Case Report

Combined Orthodontic and Surgical Management for Treatment of Severe Class III Malocclusion with Anterior and Posterior Crossbites

Table 1

Cephalometric analysis.

MeasurementMean (±Sd)Patient
InitialFinal

Ant-posteriorSNA (°)82° (±3.3)76.280
SNB (°)80° (±3.1)82.179
ANB (°)2° (±1.7)-5.91
Wits (mm) (±1.9)
(±1.77)
-16.1 mm-2
Angle of convexity NA-APg (°)0° (±5.1)-11-1
A-B plane AB : NPg (°)-4.6° (±3.7)10-2

VerticalMP (Go-Gn) : SN (°)32° (±3.5)4443
MP (tangent lower border) : FH (°)21.9° (±3.2)3131
Pg : NB (mm)4 (±2)-1.5 mm3.6 mm
-axis (SGn : FH)59.4° (±3.8)6970
LAFH (ANS to to Gn).57 (±0.02)56%56
OP : SN (°)14° (±4.1)21.821.1

DentalU1 to palatal plane (°)109° (±6)102.6105.9
U1 to NA (°)22° (±6.1)26.427.2
U1 to NA (mm)4 (±1.2)5 mm6 mm
L1 to NB (°)25° (±4.5)15.115.1
L1 to NB (mm)4 (±1.5)2 mm3 mm
U1 to L1 (°) (Avg. Downs and Steiner)131.7° (±6.5)144137
L1 : APg (mm)1 (±2)7 mm1 mm
FMA (°)25° (16-35)3131
FMIA (°)65° (60-75)8075
IMPA (°)90° (85-95)6974

Soft tissueFacial angle (FH : N’Pg’) (°)90-92°9492
Nasolabial angle (°)90-110°11388
Esthetic plane (E-line)–upper lip-4 mm-13 mm-6 mm
Esthetic plane (E-line)–lower lip-2 mm0 mm-3 mm