Orthodontic and surgical treatment of a patient with skeletal deformity, obstructive sleep apnea and dental ankylosis

Rhita Cristina Cunha ALMEIDA, Ana Beatriz Neves PEREIRA, Carolina Considera VOGAS, Felipe de Assis Ribeiro CARVALHO, Henrique Martins DASILVEIRA, Catia Cardoso Abdo QUINTÃO, Marco Antonio de Oliveira ALMEIDA

Introduction: The aim of this paper was to describe the clinical case of a patient with convex profile, mandibular retrusion, facial asymmetry, gingival smile, obstructive sleep apnea, severe dental malocclusion and ankylosis of the upper right central incisor. Description: The patient was treated with fixed appliance, extraction of the first premolars, bimaxillary surgery associated with genioplasty. Results: The results showed a significant increase in facial appearance and symmetry, adequate maxillomandibular relation, passive lip seal, improvement of the respiratory function, Class I molar relationship and correct overjet and overbite. Three years later, the results remained stable. Conclusions: The multi-professional treatment provided stable results, improving the patient’s esthetics, function and quality of life.

Keywords: Facial asymmetry. Orthognathic surgery. Malocclusion, Angle Class II. Sleep apnea, obstructive.

How to cite: Almeida RCC, Pereira ABN, Vogas CC, Carvalho FAR, Da-Silveira HM, Quintão CCA, Almeida MAO. Tratamento ortodôntico-cirúrgico de paciente com deformidade esquelética, apneia obstrutiva do sono e anquilose dentária. Rev Clín Ortod Dental Press. 2020 Jun-Jul;19(3):120-33.

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