Orthodontic and orthopedic approach to treat hypoplastic mandible (micrognathia) in a growing patient – 5 years-follow up

Vol. 12 – Number 47 – 2019 Case report Page 104-115 Orthodontic and orthopedic approach to treat hypoplastic mandible (micrognathia) in a growing patient – 5 years-follow up Renato Barcellos Rédua¹ Paulo César Barbosa Rédua² Abstract The treatment of micrognathia in children represents an orthopedic challenge due to the limitation of the magnitude of growth pattern orthopedic approach versus the genetic pattern, which sometimes requires orthognathic surgery treatment. However, we consider the need for an orthopedic approach in children with hypoplastic mandibles, either to eliminate the surgical need, to reduce the magnitude of this or to allow a better quality of life during the child’s development until adulthood. This paper presents a treatment of micrognathia in children with increase of the airway in oropharyngeal, ideal occlusion, without the need of orthognathic surgery in adult life, with 5 years-follow up. Descriptors: Micrognathism, interceptive orthodontics, oropharynx. ¹ PhD in Pediatric Dentistry, MSc in Orthodontics, Professor of Children’s Integrated Clinics – Multivix College. ² MSc in Physiological Sciences, Specialist in Pediatric Dentistry, Professor of Pediatric Dentistry – SLM. Dear Subscriber, This article will be available for download in January 2020.