The Journal
Fig 2 : Pretreatment Dental Casts
Treatment Objectives Treatment Alternatives
The treatment objectives for the dentition were
correction of the right posterior crossbite,
making the maxillary and mandibular midlines
coincident, and decrowding both the arches
and retraction of maxillary and mandibular
anteriors and achieving normal overjet and
overbite, and Class I canine-to-molar
relationships. Orthodontic treatment and a sliding genioplasty
which was relatively less invasive was
considered. Expansion of a narrow maxillary
arch was planned which could help to correct
the transverse discrepancy by releasing the
locking in the right posterior teeth. Mandibular
right and left molar distalization to correct molar
relation and canine relation and to decrowd the
anteriors.Other option was a Mandibular angle
reduction plasty and augumentation
genioplasty to balance the bulky right inferior
border of the mandible. This plan would
minimize the extent of surgery while maximizing
the reduction of asymmetry.
The skeletal treatment objective was correcting
the facial asymmetry, including the deviation of
the chin and achieving soft tissue facial
symmetry.
14
Vol. 14 No. 1
Jan-Apr 2018