Surgical management of a patient with dentofacial anomalies. Orthognathic surgery: a case report

Authors

DOI:

https://doi.org/10.18537/fouc.v04.n02.a05

Keywords:

Dentofacial anomaly, orthognathic surgery, laterognatia, osteotomy, genioplasty

Abstract

Introduction: Dentofacial anomalies cause functional, aesthetic, and psychosocial alterations in individuals, with orthognathic surgery being the treatment of choice; the purpose of this report is to describe surgical management assisted by virtual planning. Case presentation: An 18-year-old female presented with skeletal Class III malocclusion, maxillary hypoplasia, and mandibular laterognathia. Surgical treatment consisted of a Le Fort I osteotomy for maxillary advancement, bilateral vertical mandibular ramus osteotomy, and advancement genioplasty. Discussion: Virtual planning allowed for the creation of cutting guides and occlusal splints that optimized surgical times and minimized complications. Conclusions: Orthognathic surgery is the treatment of choice for these anomalies, significantly improving the patient’s function, facial harmony, and quality of life. Virtual planning is a fundamental tool for optimizing results and reducing complications.

Downloads

Download data is not yet available.

References

Zamboni R, de Moura FRR, Brew MC, Rivaldo EG, Braz MA, Grossmann E, et al. Impacts of orthognathic surgery on patient satisfaction, overall quality of life, and oral health-related quality of life: a systematic literature review. Int J Dent. 2019;2019:2864216. doi: 10.1155/2019/2864216

Meade E, Inglehart MR. Young patients’ treatment motivation and satisfaction with orthognathic surgery outcomes: the role of "possible selves". Am J Orthod Dentofacial Orthop. 2010;137(1):26-34. doi: 10.1016/j.ajodo.2007.12.031

Ferretti C, Reyneke JP. Genioplasty. Atlas Oral Maxillofac Surg Clin North Am. 2016;24(1):79-85. doi: 10.1016/j.cxom.2015.10.005

Naran S, Steinbacher DM, Taylor JA. Current concepts in orthognathic surgery. Plast Reconstr Surg. 2018;141(6):925e-936e. doi: 10.1097/PRS.0000000000004438

Oh HJ, Moon JH, Ha H, Son IS, Lee YC, Lee SJ, et al. Virtually planned orthognathic surgery achieves an accurate condylar position. J Oral Maxillofac Surg. 2021;79(5):1146.e1-1146.e10. doi: 10.1016/j.joms.2020.12.012

Neo B, Lim LC, Mohammed-Ali R. The time benefits of 3D planning in orthognathic surgery: a systematic review. Br J Oral Maxillofac Surg. 2021;59(6):646-652. doi: 10.1016/j.bjoms.2020.09.020

Heufelder M, Wilde F, Pietzka S, Mascha F, Winter K, Schramm A, et al. Clinical accuracy of waferless maxillary positioning using customized surgical guides and patient-specific osteosynthesis in bimaxillary orthognathic surgery. J Craniomaxillofac Surg. 2017;45(9):1578-1585. doi: 10.1016/j.jcms.2017.06.017

Pietzka S, Mascha F, Winter K, Kämmerer PW, Sakkas A, Schramm A, et al. Clinical accuracy of 3D-planned maxillary positioning using CAD/CAM-generated splints in combination with temporary mandibular fixation in bimaxillary orthognathic surgery. Craniomaxillofac Trauma Reconstr. 2020;13(4):290-299. doi: 10.1177/1943387520930460

Rosen HM. Evolution of a surgical philosophy in orthognathic surgery. Plast Reconstr Surg. 2017;139(4):978-990. doi: 10.1097/PRS.0000000000003216

Bauer RE, Ochs MW. Maxillary orthognathic surgery. Oral Maxillofac Surg Clin North Am. 2014;26(4):523-537. doi: 10.1016/j.coms.2014.05.003

McKenna SJ, King EE. Intraoral vertical ramus osteotomy procedure and technique. Atlas Oral Maxillofac Surg Clin North Am. 2015;23(2):e1-e15. doi: 10.1016/j.cxom.2015.05.001

Reyneke JP. Essentials of orthognathic surgery. Chicago: Quintessence Publishing; 2003.

Published

2026-07-23

How to Cite

López Chavez, D. R., & Naranjo Cajamarca, C. I. . (2026). Surgical management of a patient with dentofacial anomalies. Orthognathic surgery: a case report. Revista De La Facultad De Odontología De La Universidad De Cuenca, 4(2), 33–38. https://doi.org/10.18537/fouc.v04.n02.a05