A Case of Skeletal Class 3 with Severe Periodontal Disease and Orthognathic Surgery

Abstract

This report presents an orthognathic surgery case with severe periodontal disease. Interdisciplinary dental care was required for the subject's overall oral rehabilitation. Before to orthodontic treatment, gingival inflammation was reduced by root planing and curettage. Temporary prosthodontic treatment, oral physiotherapy, and mechanical maintenance were carried out throughout pre- and postsurgical orthodontic treatment as frequently as necessary to keep periodontium free of significant inflammation. By surgical correction, the ANB angle was improved to +2.8 degrees, from -2.7. Balanced facial profile and proper overjet-overbite were acquired without significant loss of attachment. This treatment procedure can guide clinicians in further integrating an approach that is optimal for adult patients.