Class III orthosurgical treatment in a growing patient: 5-years follow-up

Vol. 13 – Number 51 – 2020 Case report Page 41-53 Class III orthosurgical treatment in a growing patient: 5-years follow-up Guilherme Thiesen¹ Ana Paula Ferrari Vendramin² Ana Beatriz SantAna Khoury³ Abstract This case report describes a young female patient, with severe skeletal Class III malocclusion and facial asymmetry. In the functional aspect there were masticatory, speech and psychosocial disorders. The patient sought treatment when she was still in the mixed dentition, so a palliative treatment was performed at that time in order to accomplish the surgical procedure in adulthood. Unfortunately, during the waiting period, the patient reported serious psychosocial problems due to the malocclusion. That culminated in orthognathic surgery before skeletal growth cessation, even knowing the risk of a future surgical re-intervention. The results were satisfactory and, with five-year follow-up records, it was observed that they remained acceptable and offered the functional, aesthetical, and social benefits expected by the patient. Descriptors: Angle Class III Malocclusion, Orthognathic surgery, prognathism, corrective Orthodontics. ¹ Master and Doctor in Orthodontics and Facial Orthopedics – PUCRS and ULBRA, Post-Doctorate in Orthodontics – Saint Louis University, Saint Louis / MO-EUA, Graduated by the Brazilian Board of Orthodontics and Facial Orthopedics. ² Graduated in Dentistry – UFSC, Specialist in Pediatric Dentistry – EAP / ABO-SC, Specialist in Orthodontics – Zenith Continuing Education ³ Graduated in Dentistry – UFSC, Post-graduate student in Orthodontics – Zenith Educação Continuada, Postgraduate in preventive and interceptive orthodontics – PROFIS-Bauru.