Deusmaximus
Kraken
- Joined
- Mar 11, 2019
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"This female patient was 35 years old on presentation. During childhood, she underwent extraction of 2 lower premolars with orthodontic retraction of her lower anterior teeth to compensate and camouflage her class 3 malocclusion. The result is severe retroclination of lower incisors and a convex facial profile with flattening of the midface, reduced upper lip support and a relatively prominent lower jaw. This patient was treated by reversal of the previous orthodontic treatment with opening up of the previous lower extraction spaces, uprighting her lower anterior teeth into a negative overjet. A maxillary advancement osteotomy was then performed and dental implants were placed to replace the missing lower premolar teeth. The result is a much more pleasing profile and facial support. This case illustrates what can happen when orthodontic camouflage is chosen as a treatment plan for a young patient in order to avoid surgery and the facial compromise that may occur"