Abstract
The purpose of this presentation was to determine whether customized Incognito TM Lingual appliances are working in orthognathic surgical cases.
The present case report describes the episode of an 18 year-old female with prognathic chin, diagnosed as skeletal class III malocclusion with facial asymmetry.
The treatment modalities were as follows; extraction of the two upper first bicuspids, the employment of Incognito TM Lingual System and one-jaw orthognathic surgery.
The changes in denture manifested full-cusp class II molar relationship with a class I canine relationship. Cephalometric analysis showed that the ANB improved from -3° to 3°, indicating a balanced relationship of the denture bases to each other with pleasing facial profile.
The present case demonstrates that the correction of the complicated orthodontic problem requiring orthognathic surgery is feasible with a customized lingual appliance. The lingual appliance in conjunction with orthognathic surgery brings the clinician the best esthetic advantage without any obstacles.
