dor_id: 59150

506.#.#.a: Público

590.#.#.d: Los artículos enviados a la "Revista Mexicana de Ortodoncia", se juzgan por medio de un proceso de revisión por pares

510.0.#.a: Sistema Regional de Información en Línea para Revistas Científicas de América Latina, el Caribe, España y Portugal (Latindex); Medigraphic

561.#.#.u: http://www.odonto.unam.mx/

561.#.#.a: Facultad de Odontología, UNAM

650.#.4.x: Medicina y Ciencias de la Salud

336.#.#.b: article

336.#.#.3: Artículo Técnico-Profesional

336.#.#.a: Artículo

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351.#.#.b: Revista Mexicana de Ortodoncia

351.#.#.a: Artículos

harvesting_group: RevistasUNAM

270.1.#.p: Revistas UNAM. Dirección General de Publicaciones y Fomento Editorial, UNAM en revistas@unam.mx

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270.#.#.d: MX

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883.#.#.a: Revistas UNAM

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883.#.#.1: https://www.publicaciones.unam.mx/

883.#.#.q: Dirección General de Publicaciones y Fomento Editorial

850.#.#.a: Universidad Nacional Autónoma de México

856.4.0.u: https://revistas.unam.mx/index.php/rmo/article/view/60677/53559

100.1.#.a: Herrera Méndez, Itzuri; Ballesteros Lozano, Mauricio

524.#.#.a: Herrera Méndez, Itzuri, et al. (2017). Surgical-orthodontic treatment in a skeletal class III patient with severe facial asymmetry. Revista Mexicana de Ortodoncia; Vol. 5 Núm. 2, 2017. Recuperado de https://repositorio.unam.mx/contenidos/59150

720.#.#.a: Herrera Méndez, Itzuri ; Ballesteros Lozano, Mauricio

245.1.0.a: Surgical-orthodontic treatment in a skeletal class III patient with severe facial asymmetry

502.#.#.c: Universidad Nacional Autónoma de México

561.1.#.a: Facultad de Odontología, UNAM

264.#.0.c: 2017

264.#.1.c: 2017-06-15

653.#.#.a: Facial asymmetry; skeletal class III; orthodontic-surgical treatment

506.1.#.a: La titularidad de los derechos patrimoniales de esta obra pertenece a las instituciones editoras. Su uso se rige por una licencia Creative Commons BY-NC-ND 4.0 Internacional, https://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.es, para un uso diferente consultar al responsable jurídico del repositorio por medio del correo electrónico revistamexicanadeortodoncia@gmail.com

884.#.#.k: https://revistas.unam.mx/index.php/rmo/article/view/60677

001.#.#.#: 120.oai:ojs.pkp.sfu.ca:article/60677

041.#.7.h: spa

520.3.#.a: Craniofacial asymmetry is expressed as the difference in sizebetween two parts of the face. It is originated by a discrepancyin size and position between the cranial base and the maxilla,between the cranial base and the mandible, or between themaxilla and the mandible. When the craniofacial asymmetryis severe and the patient has completed growth, the indicatedtreatment is performed in conjunction with orthodontics andorthognathic surgery. The clinical case of a 20-year-old femalepatient who underwent orthodontic-surgical treatment of a skeletal class III malocclusion due to maxillary retrusion and mandibular prognathism, severe facial asymmetry, right condylar hyperplasia, right side maxillary inclination, anterior open bite and transversal compression of the maxillar is hereby presented. The treatment goals were to provide a stable occlusion, to obtain facial symmetry and improve function by the correction of the transverse, sagittal and vertical dento-skeletal problem. The treatment plan was orthodontic-surgical using 0.022” × 0.025” slot Roth prescription, which consisted in three phases: 1) Pre-surgical orthodontics, 2) surgical phase and 3) Post-surgical orthodontics. The surgicaltreatment plan consisted of a triple orthognathic surgery: Le Fort I osteotomy (asymmetric maxillary intrusion of 3 mm on the right side and 2 mm on the left side and a maxillary advancement of 3 mm), asymmetric bilateral sagittal osteotomy of the mandible and mentoplasty. In addition to these surgical procedures, a nasal post of septal cartilage was also placed. The obtained results, both facial and occlusal, were satisfactory, achieving the orthodontic goals and fulfilling the patient’s expectations. Conclusions: Orthognathic surgery in conjunction with orthodontics offers a definitive solution for dentofacial corrections in patients who have completed their growth period; giving the patient facial symmetry, occlusal stability and adequate function of the stomatognathic apparatus. The establishment of a common diagnosis and objectives between the maxillofacial surgeon and the orthodontist in an orthodontic-surgical case is crucial to obtain an adequate and favorable result for the patient.

773.1.#.t: Revista Mexicana de Ortodoncia; Vol. 5 Núm. 2 (2017)

773.1.#.o: https://revistas.unam.mx/index.php/rmo

022.#.#.a: ISSN: 2395-9215

310.#.#.a: Trimestral

264.#.1.b: Facultad de Odontología, UNAM

doi: https://doi.org/10.1016/j.rmo.2017.06.017

handle: 00ef4703cc182c8f

harvesting_date: 2023-06-20 16:00:00.0

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last_modified: 2023-06-20 16:00:00

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Artículo

Surgical-orthodontic treatment in a skeletal class III patient with severe facial asymmetry

Herrera Méndez, Itzuri; Ballesteros Lozano, Mauricio

Facultad de Odontología, UNAM, publicado en Revista Mexicana de Ortodoncia, y cosechado de Revistas UNAM

Licencia de uso

Procedencia del contenido

Entidad o dependencia
Facultad de Odontología, UNAM
Revista
Repositorio
Contacto
Revistas UNAM. Dirección General de Publicaciones y Fomento Editorial, UNAM en revistas@unam.mx

Cita

Herrera Méndez, Itzuri, et al. (2017). Surgical-orthodontic treatment in a skeletal class III patient with severe facial asymmetry. Revista Mexicana de Ortodoncia; Vol. 5 Núm. 2, 2017. Recuperado de https://repositorio.unam.mx/contenidos/59150

Descripción del recurso

Autor(es)
Herrera Méndez, Itzuri; Ballesteros Lozano, Mauricio
Colaborador(es)
Herrera Méndez, Itzuri ; Ballesteros Lozano, Mauricio
Tipo
Artículo Técnico-Profesional
Área del conocimiento
Medicina y Ciencias de la Salud
Título
Surgical-orthodontic treatment in a skeletal class III patient with severe facial asymmetry
Fecha
2017-06-15
Resumen
Craniofacial asymmetry is expressed as the difference in sizebetween two parts of the face. It is originated by a discrepancyin size and position between the cranial base and the maxilla,between the cranial base and the mandible, or between themaxilla and the mandible. When the craniofacial asymmetryis severe and the patient has completed growth, the indicatedtreatment is performed in conjunction with orthodontics andorthognathic surgery. The clinical case of a 20-year-old femalepatient who underwent orthodontic-surgical treatment of a skeletal class III malocclusion due to maxillary retrusion and mandibular prognathism, severe facial asymmetry, right condylar hyperplasia, right side maxillary inclination, anterior open bite and transversal compression of the maxillar is hereby presented. The treatment goals were to provide a stable occlusion, to obtain facial symmetry and improve function by the correction of the transverse, sagittal and vertical dento-skeletal problem. The treatment plan was orthodontic-surgical using 0.022” × 0.025” slot Roth prescription, which consisted in three phases: 1) Pre-surgical orthodontics, 2) surgical phase and 3) Post-surgical orthodontics. The surgicaltreatment plan consisted of a triple orthognathic surgery: Le Fort I osteotomy (asymmetric maxillary intrusion of 3 mm on the right side and 2 mm on the left side and a maxillary advancement of 3 mm), asymmetric bilateral sagittal osteotomy of the mandible and mentoplasty. In addition to these surgical procedures, a nasal post of septal cartilage was also placed. The obtained results, both facial and occlusal, were satisfactory, achieving the orthodontic goals and fulfilling the patient’s expectations. Conclusions: Orthognathic surgery in conjunction with orthodontics offers a definitive solution for dentofacial corrections in patients who have completed their growth period; giving the patient facial symmetry, occlusal stability and adequate function of the stomatognathic apparatus. The establishment of a common diagnosis and objectives between the maxillofacial surgeon and the orthodontist in an orthodontic-surgical case is crucial to obtain an adequate and favorable result for the patient.
Tema
Facial asymmetry; skeletal class III; orthodontic-surgical treatment
Idioma
spa
ISSN
ISSN: 2395-9215

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