PMC5469988_01
Front and lateral photographs of the patient at the time of the first visit.
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The examination of the profile revealed a convex profile with increasing gonial angle (Figure 1) (informed consent has been obtained by the patient for publication).
Intraoral photographs at the time of the first visit.
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Rx before treatment.
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Photos (Figure 6 and Table 3) and Rx (Figure 7 and Table 4) show a facial and skeletal harmony improvement.
Extraoral and intraoral photographs before surgery.
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The presurgical therapy had the purpose to improve the shape of both arches, which appeared ovoid and provide a correct expansion of the upper jaw in preparation for orthognathic surgery (Figure 4). Photos (Figure 6 and Table 3) and Rx (Figure 7 and Table 4) show a facial and skeletal harmony improvement.
Arnett-Bergman soft tissues analysis and VTO before surgery.
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Arnett-Bergman soft tissues analysis (Table 2) and surgical visual treatment objects (VTO) were performed before surgery (Figure 5).
Extraoral and intraoral photographs and Arnett-Bergman soft tissues analysis after surgery.
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Photos (Figure 6 and Table 3) and Rx (Figure 7 and Table 4) show a facial and skeletal harmony improvement.
Rx after surgery.
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Photos (Figure 6 and Table 3) and Rx (Figure 7 and Table 4) show a facial and skeletal harmony improvement.
Extraoral and intraoral photographs after orthodontic therapy.
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Two years after surgery, the fixed orthodontic appliance was removed and upper and lower Schwarz appliances of restraint were delivered to the patient to keep the result in combination with fixed upper and lower retainers (Figure 8).