Case Study TH

Our patient is a healthy man is his early thirties who came to me on referral from his orthodontist (Dr. Mark Johnston). After my examination and discussion with Dr. Johnston we arrived at a three phase treatment plan.

• Phase one would involve extractions of the patient’s wisdom teeth and lower premolars.
• Phase two would involve surgery on the upper jaw to fracture it to provide for orthodontic expansion.
• Phase three would involve surgical advancement of the lower jaw.

Fig 1: pre-surgery smile	Fig 2: pre-surgery profile
Fig 3a-d: pre-surgery occlusion	Fig 3a-d: pre-surgery occlusion
Fig 3a-d: pre-surgery occlusion	Fig 3a-d: pre-surgery occlusion
Fig 4 a: face at end of treatment	Fig 4 b: occlusion at end of treatment