Laterognasia y maloclusión clase II esquelética, tratamientoquirúrgico

[摘要] A patient of 14 years and 3 months is presented here, whose reason for consultation was that IMSS sent her. In the clinical analysis she was diagnosed as skeletal class II division 1, hyperdivergent, bilateral molar class II, bilateral canine class II, with a sharp Spee curve, upper and lower mild crowding, retrognathic mandible, maxillary collapse, left laterognasia, labial incompetence, hypertonicity of the mental muscle, increased overjet, absence of the 37th tooth and spaces in the superior antero sector. The treatment took place in three phases: the orthopedic: maxillary expansion; the pre-surgical: alignment, leveling, dental decompensation, achievement of tripodism (occlusal stability), and the surgical phase: bilateral branch sagittal osteotomy (right rotation 4 mm), an advance of 10mm, a 4mm advancement mentoplasty, post-surgical phase: stripping, detailing and retention. The aparatology used was: Hass with screw in fan, Roth prescription brackets .022 x .028, bands in 6's upper and lower, weldable tubes in 6's upper and lower, The active treatment time was 2 years and 1 month.

[学科分类] 口腔科学

[关键词] hyperdivergent maxillary collapse;laterognasia.