Case Study Gabby

Patient is a healthy 24 year old woman referred from her orthodontist for consultation for orthognathic surgery.

Findings:

  1. Maxillary hypoplasia in the transverse dimension (upper jaw too narrow)
  2. Mandibular hypoplasia in the anterior-posterior dimension (lower jaw too short)

Treatment Plan

Fig 1a-d: Presentation before orthodontic or surgical treatment    
 Fig 1a-d: Presentation before orthodontic or surgical treatment  Fig 1a-d: Presentation before orthodontic or surgical treatment
 Fig 1a-d: Presentation before orthodontic or surgical treatment  Fig 1a-d: Presentation before orthodontic or surgical treatment Fig 1a-d: Presentation before orthodontic or surgical treatment

 

Fig 1 e: Panorex showing impacted wisdom teeth

 

Fig 1 f: Original cephalometric x-ray
 Fig 1 e: Panorex showing impacted wisdom teeth  Fig 1 f: Original cephalometric x-ray
Fig 1 g: Original patient profile  
   

 

Fig 2 a-d: Upper and lower jaw relationship after phase I

  
 Fig 2 a-d: Upper and lower jaw relationship after phase I  Fig 2 a-d: Upper and lower jaw relationship after phase I
 Fig 2 a-d: Upper and lower jaw relationship after phase I  Fig 2 a-d: Upper and lower jaw relationship after phase I

 

Fig 3 a: panorex at beginning of distraction (Phase II)

 

Fig 3 b: panorex at completion of distraction (Phase II)

 Fig 3 a: panorex at beginning of distraction (Phase II)

 Fig 3 b: panorex at completion of distraction (Phase II)

 

Fig 4 a-f: patient occlusion and facial images after distraction is completed

  
 Fig 4 a-f: patient occlusion and facial images after distraction is completed  Fig 4 a-f: patient occlusion and facial images after distraction is completed
 Fig 4 a-f: patient occlusion and facial images after distraction is completed  Fig 4 a-f: patient occlusion and facial images after distraction is completed
 Fig 4 a-f: patient occlusion and facial images after distraction is completed  Fig 4 a-f: patient occlusion and facial images after distraction is completed

 

Fig 4 g: Cephalometirc x-ray at end of distraction (Phase II)

 

 

 Fig 4 a-f: patient occlusion and facial images after distraction is completed

    

 

Fig 5 a-g: Final result after completion of finishing orthodontics 

  
 Fig 5 a-g: Final result after completion of finishing orthodontics  Fig 5 a-g: Final result after completion of finishing orthodontics
 Fig 5 a-g: Final result after completion of finishing orthodontics  Fig 5 a-g: Final result after completion of finishing orthodontics
 Fig 5 a-g: Final result after completion of finishing orthodontics  

 


Lee "Mac" Whitesides, D.M.D., M.M.Sc. at Northside Oral Surgery