Mandibular "tripod" advancement of a Class II Division 2 deepbite malocclusion. 2010

Laura E Low, and Theodore E Moore, and Kevin R Austin, and Richard G Burton, and Steve D Marshall, and Karin A Southard, and Thomas E Southard
Department of Orthodontics, University of Iowa, Iowa City, Iowa, USA.

This case report describes the treatment of a 25-year-old woman with a Class II malocclusion, secondary to mandibular skeletal deficiency, and mild overclosure. Inferior surgical repositioning of the maxilla is often the treatment of choice for patients with maxillary vertical deficiency; however, this patient had borderline vertical deficiency that was treated with a mandibular "tripod" advancement (leveling of the mandibular arch after surgery) coupled with a setback and down-grafting genioplasty. The surgical-orthodontic treatment plan, combined with cosmetic dentistry, resulted in dramatically improved facial esthetics and occlusal relationships.

UI MeSH Term Description Entries
D008312 Malocclusion, Angle Class II Malocclusion in which the mandible is posterior to the maxilla as reflected by the relationship of the first permanent molar (distoclusion). Angle Class II,Angle Class II, Division 1,Angle Class II, Division 2,Class II Malocclusion, Division 1,Class II Malocclusion, Division 2,Malocclusion, Angle Class II, Division 1,Malocclusion, Angle Class II, Division 2,Class II, Angle
D009971 Orthodontics, Corrective The phase of orthodontics concerned with the correction of malocclusion with proper appliances and prevention of its sequelae (Jablonski's Illus. Dictionary of Dentistry). Corrective Orthodontics
D010027 Osteotomy The surgical cutting of a bone. (Dorland, 28th ed) Osteotomies
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D014716 Vertical Dimension The length of the face determined by the distance of separation of jaws. Occlusal vertical dimension (OVD or VDO) or contact vertical dimension is the lower face height with the teeth in centric occlusion. Rest vertical dimension (VDR) is the lower face height measured from a chin point to a point just below the nose, with the mandible in rest position. (From Jablonski, Dictionary of Dentistry, 1992, p250) Mandibular Rest Position,Rest Vertical Dimension,Vertical Dimension at Rest,Vertical Dimension of Occlusion,Dimension, Rest Vertical,Dimension, Vertical,Dimensions, Rest Vertical,Dimensions, Vertical,Mandibular Rest Positions,Occlusion Vertical Dimension,Occlusion Vertical Dimensions,Position, Mandibular Rest,Positions, Mandibular Rest,Rest Position, Mandibular,Rest Positions, Mandibular,Rest Vertical Dimensions,Vertical Dimension, Rest,Vertical Dimensions,Vertical Dimensions, Rest
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes
D056948 Orthognathic Surgical Procedures Surgery performed to repair or correct the skeletal anomalies of the jaw and its associated dental and facial structures (e.g. CLEFT PALATE). Jaw Surgery,Maxillo-Mandibular Surgery,Maxillofacial Orthognathic Surgery,Jaw Surgeries,Maxillo Mandibular Surgery,Maxillo-Mandibular Surgeries,Maxillofacial Orthognathic Surgeries,Orthognathic Surgeries, Maxillofacial,Orthognathic Surgery, Maxillofacial,Orthognathic Surgical Procedure,Procedure, Orthognathic Surgical,Procedures, Orthognathic Surgical,Surgeries, Jaw,Surgeries, Maxillo-Mandibular,Surgeries, Maxillofacial Orthognathic,Surgery, Jaw,Surgery, Maxillo-Mandibular,Surgery, Maxillofacial Orthognathic,Surgical Procedure, Orthognathic,Surgical Procedures, Orthognathic
D019186 Mandibular Advancement Moving a retruded mandible forward to a normal position. It is commonly performed for malocclusion and retrognathia. (From Jablonski's Dictionary of Dentistry, 1992) Advancement, Mandibular

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