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

Table 1

Cephalometrics for orthognathic surgery.

VariableClinical normPretreatmentPosttreatmentDescription

Horizontal (skeletal)
N-A-Pg mm−2°Convexity
N-A mm5 mm9 mmMaxillary position
N-B mm13 mm5 mmMandibular position
N-Pg mm15 mm10 mmPosition of chin

Vertical (skeletal and dental)
N-ANS mm56 mm51 mmAnterior upper facial height
ANS-Gn mm76 mm72 mmAnterior lower facial height
PNS-N mm56 mm51 mmPosterior upper facial height
MP-HP31°28°Angle of mandibular to horizontal plane
1U-NF mm29 mm27 mmDistance of incisal edge of 1U to palatal plane
1L-MP  mm46 mm46 mmDistance of incisal edge of 1L to mandibular plane
6U-NF mm29 mm25 mmDistance of mesial cusp of 6u to palatal plane
6L-MP mm29 mm30 mmDistance of mesial cusp of 6l to mandibular plane

Maxilla and mandible
ANS-PNS mm53 mm54 mmMaxillary length
Ar-Go mm58 mm57 mmRamus length
Go-Pg mm86 mm79 mmMandibular length
B-Pg mm6 mm9 mmChin prominence
Ar-Go-Gn144°138°Gonial angle

Dentition
A-B−10.5°Distance of A to B on occlusal plane
Max1-NF136°121°Angle of axis of 1U to palatal plane
Mand1-MP86°84°Angle of axis of 1L to mandibular plane