Mandible first orthognathic surgery
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Universidade Federal de Minas Gerais
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Artigo de periódico
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Resumo
This paper discusses, presenting a case report, the criteria that should be considered in the clinical decision regarding the surgical approach, initiating the procedure in the mandible or maxilla. Case report: 27-year-old female diagnosed as having vertical maxillary excess, anteroposterior mandible deficiency, and Angle Class II dental malocclusion. The patient was offered a bimaxillary orthognathic surgery. Due to the uncertainty in determining the centric relation of the patient, we chose to perform the procedure starting from the mandible. The surgical procedure was
performed successfully, without trans and/or postoperative complications and all aesthetic-functional complaints of the patient were healed. Orthognathic surgery starting in the mandible has been presenting more common among surgeons. Despite having some specific indications, these are not strict and should be available within the surgical strategies of the maxillofacial surgeon.
Abstract
Assunto
Orthognathic surgery, Planning, Mandible, Clinical decision rules, Maxillary diseases, Maxilla
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Orthognathic surgery., Planning, Mandible
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https://www.jbcoms.net/revista/411/JBCOMS-2017-v03n1