundararajan, S, Parameswaran, R, Vijayalakshmi, D.
Orthognathic surgical approach for management of skeletal
class II vertical malocclusion. Contemp Clin Dent. 2018 Jun; 9
(suppl 1).
14. Vilella OV. Manual de cefalometria. 4ª ed. Rio de Janeiro:
Thieme Revinter; 2018.
15. Christovam IO, Lisboa CO, Ferreira DMTP, Cury-Saramago
AA, Mattos CT. Upper airway dimensions in patients undergoing
orthognathic surgery: a systematic review and meta-analysis. Int
J. Oral Maxillofac Surg. 2016; 45(4): 460–471. Disponível em:
http://dx.doi.org/10.1016/j.ijom.2015.10.018
16. Kochar GD, Chakranarayan A, Kohli S, Kohli VS, Khanna V,
Jayan B, et al. Effect of surgical mandibular advancement on
pharyngeal airway dimensions: a three- dimensional computed
tomography study. Int. J. Oral Maxillofac. Surg. 2016; 45: 553–59.
Disponível em: http://dx.doi.org/10.1016/j.ijom.2015.10.006
17. Rustemeyer,J, Gregersen, J. Quality of life in orthognathic
surgery patients: post-surgical improvements in aesthetics and
self-confidence. J Craniomaxillofac Surg. 2012; 40: e400-04.
18. Cariati P, Martínez R, Martínez-Lara I. Psycho-social impact of
orthogathic sugery. J Clin Exp Dent. 2016;8(5): e540-5.
19. Menegat F, Monnazzi MS, Silva BN, de Moraes M, Gabrielli
MAC, Pereira-Filho VA. Assessment of nasal obstruction
symptoms using the NOSE scale after surgically assisted
rapid maxillary expansion, Int J Oral Maxillofac Surg. 2015;
44(11): 1346–1350. Disponível em: http://dx.doi.org/10.1016/j.
ijom.2015.06.018