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FIG. 1: Pre-treatment intraoral, extraoral photographs, panoramic radiograph and lateral cephalogram of patient.

2. Correction of facial asymmetry.
3. Correct profile and lip incompetence
4. Achieve an optimum functional occlusion with
acceptable aesthetics.
Goals of the post-surgical therapy are surgical
fixation, restoration and rehabilitation of neuro-
muscular function, occlusal stabilization, selec-
tive grinding of teeth and final occlusion reten-
tion.

TREATMENT PLAN
• Pre-treatment prophylaxis and restoration of
FIG. 2: Post-surgical OPG revealing fixation by miniplates carious teeth
• Combination therapy (surgical-orthodontic)
• Surgical plan: Le-Bilateral sagittal split osteoto-
PROBLEMS ASSOCIATED my for mandibular setback BSSO
1. Prognathic mandible • Non extraction Orthodontic therapy.
2. Increase in lower facial height • Long term retention plan with retainers
3. Class III molar relationship • Follow ups
4. Anterior open bite
5. Concave profile with compromised aesthetics COMBINED TREATMENT
The Surgical and Orthodontics treatment was
TREATMENT OBJECTIVES planned to facilitate the proper positioning of the
1. Reduction of mandibular prognathism and improvement of the soft tissue profile. jaws.

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Dental Practice // July-August 2022 // Vol 18 No 4 55