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Revista Cubana de Estomatología

Print version ISSN 0034-7507On-line version ISSN 1561-297X

Abstract

MORALES NAVARRO, Denia  and  DAGO FARAH, Salma. Comprehensive esthetic management of a dentofacial anomaly. Rev Cubana Estomatol [online]. 2020, vol.57, n.1, e2898.  Epub May 20, 2020. ISSN 0034-7507.

Introduction:

Dentofacial anomalies are dental and facial growth disorders affecting children and adults alike.

Objective:

Present a clinical case of dentofacial anomaly in which principles of the multidisciplinary management of orthognathic surgery and otoplasty were applied to achieve harmony.

Case report:

A male 18-year-old patient reports esthetic dissatisfaction. Analysis of study models, measurements taken by teleradiography and findings of the physical examination led to the diagnosis of mandibular prognathism with a vertically extended chin. Orthodontic-surgical treatment was performed, consisting in sagittal mandibular osteotomy and height reduction mentoplasty. Bicortical screws were used for internal fixation in the mandibular angle area and miniplates in the chin region. Otoplasty was performed three months later to correct the presence of protruding ears, achieving satisfactory functional and esthetic results.

Conclusions:

Application of the principles of the multidisciplinary management of orthognathic surgery, combined with the conduct of otoplasty, led to positive results. The objective of achieving facial harmony was fulfilled, alongside functional and esthetic improvement and high patient satisfaction.

Keywords : prognathism; orthognathic surgery; maxillary fixation techniques; esthetic; plastic surgery.

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