PMC3335446_01
(a)-(f) pretreatment, before TMJ ankylosis surgery. Mouth opening restricted to 3 mm only.
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fig1
She had a convex profile, severely retrognathic mandible, absence of chin button, and bimaxillary protrusion (Figure 1).
(a)-(h) gap arthroplasty and temporalis graft interpositioning through preauricular approach.
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At right TMJ, gap arthroplasty was performed through the preauricular approach (Figure 2).
3 months after surgery mouth opening increased up to 4 cm.
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fig3
Results were promising, and 4 cm range of mouth opening was achieved and satisfactorily maintained after surgery (Figure 3).
(a)-(d) facial photographs at commencing of orthodontic treatment for bimaxillary protrusion and before genioplasty.
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Fixed orthodontic mechanotherapy was initiated for aligning and establishment of occlusion using fixed bonded orthodontic appliance (Figure 4).
(a)-(b) radiographs after completion of orthodontic treatment and before genioplasty.
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With the retraction of the lips, the patient's profile and smile improved (Figure 5).