Surgical-orthodontic treatment in a class II malocclusion patient. Case report

Abstract

Regardless of the different orthodontic treatment options for patients with subdivision class II malocclusions, the involvement of skeletal structures is signifi cant. It is desirable to combine orthodontic and surgical treatment to achieve a stable and more esthetic result, as illustrated in this case report, which describes the treatment of a 41-year-old woman with a skeletal class II malocclusion and a history of temporomandibular joint pain. She also presented an anteroposterior discrepancy and a convex profi le. Intraorally, she had an overjet of 7 mm. Mandibular surgical rotation coupled with a non-extraction orthodontic approach was performed to reduce the overjet and minimize the temporomandibular joint disorder. The purpose of this report is to show the importance of developing an individualized treatment plan, tailored to the patient’s specifi c dental and skeletal problems, as well as to his or her needs and desires.