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Case Reports in Dentistry
Volume 2013 (2013), Article ID 797846, 12 pages
Case Report

Combined Orthodontic and Surgical Approach in the Correction of a Class III Skeletal Malocclusion with Mandibular Prognathism and Vertical Maxillary Excess Using Bimaxillary Osteotomy

1Department of Orthodontics, Pushpagiri College of Dental Sciences, Medicity, Tiruvalla, Kerala 689 107, India
2Department of Oral and Maxillofacial Surgery, Pushpagiri College of Dental Sciences, Medicity, Tiruvalla, Kerala 689 107, India

Received 19 October 2013; Accepted 19 November 2013

Academic Editors: J. H. Campbell, C. Evans, M. B. D. Gaviao, and C. Landes

Copyright © 2013 George Jose Cherackal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


For patients whose orthodontic problems are so severe that neither growth modification nor camouflage offers a solution, surgery to realign the jaws or reposition dentoalveolar segments is the only possible treatment. Surgery is not a substitute for orthodontics in these patients. Instead, it must be properly coordinated with orthodontics and other dental treatments to achieve good overall results. Dramatic progress in recent years has made it possible for combined surgical orthodontic treatment to be carried out successfully for patients with a severe dentofacial problem of any type. This case report provides an overview of the current treatment methodology in managing a combination of asymmetrical mandibular prognathism and vertical maxillary excess.