Example: LeFort I osteotomy maxillary advancement, BSSO mandibular setback and decompensation orthodontics
Level of evidence: Moderate
Suitable for ages: 18+ years old
Indications: Moderate to severe maxilla retrognathic skeletal base, moderate to severe prognathic mandible skeletal base, Class III dental malocclusion
Contraindications: Risks of obstructive sleep apnea, acquired surgical risk factors, mild-moderate Class III occlusion without any facial disharmony
Treatment Objectives and Biomechanics
- Dentoalveolar decompensation of Class III malocclusion
- Advancement of maxilla skeletal base to ideal position facially and for occlusion
Appliances
- Fixed appliances
- Clear aligners
