PMC5349032_01
Preoperative frontal aspect (A) and facial profile (B) of the patient (patient
signed informed consent authorizing the publication of these pictures)
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In order to acquire proper positioning of the mandibular incisors, the right and left first premolars were extracted and levelling and alignment of the maxillary arch was performed to create a positive overjet (Figures 1 and 2).
Preoperative intraoral view of the left side (A) and right side (B)
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In order to acquire proper positioning of the mandibular incisors, the right and left first premolars were extracted and levelling and alignment of the maxillary arch was performed to create a positive overjet (Figures 1 and 2).
Schematic illustration of the hybrid fixation in the BSSO. Note the inset bend at
the plate
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These screws were positional and do not exert pressure between segments (Figure 3).
Postoperative frontal aspect (A) and facial profile (B) of the patient (patient
signed informed consent authorizing the publication of these pictures)
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The patient evolved well in the postoperative period and is still under follow up after 14 months, reporting satisfaction with the results (Figures 4 to 5).
Postoperative intraoral view of the left side (A) and right side (B)
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The patient evolved well in the postoperative period and is still under follow up after 14 months, reporting satisfaction with the results (Figures 4 to 5).
Panorex showing hybrid fixation in mandibular advancement
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The hybrid mandibular fixation is clearly visible in the panoramic and cephalometric control radiographs (Figure 6 and 7).
Fourteen-month cephalometric radiograph showing occlusion plane changing and lower
jaw advancement
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The hybrid mandibular fixation is clearly visible in the panoramic and cephalometric control radiographs (Figure 6 and 7).
Cephalograms taken 1 week before (left) and 1 week after (right) surgery showing
pre-surgical orthodontic treatment and the counter-clockwise rotation of the lower
and upper jaws after surgery
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Figure 8 shows cephalometric tracing of the preoperative position and postoperative changes along the 16 months of treatment, including the removal of brackets.