International Journal For Multidisciplinary Research

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Comprehensive Orthodontic: Orthognathic Intervention in the Correction of Skeletal Class III Malocclusion: A Case Report

Author(s) Dr. Prasad Konda, Dr. Vijayashree S Dhanshetty, M Arshad Hussain, Sayeeda Laeque Bangi, Butool Zohra, Mohammed Nashiroddin
Country India
Abstract Skeletal Class III malocclusion is one of the most challenging craniofacial deformities to diagnose and manage, often involving a combination of skeletal, dental, and soft tissue discrepancies. A 21-year-old male presented with a concave profile, orthognathic maxilla, prognathic mandible, reverse overjet of 6 mm, posterior crossbite, and compromised masticatory efficiency. Cephalometric analyses revealed increased mandibular projection, proclined incisors, and soft tissue imbalances including a reduced nasolabial angle and protruded lower lip. Treated in three phases: presurgical orthodontic decompensation with bilateral sagittal split osteotomy (BSSO) for mandibular setback, and postsurgical orthodontics for occlusal finishing. Functionally, Class I molar and canine relationships is established with ideal overjet/overbite, and coordinated midlines were achieved. Esthetically, facial balance was markedly improved, and stability was maintained with retention. This case underscores the importance of precise interdisciplinary planning, presurgical orthodontic preparation, and accurate surgical execution in managing severe skeletal Class III malocclusion in adults.
Keywords Keywords: Skeletal Class III Malocclusion, Orthognathic Surgery, Bilateral Sagittal Split Osteotomy, Presurgical Orthodontics
Field Medical / Pharmacy
Published In Volume 7, Issue 4, July-August 2025
Published On 2025-08-23
DOI https://doi.org/10.36948/ijfmr.2025.v07i04.54006
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