Mandible first orthognathic surgery: Case report

Admin Dental Press

Edition V03N01 | Year 2017 | Editorial Case Report | Pages 30 to 35

Aécio Abner Campos Pinto Júnior, Vitor José Da Fonseca, Joanna Farias Da Cunha, Luiz Felipe Cardoso Lehman, Felipe Eduardo Baires Campos, Wagner Henriques De Castro

This paper discusses, presenting a case report, the criteria that should be considered in the clinical decision regarding the surgical approach, initiating the procedure in the mandible or maxilla. Case report: 27-year-old female diagnosed as having vertical maxillary excess, anteroposterior mandible deficiency, and Angle Class II dental malocclusion. The patient was offered a bimaxillary orthognathic surgery. Due to the uncertainty in determining the centric relation of the patient, we chose to perform the procedure starting from the mandible. The surgical procedure was performed successfully, without trans and/or postoperative complications and all aesthetic-functional complaints of the patient were healed. Orthognathic surgery starting in the mandible has been presenting more common among surgeons. Despite having some specific indications, these are not strict and should be available within the surgical strategies of the maxillofacial surgeon.

Orthognathic surgery, Planning, Mandible,

Pinto Júnior AAC, Fonseca VJ, Cunha JF, Lehman LFC, Campos FEB, Castro WH. Cirurgia ortognática bimaxilar iniciando pela mandíbula. J Braz Coll Oral Maxillofac Surg. 2017 jan-abr;3(1):30-5. DOI:

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