Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 16, 2023; 11(5): 1106-1114
Published online Feb 16, 2023. doi: 10.12998/wjcc.v11.i5.1106
Orthodontic-surgical treatment for severe skeletal class II malocclusion with vertical maxillary excess and four premolars extraction: A case report
Yi-Wen Zhou, Yan-Yi Wang, Zhi-Feng He, Ming-Xing Lu, Gui-Feng Li, Huang Li
Yi-Wen Zhou, Yan-Yi Wang, Zhi-Feng He, Ming-Xing Lu, Gui-Feng Li, Huang Li, Department of Orthodontics, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210000, Jiangsu Province, China
Author contributions: Zhou YW and Wang YY contributed equally to this work; Zhou YW and Wang YY contributed to the case analysis and article writing; He ZF contributed to the article design and revision; Lu MX, Li GF and Li H participated in the treatment of the patient; Li H did the final revision and approval of the manuscript; All authors have read and approve the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Huang Li, PhD, Professor, Department of Orthodontics, Nanjing Stomatological Hospital, Medical School of Nanjing University, No. 30 Central Road, Gulou District, Nanjing 210000, Jiangsu Province, China. lihuang76@nju.edu.cn
Received: October 14, 2022
Peer-review started: October 14, 2022
First decision: November 30, 2022
Revised: December 11, 2022
Accepted: January 16, 2023
Article in press: January 16, 2023
Published online: February 16, 2023
Processing time: 123 Days and 3 Hours
Abstract
BACKGROUND

Patient satisfaction with facial appearance at the end of orthodontic camouflage treatment is very important, especially for skeletal malocclusion. This case report highlights the importance of the treatment plan for a patient initially treated with four-premolar-extraction camouflage, despite indications for orthognathic surgery.

CASE SUMMARY

A 23-year-old male sought treatment complaining about his unsatisfactory facial appearance. His maxillary first premolars and mandibular second premolars had been extracted, and a fixed appliance had been used to retract his anterior teeth for two years without improvement. He had a convex profile, a gummy smile, lip incompetence, inadequate maxillary incisor inclination, and almost a class I molar relationship. Cephalometric analysis showed severe skeletal class II malocclusion (A point-nasion-B point = 11.5°) with a retrognathic mandible (sella-nasion-B point = 75.9°), a protruded maxilla (sella-nasion-A point = 87.4°), and vertical maxillary excess (upper incisor to palatal plane = 33.2 mm). The excessive lingual inclination of the maxillary incisors (upper incisor to nasion-A point line = -5.5°) was due to previous treatment attempts to compensate for the skeletal class II malocclusion. The patient was successfully retreated with decompensating orthodontic treatment combined with orthognathic surgery. The maxillary incisors were repositioned and proclined in the alveolar bone, the overjet was increased, and a space was created for orthognathic surgery, including maxillary impaction, anterior maxillary back-setting, and bilateral sagittal split ramus osteotomy to correct his skeletal anteroposterior discrepancy. Gingival display was reduced, and lip competence was restored. In addition, the results remained stable after 2 years. The patient was satisfied with his new profile as well as with the functional malocclusion at the end of treatment.

CONCLUSION

This case report provides orthodontists a good example of how to treat an adult with severe skeletal class II malocclusion with vertical maxillary excess after an unsatisfactory orthodontic camouflage treatment. Orthodontic and orthognathic treatment can significantly correct a patient’s facial appearance.

Keywords: Case report; Skeletal class II malocclusion; Vertical excess; Gummy smile; Camouflage treatment; Orthognathic surgery

Core Tip: This case report describes a skeletal class II patient who had experienced two-year camouflaged orthodontic treatment but was still unsatisfied with his facial aesthetics. A combined surgical/orthodontic treatment was then carried out. The maxillary incisors were re-positioned and proclined in the alveolar bone, the overjet was increased, and a space was created for orthognathic surgery, including maxillary impaction, anterior maxillary back-setting, and bilateral sagittal split ramus osteotomy to correct his skeletal anteroposterior discrepancy. Orthognathic surgery should be considered the first option when a patient’s chief complaint is about his facial aesthetics and there is severe skeletal deformity. When choosing orthodontic camouflage, orthodontists must be cautious that unfavorable soft tissue changes might occur. After an unsatisfactory orthodontic camouflage treatment, orthodontic and orthognathic treatment can still be used in severe adult skeletal class II malocclusion.