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Three-part bi-maxillary osteotomy: a case report involving resorbable plates

FTTA in Orthodontics, Liverpool University Dental Hospital

Jayne Harrison

Consulant in Orthodontics, Liverpool University Dental Hospital

Mark Boyle

Consultant in Oral & Maxillofacial Surgery, Liverpool University Dental Hospital

Address for correspondence: David Waring, Department of Orthodontics, Liverpool University Dental Hospital, Pembroke Place, Liverpool, L3 5PS. Email: dtwaring{at}hotmail.com

This case report describes a patient who presented with a severe class 2 skeletal discrepancy together with a Class II malocclusion and a large anterior open bite. The malocclusion and skeletal discrepancy were managed with a combination of orthodontic and orthognathic treatment.

The orthognathic surgery was undertaken following orthodontic decompensation using sectional mechanics to allow a segmental bimaxillary osteotomy and genioplasty to be performed. Although the discrepancy was severe using this combination of treatment, a successful outcome, both facially and occlusally, was achieved.

Key words: Orthognathic, resorbable plates, 3-part maxilla