Zhou YW, Wang YY, He ZF, Lu MX, Li GF, Li H. Orthodontic-surgical treatment for severe skeletal class II malocclusion with vertical maxillary excess and four premolars extraction: A case report. World J Clin Cases 2023; 11(5): 1106-1114 [PMID: 36874417 DOI: 10.12998/wjcc.v11.i5.1106]
Corresponding Author of This Article
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
Research Domain of This Article
Dentistry, Oral Surgery & Medicine
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
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
Core Tip
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.
