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Orthognathic surgery-first approach with lingual appliances: a case report Cover

Orthognathic surgery-first approach with lingual appliances: a case report

Open Access
|Jan 2022

Figures & Tables

Figure 1

Pre-treatment extraoral and intraoral photographs.
Pre-treatment extraoral and intraoral photographs.

Figure 2

Pre-treatment dental casts.
Pre-treatment dental casts.

Figure 3

Pre-treatment posteroanterior cephalometric, lateral cephalometric and panoramic radiographs.
Pre-treatment posteroanterior cephalometric, lateral cephalometric and panoramic radiographs.

Figure 4

Self-ligating lingual brackets after indirect bonding.
Self-ligating lingual brackets after indirect bonding.

Figure 5

Soft tissue simulation based on the surgical plan.
Soft tissue simulation based on the surgical plan.

Figure 6

Intra-operative photographs showing the intermaxillary fixation with mini-screws.
Intra-operative photographs showing the intermaxillary fixation with mini-screws.

Figure 7

Post-surgical extraoral and intraoral photographs.
Post-surgical extraoral and intraoral photographs.

Figure 8

Extraoral and intraoral photographs 3 weeks after surgery.
Extraoral and intraoral photographs 3 weeks after surgery.

Figure 9

Post-treatment extraoral and intraoral photographs.
Post-treatment extraoral and intraoral photographs.

Figure 10

Post-treatment panoramic and lateral cephalometric radiographs.
Post-treatment panoramic and lateral cephalometric radiographs.

Figure 11

Post-treatment dental casts.
Post-treatment dental casts.

Figure 12

Cephalometric superimposition on sella: Pretreatment (black line) and posttreatment (red line).
Cephalometric superimposition on sella: Pretreatment (black line) and posttreatment (red line).

Figure 13

Extraoral and intraoral photographs at one-year follow-up.
Extraoral and intraoral photographs at one-year follow-up.

Figure 14

Panoramic and lateral cephalometric radiographs at one-year follow-up.
Panoramic and lateral cephalometric radiographs at one-year follow-up.

Figure 15

Cephalometric superimposition on sella: Posttreatment (red line) and one-year follow-up (green line).
Cephalometric superimposition on sella: Posttreatment (red line) and one-year follow-up (green line).

Cephalometric Analysis_

MeasurementNormPretreatmentPosttreatmentOne-year follow-up
Skeletal
  SNA, °83.3 ± 3.776.979.479.4
  SNB, °79.0 ± 3.380.077.378.2
  ANB, °3.4 ± 1.9−3.12.11.2
  Wits appraisal, mm−0.8 ± 2.4−11.3−3.3−3.8
  SN-GoGn, °32.0 ± 6.041.94039
  MP-SN, °33.0 ± 6.044.64240
  FMA (MP-FH), °23.0 ± 4.531.73029
  Convexity (NA-APo), °5.0 ± 3.0−8.72.41.5
  Anterior Facial Height (ANS-Me), mm71.5 ± 5.065.464.262.7

Dental
  Maxillary dentition
    U1-NA, °22.8 ±5.724.123.523.5
    U1-NA, mm4.3 ± 2.74.44.14.1
    U1-SN, °102.8 ± 5.5101.0102.9102.9
    U1-Palatal Plane, °110.0 ±5.0115.3116.9116.9

  Mandibular dentition
    L1-NB, °25.3 ± 6.019.322.321.1
    L1-NB, mm4.0 ± 1.82.54.13.9
    L1-Apo, °22.0 ±4.024.321.820.2
    L1-APo, mm2.2 ± 1.34.321.8
    IMPA (L1-MP), °96.6 ±7.574.281.580.8

  Maxillary/mandibular dentition
    Interincisal Angle (U1-L1), °130.0 ± 6.0140.3132.3131.2
    Overjet, mm2.5 ± 2.5−2.12.72.5
    Overbite, mm2.5 ± 2.02.60.91.5

Soft tissue
  Upper lip to E-plane, mm−5.8 ± 2.4−9.5−7.8−7.9
  Lower lip to E-plane, mm−3.8 ±2.4−3.6−5.2−5
  Nasolabial Angle (Col-Sn-UL), °111.6 ± 9.5107.0103.2103.2
DOI: https://doi.org/10.21307/aoj-2022.001 | Journal eISSN: 2207-7480 | Journal ISSN: 2207-7472
Language: English
Page range: 1 - 12
Submitted on: Oct 1, 2021
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Accepted on: Dec 1, 2021
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Published on: Jan 12, 2022
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2022 Hande Pamukçu, Serhat Özsoy, Hakan H. Tüz, Ömur Polat-Özsoy, published by Australian Society of Orthodontists Inc.
This work is licensed under the Creative Commons Attribution 4.0 License.