Decompensation orthodontics and maxillary advancement surgery

Example: LeFort I osteotomy maxillary advancement and orthodontics

Level of evidence: Moderate
Suitable for ages: 18+ years old
Indications: Moderate to severe maxilla retrognathic Class III skeletal base, Class III dental malocclusion
Contraindications: Severe mandibular prognathic skeletal base, actively growing mandible, acquired surgical risk factors

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

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